 What is Piles / Hemorrhoids ?

Piles is a rectal and anal condition/disease also known as ‘Hemorrhoids’. They

are of two types, internal and external hemorrhoids. Internal hemorrhoids or
prolapsed hemorrhoids are not felt since they remain in the anal canal. Most often
it is the external hemorrhoids that protrude from the anus which pain, itch and
bleed. In India, at least a million new cases are recorded, every year making it
one of the most common health conditions. The contributing factor in their
numbers is due to higher intake of processed foods and increasing sedentary
lifestyles of the Indian population.

 Symptoms
Piles don’t always cause pain. It may exhibit other symptoms
which differ based upon age, condition, severity, type and
location.

The symptoms of piles are:

o Painless anal bleeding
o Sore sensations
o Pain during passing stools
o Lump or swelling on the rectum
o Discharge of slimy mucus from anus
o Itching around the anus
o Pain and discomfort while opening the anus
o A constant need of fullness and urge to empty the bowels
 The above are general guidelines. We recommend you visit
Mumbai Piles Clinic, to get a complete checkup and confirmation
of your condition from our expert medical team.

 Causes
o Frequent, chronic, or severe constipation
o Long bouts of diarrhea
o Spending long hours seated
o Obesity
o Over Exercising
o Low-fiber diets
o Lifting heavy objects
o Genetic reasons
o Pregnancy
o Ageing

 Treatment
Piles is classified into four grades:
 Grade I - Hemorrhoids bleed and may protrude into, but do not prolapse out of,
the anal canal. They are not visible
 Grade II - Hemorrhoids prolapse/get pushed out on passing stool but they will
also return unaided.
 Grade III - Hemorrhoids require manual reduction. Known as prolapsed
hemorrhoids, they appear outside the anus but can be easily re-inserted into the
rectum.
 Grade IV - Hemorrhoids cannot be reduced/pushed back. They are permanent
prolapse and remain outside of the anus.
The treatment of the piles depends on which of the above Grade it belongs
to. Initially, the condition maybe treated with dietary changes and medicine
but incase of no improvement then a day surgery may be needed.
 Diet : 
In the case of onset of piles, it is recommended to increase one’s intake of liquids and
fibrous foods.
 Medications : 
Including painkillers, ointments, creams, and pads to help soothe redness and swelling
around the anus.
 Corticosteroids : 
They help to reduce inflammation and pain.
 Laxatives : 
If the patient suffers from constipation leading to piles, the doctor will prescribe laxatives
or suppository to reduce pressure on the lower colon while passing stools.
 Surgical options : 
Today the latest laser surgery available for Piles is bloodless and scar less.
Mumbai Piles Clinic is equipped to offer the latest laser treatment for piles.

Our Expertise
 LHP : 
Laser Hemorrhoid procedure (LHP) is the most preferred laser treatment for
hemorrhoids. This helps the hemorrhoidal arterial flow feeding the hemorrhoidal plexus
to stop. It is only an outpatient procedure and does not admission to a hospital.
 Ultroid Hemorrhoid Management Treatment : 
The most advanced and effective technique in curbing a re-occurrence is the Ultroid
Hemorrhoid Management Treatment. There is no pain or invasion involved. Offered in
only a few clinics in India and Pan Asia, our founder, Dr. Sambit Patnaik is trained to
offer Ultroid Hemorrhoid Management Treatment in Mumbai, India.

Other Treatments available at the clinic

 MIPH Laser : 
Minimally Invasive Procedure for Hemorrhoids (MIPH) is Stapled Hemorrhoidectomy.
This advanced surgical procedure is performed with the help of a stapler device and
patients can go home on the same day.
 Ultrasonic Scapel Excision : 
A hemorrhoidectomy using an ultrasonic scalpel another safe procedure. This procedure
has less operation time, lower postoperative blood loss, and less postoperative pain.
 BEIM Technology : 
New BEIM procedure is a day care procedure. It does not require post-operative
dressing.
 HAL-RAR : 
Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR) can be used for all
grades of hemorrhoids.
 Banding : 
An elastic band is put around the base of the pile, blocking the blood supply. This
would lead to the hemorrhoid eventually falling off. This treatment is effective
hemorrhoids in grade I, II, III.
 Sclerotherapy : 
For grade II and III hemorrhoids, this treatment is used whereby medicine is injected to
make the hemorrhoid shrink and shrivel up.
 Miligan Morgan Hemorrhoidectomy : 
A UK technique, it is now performed in India. Done under local anesthesia or sedation,
the excess tissue causing the bleeding is surgically removed. It is the most preferred
for Grade III & IV since it removes the piles permanently.