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Piles Treatment

Piles Treatment - Laser Surgery Procedure & Operation Benefits

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    What Are Piles?

    Piles: A Common Yet Overlooked Anorectal Condition

    Piles, also known as hemorrhoids, are one of the most common anorectal conditions, yet they remain one of the least talked about. They occur when the blood vessels and tissues in the rectal region become swollen, leading to discomfort, itching, and even bleeding. While piles are often a source of embarrassment, they can affect anyone, regardless of age or lifestyle.

    Types of Piles:

    1. Internal Piles: Found inside the rectum and are usually painless, but they may cause bleeding.
    2. External Piles: Develop around the anus and can be painful or itchy, especially when thrombosed (when a clot forms).

    Symptoms of Piles:

    • Bleeding during bowel movements.
    • Itching or irritation in the anal region.
    • Pain or discomfort, particularly with external piles.
    • Swelling or lumps around the anus.
    • Leakage of feces.

    Who is at Risk?

    Piles can affect individuals of all ages and genders, but they are more common in people aged 50 to 60 years, according to global medical studies. Contributing factors include chronic constipation, obesity, pregnancy, and prolonged sitting.

    If you suspect you have piles, consult a healthcare professional for diagnosis and treatment. Early intervention can prevent complications like thrombosis or severe bleeding.

     

    Benefits of Piles Laser Treatment

    FeaturesOpen SurgeryLaser Surgery
    CutsMultipleMinimal
    Scars & StitchesMultipleMinimal
    ProcedurePainfulMinimal Pain
    Blood LossHighLow
    Infection ChancesHighMinimal
    RecoveryBed RestFast Recovery
    Hospital DurationLongShort
    TechnologyOutdatedAdvanced

    Why Choose Laser Surgery for Piles?

    Laser treatment for piles is a minimally invasive procedure that uses cutting-edge technology to remove or shrink hemorrhoids. It offers less pain, faster recovery, and fewer complications compared to traditional open surgery.

    Why Choose Curific Health Care for Piles Treatment?

    If you’re suffering from piles, seeking professional medical care is essential for effective treatment and relief. Curific Health Care offers top-notch medical technologies and equipment for the best piles treatment. Whether you need non-surgical options or advanced procedures like laser surgery, Curific Health Care provides solutions that ensure fast recovery and minimal discomfort.

    Types and Grades of Piles

    Piles, also known as hemorrhoids, are classified based on their location and characteristics. Here is an overview provided by Curific Health Care:

    Internal Piles

    Internal piles develop inside the rectum, above the dentate line. They are not visible externally and are classified into grades based on severity and prolapse.

    • Grade 1:

      • The mildest form of internal piles, located in the rectal lining.
      • Do not protrude from the anus and usually cause minimal to no symptoms.
      • Treatment typically involves lifestyle changes, sitz baths, and the use of topical ointments or creams.
    • Grade 2:

      • Larger than Grade 1 piles and may protrude during bowel movements.
      • Spontaneously retract back into the rectum after the bowel movement.
      • Treatment options include non-surgical approaches such as rubber band ligation, infrared coagulation, or sclerotherapy.
    • Grade 3:

      • Prolapse during bowel movements and do not retract independently.
      • Require manual repositioning into the rectum.
      • Symptoms include pain, itching, bleeding, and hygiene issues.
      • Treatment options may include minimally invasive procedures like rubber band ligation or sclerotherapy.
    • Grade 4:

      • The most severe form of internal piles, remaining prolapsed and unable to be manually repositioned.
      • Large, inflamed, and associated with complications such as thrombosis or strangulation.
      • Surgical options like laser surgery or stapled hemorrhoidectomy are often necessary.

    External Piles

    External piles occur around the anus’s external opening, below the dentate line. They are visible and can present as lumps or bumps that may cause pain, itching, or discomfort.

    • Conservative Treatments:

      • Sitz baths, topical creams, and pain relievers are commonly recommended.
    • Surgical Options:

      • If conservative methods fail or if the condition becomes severe, surgical interventions like laser surgery or stapled hemorrhoidectomy may be advised.
      • Thrombosed external piles, which cause severe pain and discomfort, often require surgical removal.

    Curific Health Care ensures a comprehensive approach to managing piles, offering advanced treatments for every stage. Consult an expert for personalized care and effective solutions.

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      Piles Treatment at Curific Health Care

      How Can Piles Be Diagnosed?

      Piles, or hemorrhoids, can be diagnosed by a proctologist or anorectal surgeon through a combination of medical history, physical examination, and diagnostic tests. Curific Health Care outlines the process as follows:

      1. Medical History

      The healthcare provider begins by asking about:

      • Symptoms such as pain, itching, bleeding, or changes in bowel movements.
      • Medical history, including any previous occurrences of piles or related conditions.

