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Laser Piles Surgery

Laser Surgery for Piles

At our centre all patients are treated with Latest Laser surgery.

Laser Proctology is now the standard care for Piles (Hemorrhoids)/Fissure/Fistula/Pilonidal Sinus.

Why you should choose Laser Piles Treatment at BariOSS Centre

  1. Get treated by the Expert and 1st Laser Surgeon in South of Tamilnadu.
  2. Laser Piles Treatment is the most advanced piles treatment.
  3. It is an FDA approved treatment.
  4. It is a Minimal Invasive Surgery,so no cuts & stitches.
  5. It’s only a 30 mins procedure.
  6. It can be done in with Spinal Anaesthesia/ Short General Anaesthesia.
  7. Instant relief from existing pain and symptoms.
  8. Very minimal pain even after the surgery.
  9. No Blood Loss.
  10. No Scar post the laser piles operation.
  11. You can resume work the next day after the Laser Piles Treatment.
  12. We have managed to have zero recurrence till date.

What are Piles(Hemorrhoids)?

Piles or Hemorrhoids are enlarged, bulging blood vessels in and around the anus and lower rectum. The rectum is the bottom section of your colon (large intestine). The tissues supporting the vessels stretch. As a result, the vessels expand, the walls thin and bleeding occurs. When the stretching and pressure continue, the weakened vessels protrude. The two types of hemorrhoids, external and internal, refer to their location.

External (outside) hemorrhoids form near the anus and are covered by sensitive skin. They are usually painless unless a blood clot (thrombosis) forms or they become very swollen.

Thrombosed external hemorrhoids are blood clots that form in an outer hemorrhoid in the anal skin. If the clots are large, they can cause significant pain. A painful anal mass may appear suddenly and get worse during the first 48 hours. The pain generally lessens over the next few days. You may notice bleeding if the skin on top opens.

Internal (inside) hemorrhoids form within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common symptoms. However, an internal hemorrhoid can cause severe pain if it is completely prolapsed. This means it has slid out of the anal opening and cannot be pushed back inside.

Piles (Hemorrhoids) Facts & Stats 

  1. Hemorrhoids are one of the most common condition everyone experiences.
  2. Millions of Indians currently suffer from hemorrhoids.
  3. The average person suffers for a long time before seeking treatment for hemorrhoids.
  4. Advances in treatment methods means some types of hemorrhoids can be treated with very less painful methods than before.
  5. It has been projected that about 50% of the population would have haemorrhoids at some point in their life probably by the time they reach the age 50, and approximately 5% population suffer from haemorrhoids at any given point of time.

Why do you get Piles (Hemmorrhoids)?

The exact cause of hemorrhoids is unknown. A lot of pressure is put on human rectal veins due to our upright posture, which can potentially cause bulging. Other contributing factors include:

  1. Aging
  2. Consistent heavy lifting
  3. Obesity
  4. Chronic constipation or diarrhoea
  5. Pregnancy
  6. Heredity
  7. Straining during bowel movements
  8. Faulty bowel function due to overuse of laxatives or enemas
  9. Spending long periods of time on the toilet (e.g., reading/mobile usage)

How do you know that you have Piles / Hemorrhoids??

Any of the following may be a sign of hemorrhoids:

  1. Bleeding during passing stools
  2. Protrusion of skin during bowel movements
  3. Itching in the anal area
  4. Pain in the anal area
  5. Sensitive swelling in anal area

How are piles (hemorrhoids) diagnosed?

A visual examination of your anus may be enough to diagnose hemorrhoids. To confirm the diagnosis and to check for other parts of rectum and colon, there are different examination like

  1.  Digital Rectal Examination
  2.  Proctoscopy
  3.  Anoscopy
  4.  Sigmoidoscopy
  5.  Colonoscopy

Treatment for Piles:

  1.  Medication for symptomatic relief.
  2.  Keeping the stools soft to pass easily without any pressure or straining.
  3. Increase fiber intake and oral fluids.
  4. Surgery in extreme cases. 

What to do before and after surgery?

  1. Eating a high-fibre diet and taking over-the-counter fibre supplements (25-35 grams of fibre/day) to make stools soft, formed and bulky.
  2. Avoiding excessive straining to reduce the pressure on hemorrhoids and help prevent protrusion.
  3. Shortening time on the toilet to only 1 to 2 minutes to help prevent protrusion
  4. Drinking more water to help prevent hard stools and aid in healing.
  5. Taking warm tub baths (sitz baths) for 10 to 20 minutes, a few times per day to help the healing process.

