Doctors for Piles Treatment in Delhi

Piles, known as hemorrhoids in medical terms, refer to the swelling of veins situated in the lower rectum and anus. These engorged veins can occur internally (inside the anus) or externally (outside the anus). Piles are a prevalent condition that can affect individuals of all age groups.

Piles can be effectively addressed through various treatment approaches, including;

• Home Remedies for Piles: There are several home remedies that can help alleviate the pain, swelling, and inflammation associated with hemorrhoids, especially in the early stages. While the results may not be immediate or permanent, these remedies provide relief. Here are some effective ways;
1. Incorporate high-fiber foods: Consuming a diet rich in fiber can soften stools and reduce constipation, a common contributing factor to hemorrhoids. Gradually introduce fruits, vegetables, and whole grains into your meals to prevent gas-related issues.
2. Try topical treatments: Over-the-counter piles creams or suppositories containing hydrocortisone can provide relief from discomfort. Witch hazel pads or those infused with numbing agents can also be beneficial.
3. Take sitz baths: Soaking the anal area in warm water can soothe swelling. Fill a shallow bath or basin with warm water and sit in it for 10-15 minutes, repeating the process 2-3 times daily.
4. Consider oral pain relievers: Medications like acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), or aspirin can help alleviate pain or discomfort. If symptoms persist beyond a week or if you experience severe pain or bleeding, it is advisable to consult a doctor.
• Medicines, Ointments, and Suppositories for Piles: A variety of over-the-counter medications are available to manage piles symptoms. Some commonly used options include:
1. Zinc oxide: Applying creams containing zinc oxide can reduce irritation. Certain ointments combining zinc oxide and menthol are particularly effective in relieving anal itching.
2. Witch hazel: Astringents such as witch hazel provide temporary relief from piles-related symptoms.
3. Steroid cream: Hydrocortisone-based corticosteroid creams are popular for reducing inflammation. Prolonged use, however, may lead to skin damage.
4. Lidocaine: Creams or suppositories containing tribenoside and lidocaine can help reduce pain and itching.
5. It is important not to self-medicate beyond a week. If symptoms persist, consult a doctor. Additionally, these medications are primarily effective in the early stages of piles and may not be as efficient in advanced cases.
• Non-Surgical Treatment: When home remedies and over-the-counter medications prove insufficient, doctors may recommend non-surgical procedures to treat early-stage piles. These procedures are typically performed under local anesthesia. These treatment approachs include:
1. Rubber band ligation: Elastic bands are used to cut off the blood supply to internal hemorrhoids, causing them to shrink or fall off.
2. Sclerotherapy: A liquid is injected into internal hemorrhoids, resulting in their shrinkage by cutting off blood supply.
3. Infrared photocoagulation: By exposing internal hemorrhoids to infrared light, doctors generate heat that leads to scar tissue formation. This blocks the blood supply, causing shrinkage.
4. Electrocoagulation: Low electric current is applied to hemorrhoids, creating a scar that cuts off blood supply and leads to shrinkage.
• Surgical Treatment: Surgery is the most reliable method for complete removal of hemorrhoids, providing relief from pain, discomfort, and mucus discharge. Two common surgical options are:
1. Hemorrhoidectomy: This open surgery involves the complete removal of external and prolapsed internal hemorrhoids. It can be performed under local anesthesia, spinal anesthesia, or general anesthesia, depending on the patient's and surgeon's preferences.
2. Laser Piles Surgery: This procedure requires smaller incisions, offers faster recovery, and delivers excellent results. During laser surgery, high-energy light is used to cut or burn the affected tissue, resulting in a scar-free, bloodless, and less painful removal. Advancements in laser technology have made this procedure extremely safe, with minimal complications.

In certain cases, non-surgical methods may not suffice for treating piles, and surgical intervention becomes essential. Here are the circumstances where surgery may be advised;

• Persistent or Severe Symptoms: If piles cause intense pain, persistent bleeding, or considerable discomfort that persists despite conservative treatments, surgery may be recommended. The aim is to provide long-term relief from symptoms that do not respond adequately to non-surgical approaches.
• Prolapse: Piles can protrude from the anus and fail to retract into their normal position. When attempts to manually reposition them prove ineffective, surgical correction may be necessary. Various surgical techniques can be employed to address prolapsed haemorrhoids and restore their anatomical alignment.
• Large Internal Haemorrhoids: Significantly enlarged internal haemorrhoids can lead to symptoms such as bleeding or discomfort. In such instances, surgery may be suggested to remove or reduce the size of the enlarged hemorrhoidal tissue, offering relief from symptoms and improving overall well-being.
• Thrombosed Haemorrhoids: Thrombosed hemorrhoids occur when blood clots form within external hemorrhoids, resulting in severe pain and swelling. When conservative measures fail to alleviate the symptoms and the condition persists, surgical intervention may be required to address the thrombosed hemorrhoids and provide relief from the associated discomfort.
• Recurring Haemorrhoids: If piles recur repeatedly despite non-surgical treatments and lifestyle modifications, surgery may be considered as a more permanent solution. The goal of surgical intervention is to address the underlying causes of recurrent hemorrhoids and prevent their reoccurrence, thereby enhancing the patient's quality of life.

