Hemorrhoids (Piles) and Anorectal Surgery

Hemorrhoids, also known as piles are swollen veins that are present in the lower part of the anus and rectum. These veins when stretched get irritated and bulge out. They are similar to those of varicose veins. Hemorrhoids are common and mostly occur in adults between the age group of 45 to 65 years. We at AB Hospitals have the best surgeons and provide the best care to our patients at an affordable price.

The symptoms of Hemorrhoids / Piles are:

Pain, Discomfort, Painless bleeding, Itching in anal region, Inflammation around the anus, Lump near the anus


Frequently Asked Questions

What are the various types of hemorrhoids?

  • Internal hemorrhoids are located inside the rectum and do not cause major discomfort. However, exerting excess strain and pressure may damage the hemorrhoids surface causing it to bleed.

  • External hemorrhoids are located under the skin around the anus. These hemorrhoids may itch or bleed when irritated.

  • Thrombosed hemorrhoids are the external hemorrhoids in which blood clots are formed, which result in severe pain, inflammation and lump near the anus.

  • Prolapsed hemorrhoids are the internal hemorrhoids which protrude out through the anal opening due to excess strain. This is known as protruding or prolapsed hemorrhoids.

What are the possible complications of hemorrhoids / piles?

    • Excessive bleeding
    • Strangulated hemorrhoid
    • Infection
    • Inflammation
    • Thrombosis
    • Ulceration
    • Fecal incontinence

What happens if piles are left untreated?

In general, piles are irritating and painful. If appropriate treatment is not provided or if hemorrhoids / piles are left untreated, it may worsen the problems such as formation of gangrene or may the swollen vein may burst, which may result in excessive bleeding.

What are the diagnostic tests performed for hemorrhoids / piles?

The doctor may identify the presence of hemorrhoids by looking at it. However, a few tests are performed for the diagnosis of internal hemorrhoids, which include:

  • Digital examination: In a digital examination, the doctor inserts a gloved finger into the rectum to feel for any unusual growths. He may recommend further tests if necessary.

  • Visual inspection: In case of internal hemorrhoids, the doctor may examine the lower part of the colon or rectum using anoscope, proctoscope or sigmoidoscope. As internal hemorrhoids are too soft to be felt during rectal examination, visual inspection is performed.

The doctor may recommend a surgical procedure to treat hemorrhoids / piles, if other procedures have failed to treat the condition. The surgical procedures to treat piles include:

  • Hemorrhoids removal: Surgical removal of hemorrhoids is also known as hemorrhoidectomy. In this surgery, the excess tissue which causes bleeding is removed. This is accompanied by complications and it is the most common surgery performed to completely get rid of rectal veins.

  • Hemorrhoid stapling: This procedure is also called as stapled hemorrhoidectomy. It stops the flow of blood to the rectal veins and this procedure is used for treating internal hemorrhoids.

Which among the two surgeries has lesser chances of the recurrence of hemorrhoids?

In terms of pain and recovery, stapled hemorrhoid surgery is a more recommended surgery when compared to hemorrhoid removal surgery. However, stapled haemorrhoidectomy is associated to a greater risk of recurrence of the rectal veins.

The patient may have to follow certain instructions in order to get prepared for a hemorrhoid surgery. The following are the instructions:

  • The patient is not allowed to have anything the night before the surgery.

  • Medications are taken as per the doctor’s advice. He may ask the patient either to continue or discontinue the use of certain medications.

  • Enema is given to clear the digestive system.

How long does it take for the surgery to complete?

The surgery takes about 30 to 60 minutes to complete.

How long will it take for me to resume my normal routine?

The time taken to resume to daily activities after surgery depends on the type of treatment opted. However, recovery from piles surgery usually takes about 2 weeks, after which the patient can get back to his/her daily routine.

How is the AB Hospital Surgery Center different from other specialty, sub-specialty and super-specialty hospitals?

The surgery centre of AB Hospital can be define by Trust, Technology and Transparency. We offer best surgeons, more convenience and affordable pricing for piles and related surgeries.

  • High quality care with well-defined SOPs
  • Transparent Pricing

  • Better infection control and early recovery