Dietary changes for hemorrhoids:

The primary goal of this Indian diet plan for piles is to get strain-free and smooth stools so there is no further damage to the intestines. Include high fibre foods in your daily diet. Add leafy vegetables, whole grain cereals, millets, salads, unpeeled fruits and unstrained soups with your meals.

How does fiber help in hemorrhoids?

  1. The Roughage in the diet is excreted with the other waste products from the intestines.
  2. The water-absorbing fibre loosens the stools and helps in easy passage of the body waste or excreta.
  3. Thus, this reduces the pain and inflammation caused by hemorrhoids.

What Foods to Eat to Prevent Haemorrhoids and to Reduce Haemorrhoids?

  1. Green leafy vegetables are high in antioxidants and nutrients thus are good for digestion. Eat plenty of spinach, kale, cabbage, asparagus, broccoli, tomatoes, cauliflower, onions, cucumber, squash, turnips, carrots, celery, and zucchini. Make these Greens an integral part of your diet plan for piles.
  1. Whole-grain foods with bran cereals alleviate the strain applied while passing stools. Healthy foods like brown rice, oatmeal, bran cereals, whole grain flour, whole wheat pasta or multi-grain bread are good options to include in the diet plan for piles.
  1. Fresh fruits with skin are high in fibre. The vitamins, minerals, and nutrients in fruits improve the digestive system function, easing the bowel movement. Include fruits like apples, strawberries, blueberries, raisins, prunes, and grapes. Fruits that can be eaten without skin are papaya, banana, oranges, grapefruit, and muskmelon.
  1. Sprouts are rich in fibre, vitamin C, proteins and calcium. All these nutrients help to treat hemorrhoids. Consume at least 1 cup of sprouts daily. But don’t eat raw sprouts as they will worsen the symptoms. Eat sprouts in the soft-cooked or steamed or boiled form to avoid irritation to the bowel.
  1. Consume psyllium husk to relieve constipation and loosen the stools. Psyllium husk is rich in soluble fibre. It makes the stool bulky and reduces the pressure during defecation.
  1. Drink at least 3 – 4 litres of water daily. Sometimes only fibre or dietary changes do not work. Thus, increasing water intake aids the easy passage of stool, thus relieving constipation.
  1. Consume probiotics or curd or buttermilk to aid proper digestion. Probiotics not only increase gut immunity and integrity but also fights back with any infection or inflammation. It relives hemorrhoid symptoms.

Dietary home remedies for the treatment of hemorrhoids:

  1. Eat soaked figs

            Soak 3 – 4 dry figs overnight and eat it in the morning. The seeds of figs are a good source of fibre to relieve constipation.

  1. Foods that are rich in vitamin C, bioflavonoids and vitamin E

    Include citrus fruits like orange, lemon, sweet lime in your daily diet.

  1. White radish juice

    Take White radish juice and mix with honey. Make at least 60 – 90 ml mixture. Consume it twice a day for instant relief.

  1. Carrot Juice

             Carrot juice on daily basis relieves constipation and thus relieves piles symptoms.

  1. Jamun

              Try eating Jamun fruit with salt for 2 – 3 months every morning. This helps in smooth defecation and Relief from piles.

  1. Vitamin B6 supplementation

The List of Foods to Avoid in Piles :

  1.  High carbohydrate and high-fat foods. These foods cause irritation to the bowel and also lead to constipation.
  2. Meat, fish, eggs to avoid constipation.
  3. Caffeinated products, like coffee, tea, chocolate aggravate constipation as well as inflammation of the bowel.
  4. Smoking and alcohol too directly or indirectly affect the gastrointestinal wall health.
  5. Bakery products made from refined flour, bread, cakes, pastries, pies, and puffs also cause constipation and worsen the hemorrhoids.
  6. Spicy food causes bowel irritation and burning sensation while defecating. Eliminate chilies from your diet. It worsens the symptoms of hemorrhoids. Also, avoid black pepper.
  7. Gas-forming foods like lentils, pulses, and dals irritate the bowel. hence use them in a properly cooked form and use 1 or 2 servings at the max in a day. Bloating increases pressure during defecation.

