Top-Rated Piles Doctor in Jaipur

Piles, also known as hemorrhoids, are swollen and inflamed blood vessels in the rectum and anus that result in discomfort and bleeding. They can be either internal, located inside the rectum, or external, situated under the skin around the anus. Piles are a common condition and can be caused by various factors, including straining during bowel movements, obesity, pregnancy, and a sedentary lifestyle.

Symptoms of piles may include pain, itching, bleeding during bowel movements, and a lump near the anus. While they can be uncomfortable, piles are usually not serious and can often be managed with lifestyle changes, dietary adjustments, and over-the-counter medications. In more severe cases, medical procedures or surgery may be recommended.

It’s important to consult with a piles doctor in Jaipur for proper diagnosis and guidance on the most appropriate treatment for individual cases of piles.

Piles are categorized based on their location and characteristics into the following types:

Internal Piles:

Internal piles develop within the rectum above the dentate line and are not visible externally. They are classified into different grades according to their severity and prolapse.

• Grade 1: The mildest form of internal piles, Grade 1 piles are small, located in the rectal lining, and do not protrude from the anus. Typically symptom-free, Grade 1 piles are often treated with conservative measures such as lifestyle modifications, sitz baths, and topical creams or ointments.
• Grade 2: Larger than Grade 1, these piles may protrude during bowel movements but spontaneously retract afterward. Treatment options for Grade 2 piles may include non-surgical interventions like rubber band ligation, infrared coagulation, and sclerotherapy.
• Grade 3: Prolapsing during bowel movements and requiring manual repositioning, Grade 3 piles can cause discomfort, pain, itching, bleeding, and hygiene difficulties. Treatment options may involve procedures like rubber band ligation, infrared coagulation, and sclerotherapy.
• Grade 4: In the most severe stage, Grade 4 piles remain prolapsed and cannot be manually repositioned. Large, inflamed, and highly sensitive, they can cause intense pain, bleeding, and hygiene issues. Surgical interventions, including laser surgery and stapled hemorrhoidectomy, may be necessary for Grade 4 piles.

External Piles:

External piles form around the external opening of the anus, below the dentate line, and are visible or palpable as lumps or bumps. They may cause pain, itching, and discomfort.

Conservative treatment options for external piles include sitz baths, topical creams or ointments, and pain medications. However, if conservative measures fail or the condition worsens, surgical procedures like laser surgery and stapled hemorrhoidectomy may be recommended. Surgical intervention is especially considered when external piles become thrombosed, leading to severe pain and discomfort.

Piles can be diagnosed by a proctologist or an anorectal surgeon through a comprehensive process that includes:

• Medical History:  Your healthcare provider will inquire about your symptoms, such as pain, itching, bleeding, or changes in bowel movements. They will also review your medical history, including any previous instances of piles.
•  Physical Examination:A thorough physical examination of the anal region will be conducted to assess both external and internal piles. This may involve visual inspection and a gentle examination of the anus and rectum using gloved fingers to detect abnormalities, swelling, or lumps.
• Digital Rectal Examination (DRE):In some cases, a digital rectal examination may be performed. This quick and relatively painless procedure entails the insertion of a lubricated, gloved finger into the rectum to evaluate internal piles and check for any other rectal abnormalities.
• Anoscopy or Proctoscopy: These procedures utilize a small, illuminated tube called an anoscope or proctoscope to closely examine the anal canal and rectum. Anoscopy and proctoscopy enable a more detailed visualization of piles and other rectal disorders, aiding in determining their location, size, and severity.
• Sigmoidoscopy: Using a sigmoidoscope, a lighted tube with a camera, the healthcare provider examines the lower part of the colon and rectum. Flexible and rigid sigmoidoscopy allows direct visualization of the rectum and lower sigmoid colon, assisting in identifying various conditions, including piles.
•  Colonoscopy: This procedure involves examining the entire colon or large intestine to detect abnormalities. Colonoscopy is particularly useful in evaluating rectal bleeding due to piles or other causes, ruling out more serious issues, and guiding the healthcare provider in recommending the most suitable treatment for piles.

Piles can be addressed through a variety of treatment methods, encompassing both non-surgical and surgical approaches. Here are common non-surgical and surgical treatments for piles:

Non-surgical Treatment:

• Rubber Band Ligation: A widely used non-surgical method for internal piles. During this procedure, a doctor inserts an anoscope into the anus and uses a ligator to place a small rubber band at the base of the piles. The band cuts off blood supply, causing the piles to shrink and fall off within days. Recovery is usually short, and normal activities can be resumed in a few days.
• Sclerotherapy: Involves injecting a sclerosant solution into the affected vein to make it shrink and eventually disappear. This non-surgical approach is commonly used for internal piles, offering a faster recovery compared to surgical interventions.
• Infrared Photocoagulation: A treatment for small and medium-sized internal piles. Infrared light is directed at the piles, causing scar tissue formation that cuts off blood supply, leading to shrinkage. Recovery is typically short, allowing individuals to resume normal activities immediately.
• Electrocoagulation: This procedure employs an electric current to destroy piles. A proctoscope is used to locate the piles, and an electric current is delivered at the base to induce shrinkage. Recovery time varies based on factors like pile size, severity, and individual healing capabilities.
• Surgical Treatment – Operation for Piles: Surgery is considered when conservative measures fail, and piles are severe or persistent. Common surgical options include
• Open Surgery (Open Hemorrhoidectomy): A traditional procedure involving an incision in the anal region to locate and remove piles. Recovery time varies but may extend from weeks to months depending on the extent of the surgery and individual healing.
• Stapler Surgery (Stapled Hemorrhoidectomy): Utilizes a stapling device to remove piles tissues, especially for prolapsed or large piles. Patients often experience less pain, bleeding, itching, and swelling, with a quicker recovery compared to traditional surgery.
• Laser Surgery: A minimally invasive approach using laser energy to shrink and coagulate piles tissue. This outpatient procedure is associated with minimal post-operative pain and a relatively short recovery time.

Each treatment option has its benefits and considerations, and the choice depends on factors such as the type and severity of piles, as well as individual preferences and medical conditions. Consulting with a healthcare professional is crucial to determine the most appropriate treatment plan.

• Diagnosis: In the case of external piles, a doctor can diagnose them through a physical inspection. However, for internal hemorrhoids, a proctologist conducts a digital examination by inserting a gloved, lubricated finger into the rectum to check for abnormal growth. To accurately diagnose internal piles, the surgeon may opt for a proctoscope, anoscope, or sigmoidoscope to examine the lower rectum.
• Laser Surgical Treatment: Laser-assisted surgery for piles stands out as one of the most efficient treatment methods. Throughout the procedure, a focused narrow beam of light is directed onto the hemorrhoid to ablate or shrink it without affecting the surrounding tissues. This advanced, minimally invasive approach contributes to a faster recovery for the patient.