Piles or Haemorrhoid is also known as Bawaseer in Hindi language. Piles is the swelling of a blood vessel around the opening of the rectum. While defecating this inflamed vessel pops out of the anus and causes a lot of discomfort and sometimes pain. The disease is found in both men and women and is mostly caused by weak veins.
The diagnosis of piles is quite easy for an ano-rectal surgeon and is mostly done by physical examination. In some cases of internal piles the surgeon my do proctosocpy to confirm the diagnosis.
There is no established reason as to why piles are formed in some people but some of the common reasons are bad diet, excessive weight lifting, genetic history, obesity, pregnancy, sitting job and constipation. The symptoms are bright red blood during defecation, feeling of a lump in the rectum or outside the anus, itching and pain at the anus. Home remedies must not be tried without consulting an ano-rectal surgeon.
The piles are of two types - internal and external. The internal piles are then classified into 4 grades where grade 1 is the simplest and grade 4 is the worst. The treatment options also depend on the grade of the piles. Normally surgery is not required in grade 1 or 2 but grade 3 and 4 would require surgical treatment.
Non Surgical Treatments include Rubber Band Ligation in which a rubber band is placed at the base of the piles which cuts blood supply to the inflamed part which results in shrinkage in size and ultimately falling off. Co-agulation is done to pass electric current or infrared light through the piles to create scar and ultimately shrinkage and falling off. Some home remedies also help in treating piles which are - eating high fiber diet, sitz bath, ice pack, oral medications which also help in the treatment of grade 1 or 2 of piles.
The best surgical treatment for piles is either Stapler Haemorrhoidectomy or Laser Piles Surgery. Both the surgeries have quick recovery and minimal blood loss. The advantage of Laser Surgery for Piles is that it can be done in OPD setting, does not require anaesthesia and the patient can go home within few hours.
Dr Rajesh Rastogi is one of the finest surgeon when it comes to Ano Rectal Surgeries. He has done the highest number of Stapler Surgeries for Haemorrhoids in the Moradabad region. He has been doing these surgeries for the last 20 years and has done several thousand of them with successful outcomes. The cost of Laser Piles Surgery is Rs. 75k while the cost of normal haemorrhoidectomy is Rs. 50k. The cost of stapler haemorrhoidectomy would be Rs. 80k.
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