Piles Treatment in Gurgaon – A Complete Guide for Patients
Piles, also known as hemorrhoids, are a common health issue that can affect people of any age. These are swollen blood vessels in or around the anus and lower rectum that can cause discomfort, pain, bleeding, itching, or a lump near the anus. While piles are usually not serious, they can affect your quality of life if left untreated.
At Thakral Hospital & Fertility Centre in Gurgaon, we offer safe, effective, and advanced piles treatment in a respectful and professional environment. Led by Dr. Ashwani Thakral, an experienced Laparoscopic Surgeon and Director of the hospital, our team is committed to helping you find long-term relief from piles using both medical and surgical options. Whether your condition is mild or advanced, our goal is to help you recover with minimal pain, faster healing, and complete care.
What Are Piles?
Piles are swollen blood vessels in and around the rectum or anus. Think of them as similar to varicose veins, but located in the lower part of your digestive system. These swollen veins can cause irritation, bleeding, or discomfort, especially during bowel movements.
There are two main types of piles:
- Internal piles – These develop inside the rectum. They are usually not painful but can cause bleeding. Because they are inside, they may not be visible to the naked eye.
-  External piles – These occur under the skin around the anus. They are often painful, can cause itching, and sometimes form hard lumps if a blood clot develops inside them. Some people may suffer from both types at the same time.
Symptoms of Piles
Piles can show up differently in each person, and the symptoms depend on how bad the condition is. In the early stage, they may seem very light and easy to ignore, but as time passes, the discomfort can increase and become harder to manage.
Common symptoms include:
- Itching, burning, or irritation around the anus.
- Pain or discomfort, especially when sitting for long periods.
- Swelling or a lump near the anus.
- Bright red bleeding during or after passing stool.
- Mucus discharge after bowel movements.
- A feeling of not having completely emptied the bowel.
Not all cases of bleeding mean piles, so it is important to consult a doctor if you experience bleeding to rule out other conditions.
Causes of Piles
Piles are caused mainly by increased pressure in the veins of thePiles are caused mainly by increased pressure in the veins of the rectum and anus. This pressure makes the veins swell and bulge. Some of the most common causes include:
- Chronic constipation –Straining to pass hard stools puts extra pressure on the rectal veins.
- Chronic diarrhea –Repeated loose motions can irritate and inflame the veins.
- Pregnancy –The growing uterus in pregnant women puts extra pressure on the pelvic veins. Hormonal changes also make women more prone to piles during pregnancy.
- Obesity –Extra body weight increases pressure on pelvic veins.
- Sedentary lifestyle –Sitting for long hours, especially on the toilet, can make the condition worse.
- Heavy lifting –Regularly lifting heavy objects strains the abdomen and rectum.
- Family history –Genetics may play a role, making some people more likely to develop piles.
Types of Piles
Doctors often classify piles into four grades depending on severity. This classification helps in deciding the treatment approach.
- Grade I: Small swellings inside the rectum, usually painless. They may cause slight bleeding, but often go unnoticed.
- Grade II: Larger piles that may come out of the anus during bowel movements but go back inside on their own.
- Grade III: Piles that protrude outside during bowel movements and need to be pushed back manually.
- Grade IV: Severe piles that remain outside all the time and may be painful, swollen, or even lead to complications.
Diagnosis of Piles
Diagnosing piles is usually simple and quick. If you visit a doctor in Gurgaon, they may start with your medical history and symptoms. After that, they may do:
- Physical examination: Checking the anal area for external piles.
- Digital rectal examination: The doctor uses a gloved finger to feel for abnormalities inside the rectum.
- Proctoscopy or colonoscopy: If needed, a thin tube with a light or camera is used to see inside the rectum.
These tests are nothing to worry about—they are safe, quick, and help ensure you get the right treatment.
Treatment Options for Piles in Gurgaon
1. Home Remedies and Lifestyle Changes
For mild piles, simple lifestyle changes can bring relief. Doctors usually suggest:
- Eating a fiber-rich diet including fruits, vegetables, legumes, and whole grains.
- Drinking 8–10 glasses of water daily to prevent constipation.
- Exercising regularly to improve digestion.
- Avoid straining while using the toilet.
- Taking warm water sitz baths (10–15 minutes) to ease pain and swelling.
- Using ice packs to reduce pain and swelling.
These remedies can be effective in early stages, but if symptoms continue, medical treatment is needed.
2. Medications
Doctors may recommend:
- Topical ointments and creams to reduce itching and burning.
- Pain relievers to ease discomfort.
- Stool softeners or laxatives to prevent hard stools.
- Anti-inflammatory medicines if there is swelling.
3. Non-Surgical Procedures
For moderate piles that don’t improve with medicines, doctors may use non-surgical methods such as:
- Rubber band ligation: A small band is tied around the base of the pile to cut off blood supply.
- Sclerotherapy: A chemical solution is injected into the pile to shrink it.
- Infrared coagulation: Heat is applied to harden and shrink the pile.
These methods are safe, quick, and usually performed in outpatient clinics.
4. Surgical Treatments
If piles are severe or keep coming back, surgery may be needed. Common surgical methods include:
- Hemorrhoidectomy: Complete surgical removal of piles. Very effective but involves a longer recovery time.
- Stapled hemorrhoidopexy: Special staplers cut off blood supply to the piles, causing them to shrink.
5. Laser Surgery for Piles
Laser piles surgery is becoming very popular in Gurgaon because of its benefits. In this procedure, a focused laser beam is used to shrink or remove piles without major cuts.
Benefits include:
- Minimal pain during and after the procedure.
- Very small wounds and less bleeding.
- Quick procedure (20–30 minutes).
- Fast recovery—most patients go home the same day.
- Lower chance of recurrence compared to traditional surgery.
When to See a Doctor
Consult a doctor if you notice:
- Continuous bleeding during bowel movements.
- Severe pain or swelling that doesn’t improve.
- A hard lump near the anus that doesn’t go away.
- Symptoms that don’t improve after a week of home care.
- Signs of infection such as pus, fever, or severe redness.
Delaying treatment can make the problem worse and harder to treat.
Prevention of Piles
The good news is that piles can often be prevented by adopting healthy habits. Some effective prevention tips are:
- Eat plenty of fiber: fruits, vegetables, and whole grains.
- Stay hydrated: enough water softens stools and prevents constipation.
- Exercise regularly: even a 30-minute walk improves digestion.
- Avoid straining: don’t sit too long or force bowel movements.
- Respond promptly to natural urges.
- Maintain a healthy weight.
Living with Piles – Practical Tips
If you already have piles, small adjustments can help:
- Use wet wipes or moist tissue instead of rough toilet paper.
- Wear loose cotton underwear to reduce irritation.
- Take short breaks if your work requires long sitting hours.
- Practice yoga or pelvic floor exercises to improve circulation.
- Apply cold compresses for pain relief when needed.