How to Avoid Haemorrhoids:

Apart from eating a fibre-rich diet, one must,

  1. Involve Moderate intensity exercise like walking for at least 4 – 5 times a week.
  1. Adopt a ‘squatting’ position to defecate, rather than sitting on a Western-style commode
  2. Avoid reading while defecating.

Laser Surgery for Piles:

At our centre all patients are treated with Latest Laser surgery. 

Laser Proctology is now the standard care for Piles(Hemorrhoids)/Fissure/Fistula/Pilonidal Sinus

Quick Tips

  1. – Sitting in warm water (Sitz bath) provides great relief.
  2. – Drink plenty of water to keep you hydrated.
  3. – Try not to exert pressure while passing stools.
  4. – Exercise regularly.
  5. – Do not neglect or feel embarrassed if you have piles. Consult our surgeon immediately.

So, just don’t be afraid! Having piles is not the end of the world. There is no miracle fix. But, yes knowing what you need to know is surely going to help!

Please leave your queries in the comment or contact space and we will get right back to you with solutions.

Dr.Christopher S K

Consultant Advanced Minimally Invasive, Bariatric, GI and Laser Surgeon.
  • bariosscentre@gmail.com
  • 7708803335
  • Chennai, Madurai, Tirunelveli, Nagercoil, Tuticorin, Tenkasi

Dr.Christopher S.K

Consultant Advanced Minimally Invasive Bariatric, GI & Laser Surgeon

For Appointments

Call @ +91 7708803335 bariosscentre@gmail.com

Piles FAQ

Hemorrhoids are blood vessels surrounding the smooth muscles. Pathologically, “Hemorrhoids” are termed as coagulated blood lumps formed due to swelling and inflammation. This happens as a result of pressure being exerted on these blood vessels.

The exact reasons behind the occurrence of piles remain unknown. In case of piles, the blood vessels become thin and stretched, which leads to bleeding. This happens due to forceful activity of blood vessels against gravity for getting the blood back to the heart which is also known as venous return. Due to intra-abdominal pressure, blood vessels are displaced below and formation of hemorrhoids takes place.

The risk factors associated with the occurrence of Piles are discussed below.

Aging:

Piles consists of different parts, such as mucosa lining, vein and smooth muscle cluster and supporting connective tissue. With aging, deterioration of the supporting tissues takes place. This results in prolapse of piles. Mucosal lining becomes more sensitive with age, to the pressure from straining and may lead to complications.

Chronic constipation and diarrhoea:

Constipation is a condition where straining is needed for bowel movements to pass hard stools. Inward pressure is generated on the hemorrhoids due to the hard stools and leads to troubles in the process of venous return. While outward pressure from abdomen and pelvic muscles causes formation of swollen hemorrhoids. Excessive use of laxative for constipation and irritable bowel syndrome treatment may lead to hemorrhoid disease.

Obesity:

Obesity is another risk factor in the formation of piles. Sitting for longer period of time, lack of physical activities, can lead to obesity and further piles. The risk of piles is prevented with the physical activity, since it promotes strengthening of abdominal muscles as well as colon walls. Exercises such as aerobics help improving blood flow to the gastrointestinal tract which ultimately helps in venous return improvement.

Pregnancy:

Piles get formed during pregnancy as a result of hormonal changes making the veins relax. Piles can be itchy and painful. It has been reported that piles may disappear within few weeks after childbirth.

Diet and lifestyle:

Diet and lifestyle can also be reasons behind generation of piles. Low-fibre diet, alcohol consumption, excessive spicy food consumption, can contribute formation of piles. Low-fibre diet can lead to constipation while spicy food and alcohol may cause diarrhoea. In both cases piles get formed.

Piles get formed inside or outside the anus. Internal Piles or hemorrhoids are those which originate above the dentate line while external hemorrhoids are the ones which originate below the dentate line.

Types of Piles or hemorrhoids are given below.

    • Grade I or First-degree hemorrhoids – these piles do not prolapse.
    • Grade I or First-degree hemorrhoids – these piles do not prolapse.
    • Grade II or Second-degree hemorrhoids – these piles prolapse on straining.
    • Grade III or Third-degree hemorrhoids – these piles prolapse on straining.
    • Grade IV or Fourth-degree hemorrhoids – these types of piles get permanently prolapsed.

Piles occur more commonly in young or middle-aged adults. Symptoms of Piles are listed below.

