Home > Proctology > Piles


Piles or Bavasir (in Hindi), a.k.a. hemorrhoids, are enlarged blood vessels that develops around the anus or lower rectum. These formations are of internal and external.

Internal hemorrhoids form in the lining of the anus and in the lower rectum. Painless rectal bleeding or prolapse of anal tissue is often associated with symptomatic internal hemorrhoids. Internal hemorrhoids are classified by their degree of prolapse, which helps determine treatment and management

External Piles are swellings that develop further down your anal canal, closer to your anus. They can be very painful, especially if they have a blood clot in them. The pain is usually constant and can be severe. Mostly they are small, round, discoloured lumps, one can feel them on anus or hanging down from the rectum. Piles are very common in both men and women. Studies show that almost 50 percent of population are susceptible to developing hemorrhoids by age 50.

Book An Appointment Now

Please enter a valid name
Please enter a valid phone number
Please select a valid Location
Please enter your message. Your message should have a minimum of 70 characters, and maximum of 2000 characters.


Due to increased pressure on the rectal blood vessels, while passing stool on a regular basis, inflammation occurs on the rectal surface near the anus. The blood vessels swell and rupture releasing blood in the stool. This occasionally results in Piles and Fissures. This swelling can be caused by several things including
Chronic Constipation / diarrhea
Regularly lifting heavy weight
Pregnancy- In pregnancy uterus enlarges,
pressing blood vessels
in the pelvic region, causing Piles
Sitting in the toilet for too long time
Hereditary inheritance
Low fibre diet
Aging- Tissues that support and hold
Piles in place can weaken with age
Frequent Anal Abscesses
Pain and swelling around anus
Pus from anus
Irritation of the skin
Pain with bowel movements

Risks If Condition Persists

Chronic blood loss from Piles may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
Strangulated hemorrhoid
If the blood supply to an internal Piles is cut off, the Piles may be "strangulated," which can cause extreme pain.
Blood Clot
A clot can form in a hemorrhoid (thrombosed hemorrhoid). it can be extremely painful and sometimes needs to be drained.
Painful rashes and Infection
Mucus Due to continuous exude of the mucus form the anal causes anal sore and itchy creating painful rashes, fungal infection on that area and embarrassing smell.
Skin Tags
Skin tags can form when the inside of a pile shrinks back but the skin remains.
External Piles
External Piles (swellings that develop further down to anal canal, closer to anus) can become inflamed and swollen; ulcers can also form on them.

About Treatment at Pelvinic

At Pelvinic, we perform a specialised LASER Treatment for treating Piles. Here are some advantages of our LASER Treatment over the Traditional Surgical Procedure.
logo Less Pain
Our LASER Treatment is Painless, compared to Open surgery procedure which is painful.
logo No tissue damage
Our LASER Treatment cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo No Diet Restrictions
Our LASER Treatment doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo Fast Recovery
Can resume work immediatly
logo Minimally Invasive
Our LASER Treatment is minimally invasive compared to open surgery for which its large
logo No Incontinence
Anal sphincter is well preserved so no chances of incontinence/ fecal leak
Our Team of Dedicated Doctors
Select City :
Dr. Sandip Banerjee
Dr. Meenakshi Banerjee
Dr Akshat Wahal
Dr Ashutosh Chauhan
MS, DNB (Surg), DNB( Surg Onco), MNAMS
Dr Abhay Singh
MBBS, MD - General Medicine, Gastroenterologist
Dr Saurav Mohan
MBBS, MD (Anaesthesia)
Dr Rahul Bhatt
Dr Sandeep Kumar
Dr. Arnab Mohanty