      2. Physical Examination

      The anal region is examined to assess for the presence of external or internal piles. The doctor may:

      • Perform a visual inspection of the area.
      • Conduct a gentle examination using gloved fingers to detect abnormalities, swelling, or lumps.

      3. Digital Rectal Examination (DRE)

      A lubricated, gloved finger is inserted into the rectum to:

      • Assess internal piles and detect other rectal abnormalities.
      • This quick procedure is usually painless and provides valuable insights.

      4. Anoscopy or Proctoscopy

      These diagnostic tools involve inserting a small, lighted tube into the anal canal to:

      • Visualize the anal canal and rectum in detail.
      • Identify the size, location, and severity of piles.
      • Aid in creating an effective treatment plan.

      5. Sigmoidoscopy

      A sigmoidoscope, a lighted tube with a camera, is used to examine the lower colon and rectum. This procedure is helpful for:

      • Identifying conditions beyond piles that may cause symptoms like bleeding.
      • Flexible or rigid sigmoidoscopy is used depending on the case.

      6. Colonoscopy

      This procedure examines the entire colon and rectum to:

      • Evaluate rectal bleeding and rule out serious conditions.
      • Ensure an accurate diagnosis before proceeding with treatment.

      Treatment Options for Piles

      Non-Surgical Treatments

      Curific Health Care provides several non-surgical options to manage piles effectively:

      • Rubber Band Ligation:
        A rubber band is placed at the base of the piles using a ligator to cut off blood supply, causing them to shrink and fall off. This 30-minute procedure has a short recovery period.

      • Sclerotherapy:
        A sclerosant solution is injected into the affected veins, causing them to shrink. This quick, minimally invasive procedure is primarily for internal piles.

      • Infrared Photocoagulation:
        A device emits infrared light to create scar tissue, cutting off the piles’ blood supply. The piles eventually shrink and fall off, with minimal downtime.

      • Electrocoagulation:
        An electric current is applied to the base of the piles to thicken and cauterize the blood vessels, leading to shrinkage. Recovery depends on the severity of the piles.

      Surgical Treatments

      When non-surgical methods are insufficient, surgical options are considered.

      • Open Surgery:
        Traditional surgery involves making an incision to remove piles. Recovery may take several weeks to months, depending on individual healing.

      • Stapler Surgery:
        A stapling device removes prolapsed piles tissue, cutting off blood flow. This minimally invasive method causes less pain and has a shorter recovery time than open surgery.

      • Laser Surgery:
        The most advanced option, laser surgery uses laser energy to shrink piles while sparing surrounding tissues. It is minimally invasive, performed on an outpatient basis, and offers quick recovery with minimal discomfort.

      Curific Health Care provides comprehensive diagnosis and treatment for piles, tailored to the patient’s specific needs. Consult our experts to explore the best treatment options for a healthier life.

      Comparison of Open Surgery, Laser Surgery, and Stapler Surgery for Piles

      Factors Open Surgery Laser Surgery Stapler Surgery
      Anesthesia General Local General
      Incision Invasive Minimally-invasive Minimally-invasive
      Recovery Time Long Short Short
      Bleeding High risk Minimal Minimal
      Complications High Minimal Minimal
      Cost Less Moderate High
      Hemorrhoid Removal Surgically excised Vaporized or Coagulated Tissue is repositioned

      Why Is Laser Piles Treatment Considered the Most Effective Option?

      Laser piles treatment stands out due to its safety, efficiency, and minimally invasive nature. It offers several advantages compared to other surgical procedures:

      1. Less Painful and Safe Procedure
        Laser surgery causes significantly less pain compared to open or stapler surgery, making it a comfortable choice for patients.

      2. Quick Procedure

        • Laser surgery typically takes around 30 minutes, depending on the number and location of piles.
        • Patients are often discharged the same day, eliminating the need for prolonged hospital stays.
      3. Reduced Risk of Infection

        • The laser energy sterilizes the treated area, significantly lowering the chances of infection.
      4. Quick Healing

        • Minimal bleeding and reduced infection risk contribute to faster healing and recovery.
      5. High Success Rates

        • Laser surgery provides long-term relief from piles by effectively removing or shrinking the affected tissue.
      6. Minimal Postoperative Discomfort

        • Patients experience significantly less pain and discomfort during the recovery period compared to open surgery.
      7. Lower Risk of Incontinence

        • The precision of laser treatment minimizes the risk of damaging surrounding tissues, including the anal sphincter muscles, reducing the likelihood of postoperative incontinence.
      8. Lower Risk of Recurrence

        • Laser surgery targets the affected tissue comprehensively, reducing the chances of recurrence compared to non-surgical or conservative methods.

