When blood vessels that are normally present around the anal region get enlarged or swollen, it is referred to as piles or haemorrhoids. Piles or haemorrhoids could be internal or external based on their location in the rectum or anal region.
Piles are normally located in clusters located most commonly at 3, 7 and 11 O’clock positions. But sometimes the pile mass is extensive and occupies the whole circumference and is termed as circumferential piles.
Symptoms can be varied depending on the type of pile.
Treating piles can be of non surgical or surgical as per the severity of the condition and as per doctor’s advice.
Sclerotherapy : This is a non surgical method , wherein a sclerosing agent is injected into the piles mass which eventually shrinks ithe pile. This can be used in selective cases.
Banding:In this procedure the pile is held with a ligator and rubberband is slided over it .Over time the pile will shrink and disappear. This cannot be done for large prolapsing piles or circumferential piles
Hemorrhoidectomy:Hemorrhoid stapling/ stapled haemorrhoidoplexy: Staplers have changed the way we look at treatment of hemorrhoids. Earlier thought to be a painful procedure requiring bed rest and long hospital stay, with stapled hemorrhoidectomy, the procedure is painless requiring no bed rest and 24 hour hospital stay.
Here, using a Doppler probe , the hemorrhoidal vessel is identified and then ligated, thus shrinking the pile mass.