Pace Hospitals | Best Hospitals in Hyderabad, Telangana, India
PILES TREATMENT

Laser Piles Treatment in Hyderabad, India | Cost & Benefits

PACE Hospitals, is renowned for its excellence in Piles Laser Treatment in Hyderabad, India, offering blood less and painless procedures for haemorrhoids. Equipped with state-of-the-art latest laser technology and a team of highly skilled surgical gastroenterologists / proctologists. Our treatment options range from non-surgical methods like medication and diet changes to minimally invasive procedures such as laser surgery and rubber band ligation. We tailor personalized treatment plans for patients of all ages, ensuring comprehensive care and speedy recovery from Piles or hemorrhoids.

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82,000+ Patients treated with Piles or haemorrhoids

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Team of the Best Surgical Gastroenterologists

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Precision Treatment with 99.9% success rate

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All insurance accepted with No-cost EMI option

PACE Hospitals is widely recognized as the Best Hospital for Piles Treatment in Hyderabad, India, offering advanced and compassionate care tailored to each patient’s needs. With a team of experienced proctologists, general surgeons and surgical gastroenterologists, the hospital provides the best treatment for piles in Hyderabad, utilizing cutting-edge techniques such as minimally invasive surgery, laser treatment, and other modern procedures for effective and painless recovery. 



Known for its patient-centered approach, PACE Hospitals ensures accurate diagnosis, personalized treatment plans, and dedicated post-treatment support. Combining state-of-the-art infrastructure, laser and 3D HD laparoscopic technology with affordable care, the hospital has earned a reputation for delivering exceptional results and improving patients’ quality of life. Whether you're seeking the Best treatment for Piles in Hyderabad  or best piles treatment hospital in Hyderabad, PACE Hospitals emerges as the preferred choice, ensuring a comfortable and successful recovery journey.

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Piles or haemorrhoids diagnosis

Usually, the piles' diagnosis starts with the physical examination of the patient, followed by further procedures.


Procedure for the piles/hemorrhoid diagnosis

  • The gastrointestinal surgeon / surgical gastroenterologist initially takes the history of the patient's symptoms, personal history, medical-medication history, and family history for piles.
  • The doctor wears gloves and lubrication to carefully inspect the inner and outer anal region before placing the finger through the anus into the rectum.
  • Usually, this process is done using an instrument anoscope which helps to visualise the haemorrhoidal tissue; this process is known as digital rectal examination. 
  • The gastrointestinal surgeon further needs additional information regarding the colon to find out any bleeding causes, cancers, or polyps. Usually done by sigmoidoscopy (to examine the sigmoid colon) or colonoscopy (to examine the entire colon). 


Physical inspection of the body by physician/consultant surgeon

The doctor will assess the area around the anus for -

  • Skin irritation
  • Skin tags or sentinel pile - extra skin left behind after the clot dissolves or breaks.
  • Anal fissures - a small tear or laceration in the anus/anal region that may cause pain, itching, or bleeding.
  • Lumps or swelling
  • Internal hemorrhoids descending from the anal opening are called prolapse haemorrhoids (protruded hemorrhoids).
  • External hemorrhoids with a clot in a vein, called thrombus hemorrhoids
  • Leakage of stool or mucus with blood 


Diagnostic tests for piles/hemorrhoids


Anoscopy: The doctor performs the anoscopy procedure by inserting the finger-sized instrument (short scope) into the anus to visualise the rectal and anal tissues to rule out the abnormalities.


Proctoscopy: Proctoscopy is often called proctosigmoidoscopy or rigid sigmoidoscopy. This procedure uses a proctoscope to visualise the inside part of the rectum and anus. The proctoscope measures about 10 inches long, holding the camera with a light to visualise the abnormalities inside the colon and rectum.