      Conclusion:
      Laser surgery is widely regarded as the most effective treatment option for piles due to its minimally invasive naturequick recovery time, and high success rates. It is ideal for patients seeking a safe and efficient solution with minimal discomfort and lower recurrence rates.

      How to Prepare for Piles Surgery

      Preparing for piles surgery is essential to ensure the procedure goes smoothly and reduces the risk of complications. Follow these guidelines as advised by your proctologist:

      1. Fasting Before Surgery

        • Avoid eating or drinking anything 8-12 hours before the surgery to keep the bowel clean and reduce anesthesia-related risks.
      2. Medication Adjustments

        • Stop taking blood-thinning medications (e.g., warfarin) as they increase the risk of excessive bleeding during surgery.
      3. Hygiene

        • Keep the surgical site clean and take a shower before heading to the hospital. Avoid applying lotions, perfumes, or shaving the area yourself.
      4. Jewelry and Accessories

        • Leave jewelry or ornaments at home to maintain a sterile environment in the operating room.
      5. Empty Your Colon

        • Use laxatives or enemas as recommended by your doctor to ensure your colon is empty before surgery.
      6. Avoid Smoking and Alcohol

        • Refrain from smoking or drinking alcohol for 3-4 days before the procedure to promote better healing and reduce surgical risks.
      7. Wear Comfortable Clothing

        • Choose loose and easy-to-remove clothes to avoid irritation around the surgical site.
      8. Arrange Transportation

        • Have someone drive you home or accompany you in a cab, as post-anesthesia effects like dizziness or nausea may make it unsafe to travel alone.

      Side Effects of Piles Surgery

      Like any surgical procedure, piles surgery has potential side effects:

      1. Pain and Discomfort

        • Common in the surgical area, with severity depending on the type of surgery performed.
      2. Bleeding

        • Mild bleeding is normal, but persistent or excessive bleeding requires immediate medical attention.
      3. Infection

        • There is a risk of infection at the surgical site. Follow wound care instructions, and take antibiotics if prescribed.
      4. Urinary Problems

        • Temporary issues like difficulty or increased frequency in urination may occur.
      5. Fecal Incontinence

        • Rarely, temporary or permanent loss of bowel control may happen.
      6. Anal Stenosis

        • Narrowing of the anal canal, leading to difficulty passing stools, is a potential but uncommon side effect.

      Advantages and Disadvantages of Laser Surgery for Piles

      Advantages

      1. Minimally Invasive

        • Smaller incisions lead to less pain and faster recovery.
      2. Reduced Bleeding

        • The laser cauterizes blood vessels, minimizing blood loss.
      3. Precise Targeting

        • Only hemorrhoidal tissue is treated, preserving surrounding healthy tissue.
      4. Short Recovery Time

        • Patients often recover faster compared to traditional methods.
      5. Lower Risk of Complications

        • Reduced chances of infection and tissue damage due to precision.

      Disadvantages

      1. Expensive

        • Higher costs due to specialized equipment and expertise.
      2. Limited Availability

        • Not all healthcare facilities offer laser surgery.
      3. Risk of Recurrence

        • While effective, hemorrhoids can still recur over time.
      4. Side Effects

        • Temporary pain, swelling, or discomfort may occur post-surgery.

      Summary:
      Laser surgery for piles offers significant benefits, such as faster recovery, reduced bleeding, and minimal invasiveness, making it an excellent option for many patients. However, its higher cost and limited availability may be limiting factors for some individuals. Proper preparation and understanding of potential side effects ensure the best outcomes for any type of piles surgery.

      Which Doctor is Best for Piles Surgery?

      proctologist or a general surgeon is the ideal specialist for piles surgery. A proctologist specializes in diagnosing and treating conditions affecting the colon, rectum, and anus. They are experts in handling various anorectal conditions, including piles. On the other hand, general surgeons are also well-equipped to perform piles surgeries, especially in cases where other complications may require broader surgical expertise.

      What Happens During Laser Piles Treatment?

      1. Diagnosis

      • External Piles: These can be diagnosed through physical inspection. The doctor examines the anus for visible swelling, lumps, or irritation.
      • Internal Piles: Diagnosing internal piles may require:
        • digital rectal examination (DRE): A gloved, lubricated finger is used to feel for abnormalities.
        • Proctoscopy or anoscopy: These are special instruments to visualize the rectal and anal canal.
        • Sigmoidoscopy: A more detailed examination of the rectum and lower colon.

