MOST COMMON ANORECTAL CONDITION
Piles (Haemorrhoids)
Swollen blood vessels inside or around the rectum and anus. One of the most common anorectal conditions affects 1 in 3 adults. If you are looking for the best piles hospital or a trusted haemorrhoid specialist, Dr. Samhitha Reddy offers advanced, painless laser treatment.
ABOUT THIS CONDITION
What are Piles (Haemorrhoids)?
Piles, medically known as haemorrhoids, are swollen and inflamed blood vessels located in the rectum and around the anus. They may be internal (inside the rectum) or external (under the skin surrounding the anus). In mild cases, they cause no symptoms; in advanced stages, they produce significant bleeding, discomfort, prolapse, and mucus discharge. Dr. Samhitha Reddy is a leading piles doctor, offering the full spectrum of evidence-based treatments, from office procedures for early-grade piles to minimally invasive laser surgery and conventional haemorrhoidectomy for severe cases.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Chronic constipation or repeated straining during bowel movements
- Low-fibre diet and inadequate daily fluid intake
- Sedentary lifestyle and prolonged sitting
- Pregnancy, increased pressure on pelvic and rectal veins
- Obesity and excess body weight
- Family history of haemorrhoids
CLINICAL DETAILS
KeyFacts
Grade I & II, office/laser procedures. Grade III & IV, surgical intervention required
Minimally invasive Laser Haemorrhoidoplasty, 15-20 min, same-day discharge
Back to daily activities within 24-48 hours post-laser
Covered by most major insurance, cashless approval available
Low with laser treatment and sustained lifestyle changes
Day-care procedure, no overnight admission required
HOW WE TREAT IT
Treatment Approach
Comprehensive Treatment, From Office Procedures to Laser Surgery
Dr. Samhitha Reddy provides the complete range of treatments for piles, from Rubber Band Ligation and Infrared Coagulation for early grades, to advanced Laser Haemorrhoidoplasty and Stapled Haemorrhoidopexy for severe disease. Treatment is selected based on grade, anatomy, and patient preference to achieve the best outcome with the least discomfort.
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Consultation & Grading
Dr. Samhitha performs a detailed proctoscopic examination to grade haemorrhoid severity (Grade I-IV) and plan the most appropriate treatment pathway.
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Non-Surgical Procedures
Grade I & II: Rubber Band Ligation (RBL) cuts off blood supply to the haemorrhoid. Infrared Coagulation (IRC) uses infrared light to coagulate small internal haemorrhoids. Both are rapid, outpatient procedures.
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Laser Haemorrhoidoplasty
For Grade II & III haemorrhoids, a laser probe precisely shrinks haemorrhoidal tissue with no scalpel, no stitches, and minimal pain. Day-care procedure, back to work in 24 hours.
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Surgical Options (Grade III & IV)
Stapled Haemorrhoidopexy (PPH/MIPH) restores prolapsed tissue. HAL/THD with Mucopexy identifies and ligates feeding arteries. Haemorrhoidectomy (Milligan-Morgan/Ferguson) provides definitive removal for severe disease.
AVAILABLE TREATMENTS
Treatment Options
Rubber Band Ligation (RBL / Banding)
An outpatient procedure in which a tight rubber band is applied to the base of an internal haemorrhoid, leading to ischemic necrosis and eventual sloughing of the tissue.
Laser Hemorrhoidoplasty
A minimally invasive technique where laser energy is delivered into the hemorrhoidal tissue, causing controlled coagulation, fibrosis, and shrinkage without excision.
Hemorrhoidectomy (Milligan-Morgan / Ferguson)
A definitive surgical procedure involving excision of hemorrhoidal cushions; performed as open (Milligan-Morgan) or closed (Ferguson) techniques, depending on wound closure.
Stapled Hemorrhoidopexy (PPH / MIPH)
A circular stapling device is used to excise a ring of rectal mucosa above haemorrhoids, repositioning prolapsed tissue and interrupting the blood supply.
HAL / THD with Mucopexy
Doppler-guided identification and ligation of hemorrhoidal arteries combined with mucosal lifting (mucopexy) to reduce prolapse and vascularity.
Infrared Coagulation (IRC)
A non-excisional technique using infrared radiation to induce coagulation and fibrosis of hemorrhoidal tissue, leading to fixation and symptom relief.
COMMON QUESTIONS
Frequently Asked
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