When it comes to diagnosing hemorrhoids, several approaches are available in Delhi. These include;

• Physical Examination: During a physical examination, a skilled healthcare professional carefully examines the anus and rectum to identify any signs of swollen veins or other indications of hemorrhoids. In some cases, a digital rectal examination may also be performed, involving the insertion of a lubricated, gloved finger into the rectum to check for abnormalities.
• Anoscopy: Anoscopy is a procedure that employs an anoscope, a small instrument fitted with a light, to visualize the anus and lower rectum. This technique helps in visually detecting the presence and location of hemorrhoids.
• Sigmoidoscopy or Colonoscopy: For comprehensive evaluation, sigmoidoscopy or colonoscopy may be recommended. These procedures involve the use of a flexible tube equipped with a camera (sigmoidoscope or colonoscope) to examine the inner lining of the rectum and colon. By doing so, they can ascertain the presence and location of hemorrhoids and exclude other potential causes of rectal bleeding or discomfort.
• Digital Rectal Exam (DRE): A digital rectal exam (DRE) may be performed as part of the diagnostic process for piles (hemorrhoids). This non-invasive procedure entails the insertion of a lubricated, gloved finger into the rectum to assess for any abnormalities and provide valuable insights into the condition.

Piles may require surgical intervention in certain cases to provide effective treatment. Piles operations are performed with the goal of relieving persistent symptoms, offering long-lasting relief, and enhancing the quality of life for patients. The surgical procedure encompasses the below mentioned steps;

• Pre-Operation Preparations: Before undergoing a Piles operation, thorough pre-operative preparations are crucial to ensure patient safety and optimize surgical outcomes. These preparations typically entail a comprehensive assessment of the patient's medical history, physical examination, and necessary laboratory tests. The surgeon will evaluate the patient's overall health, any underlying conditions, and the medications they may be taking. This evaluation aids in determining the most suitable approach to anesthesia and identifying any potential risks or contraindications.
• Anesthesia: During a Piles operation, anesthesia is administered to ensure patient comfort and pain management. The choice of anesthesia depends on various factors, including the complexity and extent of the surgery, as well as the patient's overall health. Local anesthesia, regional anesthesia (such as spinal or epidural anesthesia), or general anesthesia may be utilized. The anesthesiologist will carefully assess the patient's condition and administer the most appropriate anesthesia method, prioritizing their safety and individual requirements.
• Incision and Hemorrhoidectomy: The primary surgical technique employed in Piles operations is known as hemorrhoidectomy. This procedure involves making an incision in the affected area to gain access to and remove the hemorrhoidal tissue. The surgeon utilizes precise surgical instruments and techniques to excise the hemorrhoids while minimizing damage to the surrounding healthy tissue. The size and location of the hemorrhoids dictate the specific approach and extent of the incision.
• Closure and Postoperative Care: Following the removal of the hemorrhoids, the surgeon proceeds with proper closure of the incision. Sutures or other methods may be employed to secure the wound and promote healing. Additionally, the patient receives postoperative care instructions, encompassing guidance on wound care, pain management, dietary adjustments, and activity restrictions. The patient is also advised on scheduling follow-up appointments to monitor their recovery progress and address any concerns or complications that may arise.

Piles pose a significant concern that necessitates prompt attention. Below are the advantages of Piles surgery in Delhi;