Proctoscopy is done to examine the following:

  • Presence of hemorrhoids.
  • Polyps or tumours that may cause bleeding and inflammation.
  • Causes of diarrhoea and constipation.
  • The exact location of the tumour and other signs 


Colonoscopy:  The colonoscopy for piles procedure examines the entire large intestine, colon. This procedure uses a tool called a colonoscope containing a camera attached to the end of a long tube to visualise the abnormalities in the colon.


A colonoscopy is done to know the following:

  • Inflamed tissues of the colon
  • The causes of bleeding
  • Cancer
  • Ulcers

✅Differential diagnosis of piles/hemorrhoids

Differential diagnoses can be elucidated from two categories 

  1. Differential diagnosis based on the symptoms
  2. Differential diagnosis based on the clinical presentation


Differential diagnosis based on the symptoms


Differential diagnosis related to anal bleeding: 

  • Anal crack: An anal fissure is where the tearing or rupture of the anal canal is seen. 
  • Chronic irritant eczema: Itchy or eczematic (allergic) reaction to toxic chemicals, which leads to inflammation and bleeding. 
  • Anal cancer: Anal cancer is a rare cancer that occurs in the anal canal. Signs include bleeding in the anus or rectum or lump formation near the anus. 
  • Rectal cancer: Malignant (cancer) cells develop in the tissues of the rectum in the case of rectal cancer. Stool with blood or changes in bowel habits are two indicators of rectal cancer. 
  • Proctitis: Proctitis is the condition of rectal inflammation. 


Differential diagnosis related to itching:

  • Anal eczema: Pruritus ani, often known as itchy bottom, is indicated by a strong tendency to itch the region around the anus. 
  • Chronic anal fissures: Anus tears or cracks are known as anal fissures. Haemorrhoids and fissures can occasionally be confused. These are swollen blood vessels that are inside or close to the anus. Fissures and haemorrhoids are frequently caused by passing tough stools. 


Differential diagnosis related to pain: 

  • Peri anal venous thrombosis: Hematomas in or around the veins of the anus are referred to as perianal venous thrombosis. It is sometimes mistakenly called an external haemorrhoid. 
  • Acute anal fissure: A superficial skin tear distal to the dentate line is known as an anal fissure. Anal fissures are frequent in those with a history of trauma, low-fibre diet, constipation, previous anal surgery, or hard stools. Anal fissures lasting less than six weeks are often called acute anal fissures. 
  • Abscess: A skin abscess is a sore, pus-filled bump on the skin. 


Differential diagnosis related to tumours:   

  • Peri anal venous thrombosis
  • Abscess
  • Benign tumours (non-cancerous tumours)
  • Condyloma acuminata: It is a condition caused due to the growth of skin around the anus due to human papillomavirus (HPV) 
  • Hypertrophic anal papillae: Skin tags that protrude from the dentate line, or the intersection of the skin and the anus epithelial lining, are known as hypertrophied anal papillae. 
  • Anal cancer


Differential diagnosis based on the clinical presentation

  • Anal or rectal prolapse: When the rectum descends through the anus, it is known as rectal prolapse. The entire rectum wall passes through the anus in a full rectal prolapse. Only the rectum's lining drops through the anus in partial rectal prolapse. 
  • Hypertrophic anal papillae
  • Condyloma acuminata
  • Anal vein thrombosis
  • Anal fissure

✅Staging of piles

Piles/Hemorrhoids are classified into the following grades based on severity and anatomy:

  • Grade - 1: Small, swollen areas on the internal anal canal lining appear from outside the aperture of the back channel (anus). They are not visible or perceptible. Grade-1 piles are more common and grow larger in some people, reaching grade 2 or higher.
  • Grade - 2: These are bigger and may be partially pulled outside the anus when the patient wipes the anal region or uses the toilet, but as soon as the patient stops straining, they return inside.
  • Grade - 3: Grade - 3 patients experience prolapses from the anus when using the toilet. One or more of them may feel like tiny, bouncy bumps that hang from the anus. With a finger, the patient may force them back into the anus.
  • Grade - 4: In this stage, haemorrhoids drop-down continuously from the anus (prolapse) and can’t push back inside. They become quite large sometimes.
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Piles Treatment