Patient Testimonials

Read On
“It was a great experience with Doctors and Staff care, all staff was a friendly with good communication. My father Rajendra prasad recently get Operated.
Sushmendra Kumar
video thumbnail icon
“Dr. Sandip diagnosed my medical Condition clearly and above all, gave the courage and filled me with confidence to go through the surgery.”
For us, our "Reward" is the Trust that our patients repose on us and their sweet ' Thanks moment '.
Mr Abdullah
A designer by heart and professor in Pearls Academy. Pained by suffering from Anoproctological problems for long, sharing his smile with us for the kind of relief he got after being treated by Dr. Sandip Banerjee.
Mr. Atul Kumar Maurya
A retired naval officer was diagnosed to have High Transphincteric Fistula in Ano with multiple tracts (Complex Fistula). After taking multiple opinions, he consulted Dr. Banerjee and got convinced for LIFT Surgery followed by Radiofrequency ablation guided fistulotomy in two stages, meant for complex fistula. Now he is a happy man as he cured from his problem.
Mr. Rajesh Sharma
59yrs old came form Bihar with the problem of complicated gall stone disease with Diabetes where chances of doing laparoscopic surgery was not possible-according to being told to him in his place. Dr Banerjee operated on him Laparoscopic gall bladder removal and his gangrenous semiperforated gall bladder with an additional day of hospital stay for recovery.
Mr K. L. Shah
New Delhi
45 years was diagnosed to have 30 x 20 cm complex bilateral adnexal cyst and was advised by other clinicians to opt out of surgery in view of life threatening risk associated with surgery. Her family took the courage and consulted Dr Sandip and Meenakshi Banerjee. After a 4 hours long surgery and 5 days hospital stay, it was managed
Mrs. Sunita

Treatment Procedure for Piles

A comprehensive rectal examination will be performed by an expert proctologist in our Piles laser hospital. External hemorrhoids can be easily detected by the doctor. To discover internal hemorrhoids, our state-of-the-art digital equipment will help us to diagnose a case by minimally-invasive processes in the following ways:

Physical exam. This is done to check your anus and rectum and look for swollen blood vessels that are a sign of hemorrhoids.
Digital rectum examination (DRE). Your healthcare provider inserts a gloved, greased (lubricated) finger into your rectum to check for any problems.
Anoscopy. A hollow, lighted tube is put into your anus. This is used to see internal hemorrhoids.
Proctoscopy. A lighted tube is put into your anus. This gives a view of your entire rectum.
The expert proctologist will decide what type of medication a patient needs depending on the diagnosis. A Bawaseer ka treatment is formulated using over-the-counter ointments, creams, and suppositories. These medicines will reduce discomfort and itching and create lubrication (internally and externally) so that a patient can pass stool conveniently.

The doctor will also suggest seeking home remedies such as consuming foods with high fiber content, drinking water and taking a warm bath on a regular basis while continuing the medications as directed.
Surgery is advised when medicinal treatment is not working for a particular profile. In fact, the surgical procedure chosen by a proctologist will also depend on the contemporary condition of a patient. The best bawaseer or Piles cure will be formulated by our expert doctors. Piles treatment has been revolutionised over the years by arrival of new age ambulatory surgery or Day Care surgery is a clinical admission for a surgical procedure, with discharge of the patient on the same working day.

We have a trained anesthesiologist, OT assistant, and nursing assistant to perform to do the advanced procedures like Stapler /LASER/ RFA/ Harmonic /DGHAL. Dr. Sandip Banerjee is one of the leading Colorectal surgeon practises in all above methods of treatment. But the decision of the modality depends on grade of hemorrhoids/Piles. Grade 1 in which there is only bleeding, is treated with medicines Grade 2 & 3 that have a retractable prolapse are more often treated with Laser ( Laser Haemorrhoidoplasty )

Some advanced cases of Grade 3 and Grade 4 Piles ( non-retractable prolapse ) are best treated with Stapler surgery aka Stapler Haemorrhoidopexy Our patients and our surgeon will decide on the best anesthesia to use during the surgery. Choices include:
• General anesthesia, which puts patients into a deep sleep throughout the surgery
• Saddle block is a low dose of spinal anesthesia which involves medication that numbs your body from the waist down being delivered by a shot into your back
• Local anesthesia, which numbs only your anus and rectum

