Piles are swollen blood vessels in the anal canal. They cause bleeding after passing stools, a lump at the anus, and itching or discomfort. They are graded from one to four according to how far they protrude, and this grading guides treatment.

Patients seeking piles treatment in Mumbai at Apex are examined first, and the doctor asks about bowel habits, diet and the pattern of bleeding. Early piles are usually treated with fibre, plenty of fluids, regular toilet habits, avoiding straining and medicines. A colonoscopy may be advised if bleeding is unexplained or the patient's age or history suggests another cause.

When symptoms persist, or the piles are larger, a procedure may help. Options include rubber band ligation for suitable early grades and surgical removal, called haemorrhoidectomy, for advanced piles. The choice depends on the grade, the patient's health and the surgeon's assessment. Pain relief, stool softeners and warm baths are recommended afterwards, and recovery usually takes a few weeks.

How the Procedure Can Help

Treatment relieves bleeding, swelling and discomfort. Surgery for advanced piles can give lasting relief, and good bowel habits afterwards help reduce the chance of recurrence.

Risks and Considerations

Risks include pain, bleeding, difficulty passing urine, infection, and, in some cases, a return of piles. Rare problems include narrowing of the anal canal or temporary leakage of stool. Heavy bleeding, fever, severe pain or inability to pass urine after a procedure needs urgent attention.