MOST COMMON ANORECTAL CONDITION
Piles (Haemorrhoids)
A condition in which the blood vessels inside or around the anus become swollen and inflamed — leading to painless bleeding, itching, discomfort, and a feeling of a lump during bowel movements.
ABOUT THIS CONDITION
What is Piles (Haemorrhoids)
Piles, also known as haemorrhoids, are swollen blood vessels in the lower rectum or around the anus. They may be internal (inside the rectum) or external (under the skin around the anus), and are graded from I to IV depending on size and degree of prolapse. Common triggers include chronic constipation, prolonged straining, prolonged sitting, pregnancy, and a low-fibre diet. Symptoms range from painless bleeding to severe pain, itching, and a swelling that may protrude during bowel movements. When untreated, piles can affect daily activities and quality of life. Dr. Tejasree Vengala, a trusted female proctologist in Hyderabad, offers complete piles treatment — from lifestyle and dietary management to advanced laser haemorrhoidoplasty at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Chronic constipation and prolonged straining during stools
- Low-fibre diet and inadequate water intake
- Long hours of sitting or standing
- Pregnancy and post-delivery pressure on pelvic veins
- Obesity and excess weight increasing rectal pressure
- Family history or weakened pelvic vein walls with age
CLINICAL DETAILS
KeyFacts
Grade I & II — non-surgical/office procedures. Grade III & IV — usually need definitive surgery.
Laser, Stapler (MIPH), Conventional Hemorrhoidectomy, RBL, HAL/THD, IRC — based on grade.
Pain-free, stitch-free, same-day discharge with very low recurrence.
Most patients return to work within 24–48 hours after laser treatment.
Treated by Dr. Tejasree, a female proctologist offering private, comfortable care.
Available at Lux Hospitals, Hitech City, Hyderabad.
HOW WE TREAT IT
Treatment Approach
Laser Hemorrhoidoplasty (Laser Piles Treatment)
Dr. Tejasree Vengala uses advanced laser technology to shrink piles tissue with focused light energy. The procedure is stitch-free, virtually painless, and offers same-day discharge with significantly faster recovery and a very low recurrence rate compared to conventional surgery.
- 1
Consultation & Assessment
Dr. Tejasree performs a clinical examination and proctoscopy to grade the piles and understand bowel habits, dietary patterns and overall health.
- 2
Treatment Planning
Based on the grade and patient preference, a personalised plan is created — ranging from medication and lifestyle correction to laser or surgical treatment.
- 3
Procedure
For advanced grades, laser haemorrhoidoplasty or stapler MIPH is performed under short anaesthesia — usually completed within 30–45 minutes.
- 4
Recovery & Follow-up
Most patients are discharged the same day, return to daily activities within 24–48 hours, and follow up to confirm complete healing.
AVAILABLE TREATMENTS
Treatment Options
Rubber Band Ligation (RBL / Banding)
An office-based procedure where a small rubber band is placed at the base of an internal pile, cutting off blood supply so it shrinks and falls off.
Laser Hemorrhoidoplasty
Minimally invasive laser treatment that shrinks pile tissue with no cuts or stitches — preferred for Grade II–III piles with very fast recovery.
Hemorrhoidectomy (Milligan-Morgan / Ferguson)
Conventional surgical removal of piles — the definitive treatment for very large Grade IV haemorrhoids.
Stapled Hemorrhoidopexy (PPH / MIPH)
A circular stapler is used to reposition prolapsing piles and cut off their blood supply — less painful than open surgery.
HAL / THD with Mucopexy
Doppler-guided ligation of the haemorrhoidal arteries combined with mucopexy to lift the prolapsing tissue without cutting.
Infrared Coagulation (IRC)
Painless office procedure using infrared light to coagulate small Grade I–II haemorrhoids — quick, with no downtime.
COMMON QUESTIONS
Frequently Asked Questions
Not sure about your condition?
Compassionate, confidential consultations — Book your appointment today.