What are Haemorrhoids (Piles)?

Haemorrhoids are swollen and inflamed veins in the rectum and anal canal. They are extremely common — affecting up to 75% of people at some point. Internal haemorrhoids develop inside the rectum; external haemorrhoids develop under the skin around the anus.

Symptoms

• Bright red bleeding after passing stool
• Prolapse (tissue coming out of the anus)
• Itching, discomfort or pain around the anus
• Mucous discharge
• Feeling of incomplete bowel emptying

Treatment Options at Charak Hospital

• Grade 1–2: Dietary changes (high fibre), stool softeners, sitz baths; Rubber Band Ligation (OPD procedure)
• Grade 3: Stapled Haemorrhoidopexy (MIPH/PPH) — preferred; minimal pain, day-care, rapid recovery
• Grade 4 / Thrombosed: Conventional open haemorrhoidectomy (Milligan-Morgan or Ferguson technique)
• Thrombosed external haemorrhoid: Excision under local anaesthesia for immediate pain relief

Stapled Haemorrhoidopexy (MIPH) — Modern Piles Surgery

MIPH (Minimally Invasive Procedure for Haemorrhoids) uses a circular stapling device inserted through the anus to remove a ring of the prolapsed mucosa and restore the haemorrhoids to their normal position. The entire procedure is performed inside the anal canal — no external wound. Most patients go home the same day or next day with minimal pain and return to work in 2–3 days.