The common minimal invasive surgical procedures are:
1.Hemorrhoid removal or Hemorrhoidectomy- Surgical hemorrhoidectomy is the most effective n conventional treatment for hmorrhoids removal, though it is associated with the greatest rate of complications with a long recovery.
2. Stapler removal or Hemorrhoidopexy- is a surgical procedure that involves the removal of abnormally enlarged hemorrhoidal tissue, followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position inside rectum and cuts off the blood supply so that the tissue will shrink and be reabsorbed.Stapling recovery takes less time and is less painful than recovery from a hemorrhoidectomy.
3. Laser Removal or Laser HemorrhoidoPlasty- A painless outpatient technique for treating 2nd degree and 3rd degree hemorrhoids. As the energy of the laser is centrally inserted into the hemorrhoidal node, without causing any damage to the anoderm or mucosa. And it is not associated with any risk of tissue damage. Healing is excellent because, unlike conventional surgeries, there are no incisions or stitches. This technique is safe and causes minimal pain or discomfort to the patient. Post operative recovery is faster than alternative approaches.
Patient can expect rectal and anal pain after having hemorrhoid surgery. So doctor will prescribe a painkiller to ease the discomfort. Patient can help in his/her own recovery by:

• eating a high-fiber diet
• staying hydrated by drinking 8 to 10 glasses of water per day
• using a stool softener so you won’t have to strain during bowel movements
Avoid any activities that involve heavy lifting or pulling. Although individual recovery times vary, many people can expect to make a full recovery within about 7 to 10 days.

Why Pelvinic

Pelvinic - The Pelvic Floor Clinic, is a Proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
icon COVID-19 Safe
We have taken all safety measures to combat Covid-19.
icon Patient Care
We strive to provide a home-like environment and the best treatments for our patients for quick recovery.
icon Award Winning Doctors
PELVINIC’s success is recognized by many awards from the various organizations national & international.
icon Advanced Facilities
We use the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently.
icon Experience
Highly skilled surgeons. Our doctors have a vast experience of over 50000 surgeries.
icon Cost Effective
50% more cost effective than corporate hospitals.
Book An Appointment Now
Please enter a valid name
Please enter a valid phone number
Please select a valid Location
Please enter your message. Your message should have a minimum of 70 characters, and maximum of 2000 characters.

Frequently Asked Questions

Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels, support tissue, muscle, and elastic fibers. Many people have piles, but the symptoms are not always obvious.

Diarrhea: Hemorrhoids can occur after cases of chronic diarrhea. Chronic constipation: Straining to move stool puts additional pressure on the walls of the blood vessels. ... Heavy lifting: Repeatedly lifting heavy objects can lead to hemorrhoids. Anal intercourse: This can cause new hemorrhoids or worsen existing ones.

1. Take a sitz bath. This involves soaking your anal area in a few inches of warm water...

2. Use moist wipes. Toilet paper can be rough and irritating to external hemorrhoids. ...

3. Use a cold pack. ...

4. Avoid straining or sitting on the toilet for long periods of time. ...

5. Use an over-the-counter product.

The definition of hemorrhoids is swollen veins in the anal region. External he clot), it may appear dark blue to purple in color
Home remedies 1. Eat high-fiber foods. Eat more fruits, vegetables and whole grains. ... 2. Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. 3. Soak regularly in a warm bath or sitz bath. ... 4. Take oral pain relievers.
Surgery to remove hemorrhoids is called hemorrhoidectomy. The doctor makes small cuts around the anus to slice them away. ... Hemorrhoidectomy is often an outpatient procedure, and you can usually go home the same day.

Foods with little fiber can cause or make constipation (and therefore
hemorrhoids) worse, so it’s best to limit how much you eat of them.

* White bread and bagels.
* Milk, cheese, and other dairy.
* Meat.
* Processed foods such as frozen meals and fast food.

Dab witch hazel on irritated hemorrhoids, or use over-the-counter creams or ointments made for hemorrhoid symptoms. A 1% hydrocortisone cream on the skin outside the anus (not inside) can relieve itching, too. But don’t use it for longer than a week unless your doctor says it’s OK
You may have flare-ups of hemorrhoids when you are under stress. Some people inherit a tendency to have hemorrhoids. ... Also, the strain of childbirth sometimes causes hemorrhoids after the birth. Often hemorrhoids do not cause any symptoms
There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days. Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.
If your hemorrhoids are small, your symptoms may clear up in a few days without treatment. You may also need to make simple diet and lifestyle changes. Some internal hemorrhoids become so enlarged that they stick out of the anus. ... Prolapsed hemorrhoids can take longer to heal and may require treatment from a doctor
Internal hemorrhoids usually don’t hurt but they may bleed painlessly. ... A prolapsed hemorrhoid may go back inside your rectum on its own. Or you can gently push it back inside. External hemorrhoids involve the veins outside the anus.