Hemorrhoids
Swollen blood vessels in the rectum and anus causing bleeding, pain, and discomfort.
Overview
Hemorrhoids (piles) are swollen blood vessels in and around the anus and lower rectum. They're extremely common — affecting about 50% of adults by age 50. While often manageable with conservative treatment, severe or recurrent hemorrhoids may require surgical intervention.
Causes
- Straining during bowel movements
- Chronic constipation or diarrhea
- Sitting for prolonged periods (especially on the toilet)
- Low-fiber diet
- Pregnancy (increased pelvic pressure)
- Aging (weakening of supportive tissues)
Risk Factors
- Chronic constipation
- Sedentary lifestyle
- Low-fiber diet
- Pregnancy and childbirth
- Obesity
- Heavy lifting
- Family history
- Age over 50
Symptoms
Diagnosis
- Digital rectal examination
- Proctoscopy / Anoscopy
- Colonoscopy (to rule out other causes of bleeding)
- Grading: Grade I-IV based on prolapse severity
Treatment Options
Surgical Treatment
For Grade III-IV hemorrhoids, surgical options include stapled hemorrhoidopexy (MIPH) which is less painful with faster recovery, laser hemorrhoidoplasty for precise tissue shrinkage, and conventional hemorrhoidectomy for the most severe cases. Dr. Bhagat performs all techniques and recommends the best approach based on individual anatomy and grade.
Recovery
MIPH/Stapled: Return to work in 3-5 days. Laser: 2-3 days. Open surgery: 7-14 days. Full healing in 4-6 weeks. High-fiber diet and hydration are essential post-operatively.
Prevention
- Eat 25-30g fiber daily (fruits, vegetables, whole grains)
- Drink 8-10 glasses of water daily
- Don't delay bowel movements
- Avoid straining — use a stool for feet elevation
- Exercise regularly
- Avoid prolonged sitting
Frequently Asked Questions
Do hemorrhoids go away on their own?
Is hemorrhoid surgery painful?
Can hemorrhoids come back after surgery?
Expert Consultation Available
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