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Piles (hemorrhoids) are swollen veins in the anus and lower rectum. They are common and can affect adults of any age, not only older people. They can cause bleeding, pain, itching and discomfort that affects daily life. Many people delay seeing a doctor because of embarrassment, and mild piles can worsen over time. Early advice from a piles doctor in Indore helps you choose the right treatment, whether that is diet changes, a minor procedure, laser treatment, THD or surgery. At Indore Laparoscopy Center, Dr. Achal Agrawal examines each patient and recommends treatment based on the stage and severity of the condition.
Bleeding can also come from other conditions, so a proper examination is important.
Bleeding or itching, no prolapse (nothing comes out)
Piles come out during a bowel movement and go back in on their own
Piles come out and must be pushed back in
Piles stay outside and cannot be pushed back
The stage helps decide whether medicines, a minor procedure, laser, THD or surgery is needed.
See a doctor if you have repeated bleeding, pain that does not settle, piles that come out, or symptoms that return despite home care. Delay can lead to complications such as heavy bleeding, clots (thrombosed piles) or prolapsed piles. A specialist can confirm that your symptoms are piles and not another condition, plan your treatment, and discuss everything in a private, comfortable setting.
Early-stage piles are often managed without an operation:
In laser treatment, laser energy is used to shrink the hemorrhoidal tissue. It is a minimally invasive option for selected patients, and it is not suitable for every case. Dr. Achal Agrawal decides after examination, based on the grade and size of the piles and whether you have other anal conditions such as a fissure or fistula. He will explain what the procedure involves, the expected recovery and the possible risks for your case.
THD, also called Doppler-guided hemorrhoidal artery ligation (DGHAL), treats piles without cutting away the hemorrhoid tissue. A Doppler device locates the arteries that supply blood to the piles, and these arteries are tied off. With less blood flow, the piles shrink over time. THD is considered for suitable patients, and your doctor will tell you if it fits your grade of piles.
When piles are large, recurrent or do not respond to other treatment, surgery may be advised:
Recovery time depends on the procedure. Your doctor will explain what to expect for laser, THD or surgery. After surgery, most patients return to normal activities within a few weeks.
• Include fruits, vegetables and whole grains in your diet
• Drink enough water through the day
• Do not strain or sit on the toilet for long
• Stay active with regular walking or exercise
• Manage constipation early
• Examination and diagnosis before any treatment is suggested
• A full range of options, from medicines and banding to laser, THD and surgery
• A treatment plan based on your stage and health
• Clear explanation of options, risks and recovery
• Private and respectful consultation
• Follow-up care to reduce the chance of recurrence
We also treat related conditions such as anal fissure and fistula.
Not always. Early piles often respond to diet changes, medicines or minor procedures. Surgery is advised when piles are large, keep coming back or do not respond to other treatment.
It uses laser energy to shrink hemorrhoidal tissue and is a minimally invasive option for selected patients.
THD ties off the arteries that feed the piles using Doppler guidance, so the piles shrink without being cut away.
No. It is considered for selected patients after examination. Your surgeon will advise the right option.
It depends on the procedure. Your doctor will explain this after choosing your treatment.
They can if constipation and straining continue. Diet, water, activity and follow-up help lower the risk.
Yes. Piles are more commonly noticed in middle age, but constipation, diarrhea, a low-fiber diet, long sitting hours and pregnancy can cause them at younger ages too. Any bleeding should be examined by a doctor.
Struggling with piles? Book a consultation with Dr. Achal Agrawal, your piles doctor in Indore, and get a clear plan for relief.
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