Management of piles/hemorrhoids includes:

  • Non-pharmacological piles or hemorrhoids treatment
  • Pharmacological piles or hemorrhoids treatment


Non-pharmacological piles or hemorrhoids treatment


Diet

  • Consuming high-fibre foods for piles, such as wholegrain bread, cereals, fruits, and vegetables, helps the stool move more easily. 
  • Keeping hydrated helps patients to pass soft stools effortlessly.
  • Preventing constipation can be accomplished by taking fibre supplements like ispaghula, methylcellulose, bran, or sterculia.
  • Limit your intake of alcohol and caffeine. 


The American Dietary Guidelines, 2020–2025, suggested consuming 14 grams of dietary fibre per 1,000 calories. For instance, the recommended daily fibre intake is 28 grams for a 2,000-calorie diet for piles.


The following 5 foods to avoid with hemorrhoids:

  • Prepared foods (frozen and snack foods)
  • Processed foods (microwavable dinners)
  • Cheese
  • Fast food
  • Meat

The 5 hemorrhoids high fiber diet includes:

  • Cereals
  • Oats
  • Brown rice
  • Beans 
  • Lentils (daal)


Medications 

  • Patients could avoid painkillers that may lead to constipation.

Habits

  • Avoid spending extended periods in the lavatory or toilets.
  • Maintenance of healthy weight.
  • Avoid putting any strain on bowel movements. 
  • Regular exercise can help with constipation.
  • Avoid heavy lifting.
  • Take a sitz or tub bath to get relief from pain.


Sitz bath: It is one of the best hemorrhoids home treatments. It is a type of therapy where the patient sits in warm or cold water to minimise the itching, pain symptoms and gives a soothing effect in the anal and genital areas.

✅Medical and Surgical treatment for haemorrhoids or piles

Medications


Ointment for piles, piles cream, piles tablet and suppositories containing corticosteroids (reduces the pain and inflammation), soothing agents (gives cooling and smooth effect), astringents (hemorrhoids medicine that reduces bleeding piles and other abrasions) and antibiotics (to treat infections).


The above medications are given as OTC (over-to-the-counter) and prescription.


If there is severe pain and bleeding, the piles specialist doctor may prescribe corticosteroids and medicines that cause numbness to relieve the pain. 


Non-surgical procedures


Rubber band ligation (banding treatment)

Usually, this procedure will be done for the patients with grade 1 hemorrhoids, grade-2 and 3 haemorrhoids. It is an outpatient procedure and involves the placement of a rubber or elastic band around the base of hemorrhoid. Upon placing the rubber band, the blood supply to the piles cuts off, making the piles dead and falling off automatically.


Rubber band ligation is usually painless. It has the best curing rate (out of 10 cases, 8 cases will get cured). The recurrence of piles is based on the strain during constipation. Internal haemorrhoids treatment can be effectively done non-surgically with rubber band ligation compared to other techniques. Overall, this is a secure method.


Minor complications such as bleeding, infection, and ulcers occur in a few patients after the ligation procedure. 


Injection sclerotherapy

In some cases of haemorrhagic internal haemorrhoids, ambulatory treatment with sclerosants is injected, resulting in scarring and shrinkage of blood vessels in haemorrhoidal tissues. Before starting the sclerosant treatment, an endoscopic examination is conducted. This treatment method significantly lowers rectal bleeding and rarely results in local or widespread issues, such as scarring. It is only indicated for one or two series of injections.


It is also an outpatient procedure and involves shorter sessions. This procedure is contraindicated in patients who are taking blood thinners. 


