What is piles ?

Treatment for piles (also known as hemorrhoids) depends on their severity and type (internal or external). Here’s a breakdown of the main treatment options:

Home Remedies (for mild cases)

  • High-fiber diet : Fruits, vegetables, whole grains to soften stool.
  • Hydration : Drink plenty of water to prevent constipation.
  • Warm Sitz baths : Soak the anal area in warm water for 10–15 minutes, several times daily.
  • Avoid straining : Don’t force bowel movements or sit too long on the toilet.
  • Cold compresses : Apply to reduce swelling and pain.
  • Topical creams : Over-the-counter creams with hydrocortisone or witch hazel.

Medications

  • Oral pain relievers : Paracetamol or ibuprofen for discomfort.
  • Stool softeners or fiber supplements : Like psyllium (Metamucil) or docusate sodium (Colace).

Minimally Invasive Procedures (for persistent cases)

1. Rubber band ligation : Cuts off blood supply to internal hemorrhoid.

2. Sclerotherapy : Injection to shrink hemorrhoid.

3. Infrared coagulation : Laser or infrared light to harden and remove.

Surgical Options (for severe or recurring piles)

  • Hemorrhoidectomy : Surgical removal.
  • Stapled hemorrhoidopexy : Staples reposition and reduce blood flow.