Alavi Hospitals
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Piles surgery recommended? Take a second look with an expert opinion before you decide.

What are Piles?

Piles, also called hemorrhoids, are swollen blood vessels in and around the anus. They can develop inside the rectum (internal piles) or under the skin around the anus (external piles).

They may cause symptoms such as bleeding during bowel movements, pain, itching, swelling or a lump around the anus.

Mild piles may improve with dietary changes, medicines and lifestyle measures. However, persistent, large or troublesome piles may require a procedure or surgery.

When is Piles Surgery Recommended?

Not every case of piles requires surgery. Treatment depends on the severity of the piles, symptoms, their type and how they respond to other treatments.

Surgery or a procedure may be considered when you experience:

Repeated or significant bleeding during bowel movements
Persistent or severe pain or discomfort
Large or prolapsed piles
Piles that interfere with daily activities
Symptoms that continue despite medicines and lifestyle changes
Recurrent piles that keep coming back

The right treatment should always be decided after an individual clinical assessment.

Medical Specialists reviewing scan

Get Your Second Medical Opinion with our Specialists

What are the risks of delaying piles treatment?

Some cases of piles can be managed with medicines, diet and lifestyle changes. However, persistent or advanced piles may continue to cause symptoms if left untreated.

Depending on the condition, delaying recommended treatment may lead to:

Repeated bleeding

Frequent bleeding during bowel movements may continue and should be evaluated by a doctor.

Increasing discomfort

Pain, itching or irritation may become more troublesome over time.

Prolapse

Internal piles may gradually move outside the anus and become difficult to push back in.

Thrombosis

A blood clot can develop in an external pile, causing sudden and significant pain.

Recurrent symptoms

Piles may continue to return despite temporary relief from medicines.

Not every case of piles needs surgery. Your specialist can assess your symptoms and recommend whether lifestyle changes, medicines, a procedure or surgery is appropriate.

WHAT ARE THE BENEFITS OF TIMELY PILES SURGERY?

When surgery is recommended, timely treatment may help:

Reduce persistent bleeding and discomfort
Treat large or advanced piles
Address prolapsed piles
Reduce recurring symptoms
Improve comfort during daily activities
Provide a planned approach to treatment

The benefits depend on the severity and type of piles and your overall health.

HOW WE REVIEW YOUR CASE

A second opinion, step by step.

01

Medical history

Understanding your symptoms, duration, previous treatments and relevant medical history.

02

Reports & investigations

Reviewing your previous medical records, test reports and any available investigations.

03

Clinical assessment

Assessing your symptoms and the type and severity of piles.

04

Treatment review

Understanding why surgery was recommended and whether it is appropriate for your condition.

05

Discuss options

Exploring suitable treatment approaches, including medical, minimally invasive and surgical options, when appropriate.

06

Expert guidance

A personalized second opinion with clear information and next steps.

REQUEST A SECOND OPINION

Already advised piles surgery? Let our specialist review your case.

Share your previous diagnosis, reports and treatment details with our team. Our specialists will help you understand your condition and the treatment options that may be appropriate for you.

Frequently Asked Questions

Piles surgery may be considered for large, prolapsed, recurrent, or severe hemorrhoids that do not improve with other treatments.

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