Infrared photocoagulation

This tool uses heat to direct infrared rays on the internal haemorrhoid. The heat generated by the infrared light causes scar tissue to occur, which cuts off the blood supply and shrinks piles. 


Electrocoagulation

This tool uses electric current on internal hemorrhoid and causes scar tissue to form, which cuts off the blood supply and shrinks piles. 


There are some laser treatments for piles which include:


Haemorrhoidal laser procedure (HeLP)

'HeLP' is needed in patients with symptomatic hemorrhoids where conservative treatment failed and when mucosal prolapse is scarce or not symptomatic. The technique comprises the closure of the terminal branches of the superior rectal artery roughly 2-3 cm above the dentate line through laser shots originated by a diode laser platform.


Patients well tolerate the laser beam. For this reason, anaesthetic is not required in most situations, and the operation allows a speedy return to regular activities.


Haemorrhoidal laser procedure + mucopexy (HeLPexx)

The inclusion of mucopexy to laser treatment (HeLPexx) contributes to the overall treatment of symptoms when mucosal prolapse is a cause. 


Laser hemorrhoidoplasty (LHP)

LHP is a minimally invasive outpatient procedure with less discomfort and recovery time. In order to have the laser coagulate with hemorrhoidal nodes, a laser haemorrhoidoplasty kit is used in this treatment. Haemorrhoids that are swollen will decrease due to the laser energy’s-controlled emission. Prolapse has been proven to be prevented with this method. Using clamps or other foreign objects within the body is unnecessary for this type of laser surgery.


Since no stitches or incisions are used during hemorrhoidoplasty, and thus it has great healing results. In this process, a small perianal port is used to get access/entry to hemorrhoidal tissue. After this procedure, the patient can resume normal daily activities within a few hours.


In treating symptomatic hemorrhoidal disease, laser haemorrhoidoplasty looks promising and effective non-excisional surgical approach with high patient satisfaction, mild postoperative symptoms, few complications, and swift-to-operate activities. 


Surgical procedures


Surgical hemorrhoidectomy

Surgical hemorrhoidectomy (traditional piles surgery) is indicated to treat third- and fourth-degree hemorrhoids in conditions such as failure of medical management, bulging out of the large component, advanced disease, coagulopathic patients with bleeding and for the treatment of incarcerated internal hemorrhoids.


This procedure is an inpatient procedure done under general anaesthesia. However, it may cause pain for a few days after surgery. Among other contraindications, haemorrhoidectomy is also contraindicated in patients suffering from rectocele who cannot undergo anaesthesia. 


Stapled haemorrhoidopexy

In this procedure, a stapling gun is used to cut the circular section of the anal canal lining above the piles. This procedure pulls the piles back to the back passage and reduces the blood supply to the piles, which in turn causes shrinkage.


It is a less painful procedure when compared to that of traditional surgery. 


Haemorrhoidal artery ligation

The arteries which supply blood to the piles are tied (ligated), and thereby it causes the piles to shrink.

✅Laser piles treatment benefits

Laser piles treatment offers several advantages over traditional surgical methods:


Minimal Invasiveness

  • No incisions or stitches, reducing infection and scarring risk.
  • Less pain, requiring minimal anesthesia.
  • Faster recovery; patients can resume daily activities within a few days.


Precision and Efficiency

  • Targeted laser beam treatment, minimizing damage to healthy tissue.
  • Minimal bleeding during the procedure.
  • Short procedure time.



Long-term Benefits

  • Lower risk of piles recurrence due to precise treatment.
  • Improved quality of life with quick recovery and minimal discomfort.


Additional Advantages

  • Typically an outpatient procedure, avoiding hospital stay.
  • Reduced infection risk due to minimally invasive nature.
  • Minimal or no scarring due to the absence of incisions.
Piles causes | hemorrhoids causes | hemorrhoids treatment in India | Piles treatment in India

Piles (Hemorrhoids): Symptoms, Causes, Types, Prevention, Treatment

By Pace Hospitals • June 24, 2024
Explore the detailed guide on piles (hemorrhoids) including symptoms, causes, types, risk factors, and treatment options. Find the best ways to manage and treat piles.