    • Itchiness around the anus
    • Blood in the stools
    • Presence of pain during defecation
    • Presence of hard lump around the anus
    • Discharge of mucus while emptying the bowels
    • Sore and red anus
    • Sense of fullness in the anus; even after going to the toilet

Piles are usually diagnosed by a physician based on the symptoms told by the patients. The physical examination usually involves back passage examination. With the use of lubricant by wearing gloves, physician examines the back passage for signs of piles.

When piles are not obvious after physical examination, further examination called Proctoscopy is recommended. In proctoscopic examination, a proctoscope is used, which involves a short hollow tube with a light at one end. Proctoscope helps in examining the back passage lining more clearly for confirming presence of piles.

Differential diagnosis

    • Colorectal cancer
    • Rectal prolapse
    • Anal fistula
    • Inflammatory bowel disease, ulcerative colitis
    • Contact dermatitis
    • Anal carcinoma
    • Anorectal abscess

Piles can be made less severe during pregnancy by making some dietary and lifestyle changes. These changes can help ease the piles pain and irritations. Given below are the changes to be made to ease piles.

    • Consuming high-fibre diet
    • Drinking plenty of water
    • Avoid long period in standing position
    • Improvement of circulation with regular exercise
    • Use of ice water dipped cloth to ease the piles pain
    • Application of lubricants for gentle pushing of piles inside the anus
    • Avoiding straining while defecating as much as possible
    • Making use of moist toilet paper for cleaning the anus, instead of dry one

Most of the times, patients feel embarrassed to seek medical treatment for piles. It is recommended to consult doctors when symptoms of piles are noted.

Following complications may occur due to untreated piles:

    • Infection
    • Anal fistula
    • Gangrene
    • Incontinence in rare cases
    • Anaemia due to excessive blood loss

It is rare to observe loss of bowel control post piles or hemorrhoid surgery. Loss of bowel control occurs only when there is a sphincter damage.

In piles surgery, the extra tissue causing piles bleeding is removed with surgical treatment. Stapling process can also be used to block the blood flow so as to get rid of hemorrhoid as a consequence of it. Sphincter fibres are muscles that control the opening of anal movements. If this sphincter gets damaged, patients may need to replace it with artificial anal sphincters. In such cases, patient can lose bowel control.

But now a days Laser Piles Surgery has no sphincter damage and it’s been very safe and the best approach for Piles.

A simple lifestyle change can give relief from mild Hemorrhoids symptoms.

  • Dietary changes by adding more fibre in the diet through whole grain like barley, quinoa, brown rice, rye, oats and legumes etc.
  • Adding a variety of fruits and vegetables like broccoli, cauliflower, kale, cabbage, zucchini, pumpkin, bell peppers, cucumber etc. Fruits like melon, pear, apple raspberries, banana and prunes. Also adding one root vegetable a day like sweet potato, carrot, beetroot, turnips etc.
  •  Drinking adequate water will also prevent constipation.
  • Lead a physically active life, and involved in regular physical activity for a minimum of 30 minutes a day
  •  Don’t wait when one gets an urge to use the washroom or strain during bowel movement
  • Maintain a healthy weight
  • For faster relief, sit in a warm bath or use an hemorrhoids cream.

It is a good idea to reduce the intake of low fibre foods which can result in constipation and at the same time can aggravate Hemorrhoids.

  •  Limit intake of dairy products including milk, cheese and other variety.
  •  Refined flour like white bread, pasta, noodles etc.
  •  Red and processed meats which are low in fibre and high in sodium.
  •  Fried, Salty and Spicy foods which will make hemorrhoids more sensitive and make it more painful.
  • Caffeinated beverages and Alcohol can harden your stool and may increase pain and discomfort.

Squatting involves bending of knees towards the chest similar to yoga position where pressure can be felt on the abdomen. This helps normal defecation process without need of strain. Since legs are bent at the hips and knees are touching the chest during squatting process, most of the work is done by gravity. This further stimulates the body to initiate process of moving the waste matter towards colon, rectum and to the anus finally.

For treatment of constipation, laxatives are used.

Points to be considered while using stimulant laxatives are listed below.

    • A large dose of stimulant laxatives may lead to adverse effects.
    • Side effects of using stimulant laxative can include dehydration, blood electrolyte disturbances, cramps and malnutrition.
    • There is possibility of loss of colon function as a result of long-term use of stimulant laxatives.
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