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Do you often see blood in stool? Do you feel discomfort or a lump-like sensation in the anus? These symptoms signal piles or haemorrhoids. They are common in both males and females. Many people have haemorrhoids but with no symptoms.

What are haemorrhoids or piles?   

Haemorrhoids or piles are enlarged or swollen veins in and around the anus. When the swelling is above the anal opening, they are called internal haemorrhoids. If they are outside the anal opening or under the skin around the anus, they are called external haemorrhoids.

Why do they occur?

  • Haemorrhoids may develop due to repeated straining during bowel movements, sometimes because of longstanding constipation or diarrhoea. 
  • They are seen commonly in any condition that increases pressure inside the abdomen.
  • They are also seen during pregnancy due to the pressure of the baby’s weight over the rectum and anus. Piles in pregnancy are very common and may require treatment. 

What are the symptoms of haemorrhoids?  

Internal haemorrhoids

  • Painless, can’t be felt or seen from outside
  • Discomfort while straining to pass stool
  • Bleeding from the anus while or after passing stool may be the only symptom.

External haemorrhoids

  • Itching around anus
  • A feeling of a lump around the anus, it can be tender to touch
  • Bleeding while or after passing stool
  • Usually not painful, but a sense of discomfort can be present.

How are haemorrhoids diagnosed?  

  • The doctor will carry out a physical examination after the symptom evaluation.
  • A doctor may need to perform a digital rectal examination. 
  • Sometimes additional tests such as a proctoscopy or colonoscopy tests are suggested to exclude other diseases. These tests involve using a camera inside the anus, rectum, and colon to visualise any abnormality.

What are the self-help tips for haemorrhoids? 

Simple lifestyle changes can prevent and help treat the problem of haemorrhoids.

  • Eating high-fibre foods, fruits, and vegetables.
  • Replacing refined flour with fibrous grains like oats
  • Drinking enough water
  • Taking stool softeners or fibre supplements like psyllium
  • Avoiding sitting too long on the toilet seat and straining during bowel movements
  • Taking a sitz bath to ease swelling and discomfort. A Sitz bath involves sitting in a plastic tub filled with warm water and sinking just a few inches of the bottom parts.

What are the treatment options for haemorrhoids?


  • A doctor may prescribe ointments, pads, suppositories, and creams with lidocaine or hydrocortisone, which can provide temporary pain relief.


  • A doctor may remove the external blood clot when a patient is under local anaesthesia to provide instant relief.

Minimally invasive procedures

People with persistently painful and bleeding haemorrhoids may be offered these outpatient procedures.

Rubber band ligation: 

Small rubber bands are placed around the base of the internal haemorrhoid to stop blood circulation to that area. It causes the haemorrhoid to fall off after some days.


It involves injecting a chemical solution into haemorrhoids. This procedure can cause them to shrink.


This procedure uses infrared light, heat, or laser to cause haemorrhoids to harden and shrink. It causes minimal discomfort. 


Haemorrhoid removal surgery:

This surgery is called haemorrhoidectomy and involves removing excess tissue which is causing bleeding. The patient will be under anaesthesia during the procedure. It is the most effective way to treat recurring haemorrhoids completely. However, it can cause pain after surgery and difficulty emptying the urinary bladder, leading to urinary tract infections. 

Haemorrhoid stapling surgery:

This surgery, called stapled haemorrhoidopexy, involves stopping blood circulation to the internal haemorrhoid. It is less painful than a haemorrhoidectomy. However, it can lead to rectal prolapse.

What are the complications of Haemorrhoids? 

  • They can cause anaemia due to recurrent bleeding.
  • Internal piles may also strangulate and can cause pain. It happens when the muscles in the anus cut off blood flow to prolapsed internal haemorrhoids.
  • Haemorrhoids may also cause blood clots. They are called thrombosed haemorrhoids.
  • Extra skin or skin tags may be left behind after the haemorrhoids dissolve.


  • Haemorrhoids are very common and are not serious. But recurrent bleeding and anal discomfort associated with them may affect the quality of life. 
  • It can be managed at home with some lifestyle changes. 
  • It is best to seek help from a gastroenterologist if the problem persists longer with recurring symptoms.

How can Bangalore Gastro Centre help you?

Haemorrhoids are not life-threatening, and they do not pose any serious risk. They often go away on their own. But if you are experiencing persisting pain or discomfort and looking for a piles specialist in Bangalore, make an appointment with top gastroenterologists at Bangalore Gastro Centre Hospital today. The gastro centre offers colonoscopy tests to understand the root cause of your condition and both piles and fissure treatments. The facility also offers laser treatment for piles. Call us today to learn more about haemorrhoids treatment, piles laser treatment costs and procedures.

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