Frequently Asked Questions (FAQs) on Piles or haemorrhoids

  • What is piles?

    Haemorrhoids, often known as piles, typically develop inside and around the anal canal. A complex network of small blood vessels lines the surface of the anal canal. Sometimes, the blood in these veins increases and causes them to bulge. The tissue above the enlarged veins might combine to create one or more piles. 

  • What causes hemorrhoids or piles?

    The possible causes for piles or hemorrhoids are straining during bowel movement, chronic constipation or diarrhoea, abnormal bowel habits such as longer duration in bathrooms, increased abdominal pressure due to pregnancy, lifting heavy weights, eating spicy foods, and lack of water (dehydration).

  • How piles look like?

    Piles are small bumps or lumps (fleshy and swelling) like structures and range from pea to grape size. They usually occur above, below or around the anal canal (anus) and appear pink or purple. 

  • Which juice is good for piles?

    Not only specific juice, drinking water and liquids such as fruit juices and clear soups helps the patient relieve piles or haemorrhoids.


    In addition to these fiber rich foods such as vegetables, fruits, and cereals makes the patient pass the stools softly and easier to get rid of pain and constipation during stool pass. 

Which doctor treats piles?

Initially, the physician/general practitioner will confirm piles, and the surgical procedures and treatment for piles or hemorrhoids will be done by a gastrointestinal surgeon/surgical gastroenterologists.

What is the age of piles starting?

Piles can occur at any age in one’s life. However, studies have shown that piles commonly occur between 45-65. About half of the people will be affected with piles or hemorrhoids by age 50. 

Does piles affect periods?

Until now, no proven studies regarding the periods and piles relation exist.

How to prevent piles?

Piles can be prevented by drinking a lot of water and liquids, taking a fibre-rich diet, avoiding sitting continuously on toilets and hard surfaces, maintaining a healthy weight, taking fibre supplements, and exercising for piles (constipation relief). 

How to reduce piles pain?

The factors that are used to reduce pain are:

  • Keeping the stool soft by consuming plenty of fluids and fibre.
  • Cleaning the bottom with damp toilet paper.
  • Take a warm or cold sitz bath to relieve aching and discomfort for hemorrhoids (tub).
  • Taking OTC analgesics relieves pain for the initial stage of piles.
  • Placing an ice pack in a towel to get relief from pain.
  • Gently push the pile inside.
  • Maintain the bottom dry and hygienic. 

Is egg good for piles?

There is no significant relation between piles and egg consumption. However, some studies have shown that components of eggs such as phospholipids, cholesterol, lutein, zeaxanthin, and proteins play an important role in circulating levels of the anti-inflammatory adipokine, adiponectin and indirectly reduce inflammation.

How to get rid of external hemorrhoids in 48 hours?

There are no natural procedures to remove external haemorrhoids in 48 hours, nor piles cure in 3 days beyond surgeries.

What is the difference between symptoms of piles in male and symptoms of piles in female?

There is no differentiation between symptoms of piles in males or females. However, it was understood that the complaint of piles in males is high as males report more frequently than females. Nevertheless, the reason for piles usually remains the same in both genders. 

What is the cost of piles laser treatment in Hyderabad, Telangana?

The average piles laser treatment cost in Hyderabad ranges varies from ₹65,000 to ₹ 1,20,000 (INR sixty-five thousand to one lakh twenty thousand). However, hemorrhoids or piles treatment cost in Hyderabad depends upon the multiple factors such as patient age, severity of the condition (grade of piles), medical treatment, pre-operative tests, type of surgery (hemorrhoidectomy, rubber band ligation, sclerotherapy, and laser surgery), medication, post-operative care and insurance or corporate approvals for cashless facility.

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