What Are the Most Effective Treatment Options for Chronic Piles?

Dear Sajjan Kumar ji,

Treatment depends on the severity and type of piles. For mild piles, improving constipation and bowel habits may be enough. A doctor may also recommend creams or medicines to reduce pain, itching and swelling.

When piles continue for a long time or keep coming back, procedures may be needed. Depending on the condition, options can include rubber-band treatment, sclerotherapy, infrared treatment or other procedures. Large or severe piles may sometimes require an operation.

A specialist should examine you before deciding which treatment is suitable. Having symptoms for 2 years does not automatically mean that an operation is required.

What can help at home?

• Drink enough water throughout the day.

• Eat more fibre through vegetables, fruits, whole grains, oats and pulses.

• Keep your stool soft and avoid constipation.

• Do not strain or push hard while passing stool.

• Do not delay going to the toilet when you feel the need.

• Avoid sitting on the toilet for a long time.

• A warm bath can help reduce discomfort and itching.

• An ice pack wrapped in a towel can help with swelling and discomfort.

• Keep the anal area clean and dry, and gently pat it dry rather than rubbing.

What precautions should you take?

Avoid self-treatment for a long period, especially if you have bleeding. Do not keep using piles creams for longer than recommended without medical advice. Some steroid-containing piles treatments, for example, should not be used for more than 7 days unless a doctor advises otherwise.

Also, do not assume that every type of bleeding from the anus is caused by piles. A doctor may need to examine you to confirm the cause.

When should you see a doctor quickly?

Please seek medical care if you have :

• Repeated or increasing bleeding

• Severe or worsening anal pain

• A new or unusual lump

• Pus or discharge

• Fever or chills

• A large amount of bleeding or blood clots

• Black or dark-red stool

Heavy or continuous bleeding or severe pain requires urgent medical attention.

HexaHealth can help you connect with suitable specialists and hospitals for piles treatment. Please share your city and state, and we can help you find appropriate doctor and hospital options for evaluation and treatment

Wishing you and your family good health always.
Warm regards,
Team HexaHealth