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When can I undergo Piles surgery?

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When can I undergo Piles surgery?

Piles [hemorrhoids] are swollen and inflamed blood vessels in or outside the anus. Piles cause some symptoms that can affect your daily lifestyle and make you uncomfortable. Few of those symptoms are itching and pain in and around the anal region, unbearable pain while sitting or during bowel movements, and leakage of blood from hemorrhoids. So, to treat piles, most of the

medical professionals recommend a piles surgery as it has about 70-85% success rate. The main goal of piles surgery is to remove the hemorrhoids and to relieve all of its symptoms. All the time, piles surgery is not recommended to treat hemorrhoids/piles because there are non-surgical treatment options as well.

Treatment options for piles:

As said there are surgical treatment options and non-surgical treatment options. Both surgical and non-surgical treatments focus on reducing or relieving the symptoms of your piles and help to remove the severe hemorrhoids. They also improve your overall health condition.

Surgical treatments include hemorrhoidectomy, hemorrhoid stapling, or procedure for prolapse and hemorrhoids [PPH] or stapled hemorrhoidopexy, sclerotherapy, laser coagulation, and band ligation. They either remove severe hemorrhoids by cutting off or by sealing the blood supply to hemorrhoids.

Non-surgical treatment includes lifestyle modifications and dietary changes along with the use of medications. Few of them are eating high fiber foods, avoiding consumption of heavy meals and spicy food items, using painkillers to relieve the pain, and restructuring the alcohol consumption, etc.

When to undergo Piles Surgery?

After consultation with a piles specialist, he/she will evaluate the severity and complexity of piles and decide whether you can undergo Piles/Hemorrhoid surgery. Or not. If you fall into any of the following criteria, your doctor may suggest you undergo a pile surgery.

  • If you are suffering from both internal hemorrhoids [piles occur inside the anus or rectum] and external [piles that form outside the anal region] hemorrhoids.
  • In case you have severe pain in and around the anal region during bowel movements and while sitting.
  • If you have severe constipation and have difficulty passing stools.
  • If you have piles that are large and hanging or slipping out of anus [prolapsed piles].
  • If you have strangulated hemorrhoid [anal sphincter traps hemorrhoid and cuts off blood supply to the tissue] which would require surgical intervention.
  • If you have thrombosed hemorrhoids [hemorrhoids filled with blood].
  • If you are suffering from other anorectal conditions which aggravate piles.
  • If your first piles surgery is not successful or didn’t show the expected results.
  • If your piles are not responding to the medications like over-the-counter drugs, corticosteroids, and analgesic creams or lotion, etc.
  • If there is no improvement in the condition of your piles even after lifestyle modifications and dietary changes.
  • If bleeding from hemorrhoids is uncontrollable.
  • If you are passing black and dark-colored stools with severe pain.
  • In case your previous piles treatment didn’t correct the piles problem.
  • If you suffer from recurrence of piles after minimally invasive surgery.

Above mentioned criteria are a few of the situations where your doctor can suggest you undergo piles surgery to lead a happy life and to get rid of the piles symptoms.

NOTE:- In case you are suffering from small hemorrhoids that can be treated through lifestyle modifications and diet changes, then your doctor may recommend you not to undergo a piles surgery.


Your doctor will decide whether you need to undergo piles surgery or not only after diagnosing and evaluating the severity and complexity of your piles. In case your piles are small and are not affecting your daily activities or work, you can follow few lifestyle modifications and dietary changes along with the use of a few medications to get rid of the piles.

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