Piles are swollen blood vessels in and around the back passage that can bleed, itch or hang down. Most people get better with diet changes and medicines; some need a simple procedure or surgery. At Charak Hospital, Hardoi Road, Dubagga, GI and laparoscopic surgeons offer the full range of treatment, from clinic procedures to stapled haemorrhoidopexy.
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Everyone has cushions of blood vessels in the anal canal. When they swell and slip down, usually from straining, constipation, long sitting or pregnancy, they are called piles or haemorrhoids. Internal piles are inside and often bleed without pain; external piles are under the skin around the anus and can become painful if a clot forms.
Fibre, fluids and not straining.
Stool softeners and creams.
A clinic procedure for internal piles.
For large or persistent piles.
Common symptoms include:
On the toilet paper or in the pan.
That may go back on its own or need pushing back.
Around the anus.
Especially with a clotted external pile.
And a feeling of incomplete emptying.
Bleeding from the back passage is not always piles. Changes in bowel habit, dark blood, weight loss or bleeding after 40 should be checked to rule out other conditions such as bowel cancer. Call 0522-666-4444.
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Diet, fluids, stool softeners.
Rarely needed.
Usually settles.
Diet and medicines.
Banding if symptoms continue.
Good with treatment.
Banding or surgery.
Stapled haemorrhoidopexy or haemorrhoidectomy.
After examination.
Usually surgery.
Haemorrhoidectomy.
Painful clotted piles may need urgent care.
A small band cuts off the blood supply; the pile falls off in about a week.
Usually none.
Grade 1–3 internal piles.
Piles are cut out under anaesthesia.
Large or external piles.
About 2 to 3 weeks; pain relief is given.
A stapling device lifts the piles back into place and reduces blood supply.
Prolapsing internal piles.
Often quicker return to activity.
No match found. Please call us on 0522-666-4444 — we will guide you.
Most piles are diagnosed in the clinic.
Bleeding, pain and bowel habit.
Gentle examination of the back passage.
A short tube to see the anal canal.
If needed to rule out other causes of bleeding.
Diet, medicines, banding or surgery.
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Here is what usually happens.
A short check-up and blood tests are done before surgery.
Blood testsBowel preparation if advisedFastingUsually under spinal or general anaesthesia; 30 to 60 minutes.
Day care or overnight stayPain reliefDressing or pack if neededMost people return to desk work in 1 to 2 weeks.
Avoid strainingKeep stools softGentle walkingSymptoms and examination.
In the clinic.
Treatment and costs.
Banding or surgery if needed.
Usually same or next day.
Wound and diet review.
Simple habits help prevent piles and stop them coming back.
Eat whole grains, dal, vegetables and fruit every day.
Isabgol (psyllium) can help if advised.
Drink plenty of water through the day.
Do not strain or sit long on the toilet; avoid using the phone there.
Stay active and avoid sitting for long periods.
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Constipation and straining are the main causes. Spicy food may irritate existing piles.
Other conditions can bleed too. Get it checked.
Recurrence is uncommon when diet and toilet habits improve.
MBBS, MS, M.Ch (Surgical Gastroenterology), FRCS, FACS
Colorectal and pelvic floor surgery, HPB and pancreatic surgery, and GI cancer surgery. OPD: Monday to Saturday, 10 am – 4 pm.
MBBS, MS (General Surgery), DNB (Surgical Gastroenterology)
Laparoscopic GI surgery, gallbladder and bile duct surgery, hernia and proctology. OPD: Monday to Saturday, 9 am – 5 pm.
MBBS, DNB (General Surgery), advanced training in laparoscopic surgery
Gallbladder, hernia, appendix and laparoscopic surgery. OPD: Monday to Saturday, 10 am – 5 pm.
A little preparation helps us plan your treatment.
Tick off as you pack:
Costs depend on the treatment chosen, the anaesthesia and whether you stay overnight. Ask for a written estimate.
*Coverage depends on your policy and the treatment. Our insurance desk can check this for you.
Call 0522-666-4444Many early piles settle with diet, fluids and medicines. Larger piles may need banding or surgery.
Some pain is expected for a few days; it is controlled with medicines, sitz baths and soft stools.
Usually day care or one night.
A procedure that lifts prolapsing piles back into place using a stapling device; recovery is often quicker.
They can, but good diet and toilet habits lower the risk.
Most health insurance policies and Ayushman Bharat PM-JAY cover this treatment for eligible patients. Our insurance desk can check your cover.
Call 0522-666-4444 or use the form on this page.
No matching term. Please ask your doctor at your next visit.
Medical information disclaimer: This page provides general health information for patients and families. It is not a substitute for a consultation, diagnosis or treatment by a qualified doctor. Treatment decisions depend on each patient's individual condition. In an emergency, call 0522-666-4444 or go to the nearest emergency department.
About this page: Prepared by the Charak Hospital web team with the help of AI writing tools, using information from the Department of Surgical Gastroenterology & Hepato-pancreato-biliary (HPB) Surgery, Charak Hospital & Research Centre · Last updated: October 2026
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