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Hemorrhoids (Piles)

What Are Hemorrhoids?

Haemorrhoids also known as piles are clusters or groups of swollen/enlarged and inflamed blood vessels, arteries, tissues and muscles in the anal area. They can develop either inside or outside of the anus depending on the type and grade. It is a common condition which is usually prevalent in 3 out of four adults. Effective treatment options for haemorrhoid treatment vary depending on the severity and grade of the condition, the medical health of the patient, etc. Call us to book an appointment with our leading surgeons for effective haemorrhoid treatment.

What Are The Types Of Hemorrhoids?

Depending on the severity and anatomic origin, haemorrhoids are categorised into different types. Based on the origin, there are two types of haemorrhoids -

  • Internal haemorrhoids, which develop inside the anus (if they slip out of the anus, they are called prolapsed haemorrhoids and when they form blood clots, they are called thrombosed haemorrhoids)
  • External haemorrhoids which developed outside of the anus

Based on the severity and extent of prolapse, haemorrhoids are classified into 4 grades - 

  • Grade-1: No prolapse or no slip down of haemorrhoids
  • Grade-2: Prolapsed haemorrhoids under pressure but return to their position on their own.
  • Grade-3: Prolapsed haemorrhoids which don't go back on their own. They need to be pushed back by the patient.
  • Grade-4: Prolapsed haemorrhoids which can’t be pushed back.

What Are the Symptoms Of Hemorrhoids?

Symptoms of haemorrhoids include -

  • Pain in the rectum or anal area
  • Discomfort in the anal area while sitting or passing stools
  • Presence of lumps in or around the anus
  • Anal itching
  • Bleeding from the anus
  • Swelling around the anus
  • Severe anal pain while sitting, walking or running
  • Unbearable pain while passing stools

What Are the Causes Of Hemorrhoids?

Haemorrhoids can be caused due to the following reasons -

  • Strain during bowel movements
  • Sitting for long periods of time on the toilet
  • Chronic diarrhea or constipation
  • Pregnancy (excessive lower abdominal pressure)
  • Obesity
  • Having anal intercourse
  • Eating a low-fiber diet
  • Regular heavy lifting

When Should I Consult The Doctor for Hemorrhoids?

Get in touch with the doctor for your haemorrhoids treatment if you experience the following symptoms- 

  • Bleeding during bowel movements
  • Abnormal rectal bleeding
  • Change in the color of the stool
  • Lightheadedness
  • Dizziness and fainting

How Are Hemorrhoids Diagnosed?

Haemorrhoids diagnosis involves the following - 

  • Visual examination of the anal area
  • Digital rectal exam
  • Anoscopy
  • Colonoscopy
  • CT scan
  • Radiological evaluation or biopsy (to investigate and evaluate the risk of malignancy or anal cancer)

What Are The Different Treatment Options For Hemorrhoids?

Treatment methods for hemorrhoids depend on the type and severity of the condition. For grade-1 piles, doctors often recommend lifestyle changes, dietary modifications, and medications. Surgery may be recommended when non-surgical methods are ineffective against haemorrhoids. For more severe cases, the doctor may recommend laser piles surgery or open piles surgery. Surgical methods for hemorrhoids treatment include -

  • Open surgery
  • Laser surgery
  • Cauterization
  • Rubber band ligation
  • Sclerotherapy
  • Stapled hemorrhoidectomy

Why Choose CMRI for Hemorrhoids Treatment in Kolkata?

The Calcutta Medical Research Institute (CMRI) is one of the largest multispecialty hospitals in Kolkata. Our hospital is equipped with state-of-the-art technology, revolutionising the healthcare industry for the best surgical outcomes.

In addition, CMRI has several eminent specialists, doctors and healthcare providers of national and international reputations for comprehensive and personalised treatment. CMRI provides patient-centric care and empathy from internationally trained nurses to ensure holistic care for patients seeking treatment for haemorrhoids. Here are a few advantages of choosing CMRI for haemorrhoids treatment- 

  • Highly qualified and experienced doctors
  • 440-bed capacity along with cutting-edge technology and the latest medical equipment
  • Hygienic and patient-friendly infrastructure
  • Thorough screening and diagnosis
  • Transparent Pricing Structure for cost-effective treatment
  • Patient-centric, high-quality care for a high success rate
  • Pain management and palliative care
  • Complete and coordinated care for patients with all types of cancers.


What are the advantages of choosing laser surgery over open surgery?

The benefits of laser surgery over the open procedure for hemorrhoids treatment are - 

  • Minimal pain
  • No major cuts/incisions
  • Minimal blood loss
  • High success rate
  • Almost no risks or post-surgical complications
  • Day care procedure
  • Faster recovery after the surgery

What is the success rate of haemorrhoid surgery?

The success rate of haemorrhoid surgery is usually more than 95%. However, the effectiveness of the surgery depends on several factors like the medical health of the patient, the severity of the disease, etc.

How long does haemorrhoid surgery take?

Hemorrhoid surgery usually takes around 30 minutes. However, OT time can vary depending on the grade of hemorrhoids, the medical health of the patient and the surgical expertise of the surgeon.

What are the complications of haemorrhoids surgery?

Possible complications of hemorrhoid surgery include -

  • Hematoma (collection of blood in the surgical area)
  • Faecal incontinence (inability to control sphincter muscles)
  • Infection at the surgical site

When can I resume my work after haemorrhoid surgery?

Most patients resume their daily routine 1-2 days after the surgery. However, full recovery can take a month or two depending on the healing of the surgical area. Consult a doctor before resuming your daily activities to avoid the risk of complications.

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Dr. Ajay Mandal's association with Calcutta Medical Research Institute (CMRI)

Dr. Ajay Mandal's association with Calcutta Medical Research Institute (CMRI)

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