• Alleviation of Recurring Pain: Piles surgery in Delhi provides patients with much-needed relief from persistent pain caused by hemorrhoids. The surgical intervention targets the underlying issue by either removing or shrinking the hemorrhoidal tissue, thereby mitigating pain and discomfort experienced during daily activities like sitting, walking, or bowel movements. By addressing the root cause, this surgery allows patients to regain their comfort and enhances their overall well-being.
• Reduced Bleeding: One of the significant advantages of Piles surgery in Delhi is the reduction in bleeding associated with hemorrhoids. Bleeding hemorrhoids can cause distress and anemia, negatively impacting an individual's health. Through surgical intervention, the problematic blood vessels contributing to the bleeding can be effectively treated, resulting in a decrease in hemorrhoidal bleeding. This reduction in bleeding contributes to improved well-being and a better quality of life for patients.
• Effective Treatment: Piles surgery offers an effective treatment option for individuals seeking long-term relief from hemorrhoids. While non-surgical treatments may provide temporary respite, more severe or recurrent cases often necessitate surgical intervention. The surgical approach targets the underlying condition, eliminating or shrinking the hemorrhoids, thereby offering a more comprehensive and enduring solution. This approach increases the likelihood of successful treatment outcomes, ensuring patients can enjoy a higher chance of relief.
• Prompt Recovery: Following Piles surgery in Delhi, patients can benefit from a relatively speedy recovery compared to alternative treatment options. The surgical procedure is conducted by skilled healthcare professionals who prioritize patient well-being and optimized recovery. Patients receive comprehensive postoperative care instructions, encompassing wound management, pain control, and activity guidelines, facilitating efficient healing and quicker resumption of daily activities.
• Safety: Piles surgery is considered a safe procedure when performed by experienced surgeons in well-equipped medical facilities. Prior to the surgery, patients undergo comprehensive evaluations and assessments to determine their suitability for the procedure. With advancements in surgical techniques and technology, the safety profile of Piles surgery has improved significantly, minimizing the risks associated with the procedure. This reassures patients that they can proceed with the surgery confidently, knowing that their well-being is of utmost importance.

Piles, a significant health concern that requires timely attention, can be effectively addressed through surgical interventions. Here are the common side effects linked with Piles surgery;

• Discomfort and Pain: Post Piles surgery, patients may experience varying degrees of discomfort and pain at the surgical site. These are common side effects that can be effectively managed by healthcare professionals.
• Bleeding: While Piles operation aims to minimize bleeding associated with hemorrhoids, some patients may experience mild bleeding during the recovery phase.
• Risk of Infection: As with any surgical procedure, there is a potential risk of developing an infection after Piles operation.
• Changes in Bowel Function: Temporary changes in bowel function may occur following Piles treatment. These changes can manifest as constipation or difficulty in passing stools.
• Urinary Symptoms: In certain cases, Piles surgery may lead to temporary urinary symptoms. These can include difficulty urinating, increased frequency, or a sense of urgency. These symptoms typically resolve as the body heals.

The recovery period after undergoing Piles surgery in Delhi may vary, typically spanning from one to three weeks. Around one week after the surgery, noticeable improvements are often observed among patients, especially when their bowel movements are soft or slightly loose. It is important to note that resuming normal activities can usually be achieved within two to three weeks after the surgery, whereas routine household tasks may be resumed as early as one week. To facilitate a smooth healing process, consider the following helpful tips;

• Maintain cleanliness and dryness in the anal area: It is crucial to keep the anal area clean and dry to promote healing. Use a mild soap and water to gently cleanse the area and pat it dry with a soft towel.
• Take showers or sitz baths after each bowel movement: Taking showers or sitz baths, which involve sitting in warm water, can provide relief and help cleanse the area after passing stools.
• Use moist wipes for wiping: Instead of using dry toilet paper, opt for moist wipes or baby wipes to minimize friction and irritation.
• Avoid excessive wiping: While it is important to maintain hygiene, excessive wiping should be avoided to prevent further irritation or injury.
• Consider wearing adult diapers or sanitary napkins: To manage any discharge or minor bleeding, wearing adult diapers or sanitary napkins can help maintain cleanliness and prevent staining of clothing.
• Limit strenuous physical activities: It is advisable to avoid engaging in strenuous physical activities for a few days after piles operation to allow the body to heal effectively.
• Refrain from lifting or carrying heavy weights: To prevent strain on the surgical area, it is recommended to avoid lifting or carrying heavy objects for at least two weeks.
• Engage in short walks: Light physical activity, such as short walks, can promote blood circulation and aid in the healing process. However, it is important not to overexert yourself.
• Consume fiber-rich foods: Including fiber-rich foods in your diet can help regulate bowel movements and prevent constipation, which can alleviate discomfort during the recovery phase. Incorporate fruits, vegetables, whole grains, and legumes into your meals.
• Stay adequately hydrated: Drinking an ample amount of water helps soften stools and promotes healthy bowel movements.

Temporarily limit the intake of junk, spicy, and oily foods: Cutting down on junk food, spicy dishes, and oily foods for a few days can help prevent irritation and promote a smoother recovery.