      2. Laser Surgical Treatment

      Laser surgery for piles is a modern, minimally invasive treatment that uses a focused beam of light to treat the affected tissues. The procedure involves:

      • A concentrated laser beam is applied to the hemorrhoids.
      • The heat from the laser shrinks and seals the swollen blood vessels, cutting off the blood supply to the pile mass.
      • Surrounding tissues remain unharmed, ensuring precision and minimal post-operative pain.

      Advantages of Laser Piles Surgery

      • Faster recovery time.
      • Minimal bleeding and pain.
      • No need for stitches.
      • Lower risk of complications, such as infections or recurrence.

      What is the Recovery Process After Laser Piles Surgery?

      Immediate Post-Surgery Care

      • Rest and avoid strenuous activities for a few days.
      • Take prescribed medications, such as pain relievers and stool softeners.

      Hygiene Tips

      • Keep the surgical site clean and dry to prevent infection.
      • Use a sitz bath (sitting in warm water) to soothe the area and promote healing.

      Dietary Recommendations

      • High-fiber foods like fruits, vegetables, and whole grains.
      • Drink 8-10 glasses of water daily to stay hydrated.
      • Avoid oily, spicy, and processed foods that may strain bowel movements.

      Activity Restrictions

      • Avoid heavy lifting or intense physical activities for at least two weeks.
      • Do gentle walks to improve blood circulation and prevent constipation.

      Other Recovery Tips

      • Use soft cushions when sitting to reduce pressure on the anal area.
      • Apply prescribed creams or ointments to manage discomfort.
      • Monitor for any unusual symptoms, such as excessive bleeding or swelling, and consult your doctor if they occur.

      How to Treat Piles Without Surgery?

      Home Remedies

      1. Dietary Changes:
        • Increase fiber intake with fruits, vegetables, legumes, and whole grains.
        • Consider fiber supplements like psyllium husk.
      2. Topical Treatments:
        • Over-the-counter creams or ointments with witch hazel or hydrocortisone for itching and inflammation.
      3. Sitz Baths:
        • Soak in warm water for 10–20 minutes, 2–3 times a day.
      4. Hydration:
        • Aim to drink at least 8–10 glasses of water daily.
      5. Exercise:
        • Cardiovascular activities, yoga, and pelvic floor exercises improve blood flow and bowel health.
      6. Proper Hygiene:
        • Use soft, unscented toilet paper or wipes. Avoid excessive wiping.

      Medications

      • Pain relievers: Paracetamol or ibuprofen.
      • Stool softeners: To ease bowel movements.
      • Vasoconstrictors: Help shrink swollen blood vessels.
      • Antibiotics: For infected piles.

      What to Eat and Avoid in Piles?

      Foods to Eat

      1. High-Fiber Foods:
        • Whole grains: Brown rice, oatmeal, and quinoa.
        • Vegetables: Spinach, kale, carrots, broccoli.
        • Legumes: Lentils, chickpeas, beans.
      2. Probiotic Foods:
        • Yogurt, kefir, sauerkraut.
      3. Healthy Fats:
        • Avocados, nuts, seeds.
      4. Hydration:
        • Water, herbal teas, and fresh fruit juices.

      Foods to Avoid

      • Low-Fiber Foods:
        • White bread, rice, and pasta.
      • Spicy Foods:
        • Can worsen irritation and inflammation.
      • Processed Foods:
        • Chips, frozen meals, and fast food.
      • Sugary Items:
        • Cakes, candies, sodas.
      • Alcohol:
        • Causes dehydration and constipation.

      What To Do After Piles Surgery?

      1. Hygiene:
        • Take a sitz bath regularly.
        • Clean the anal region gently with warm water or soft wipes.
      2. Physical Activity:
        • Avoid heavy lifting for 2–3 weeks but engage in light movements like walking.
      3. Dietary Habits:
        • Stick to a high-fiber diet.
        • Avoid spicy or junk food that may irritate the surgical site.
      4. Pain Management:
        • Apply ice packs for swelling.
        • Take prescribed medications as directed.
      5. Follow-Up:
        • Attend follow-up appointments to ensure proper healing.

      What Are the Possible Complications of Piles?

      1. Anemia:
        • Caused by chronic bleeding.
      2. Thrombosed Piles:
        • Painful clots in external hemorrhoids.
      3. Strangulated Piles:
        • Blood supply is cut off, requiring urgent intervention.
      4. Anal Fissures:
        • Small tears in the anal lining.
      5. Strictures:
        • Narrowing of the anal canal due to scarring.
      6. Recurrence:
        • Even after treatment, piles may return if lifestyle changes are not implemented.
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