What is Piles

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Piles or Bavasir (in Hindi), a.k.a. hemorrhoids, are enlarged blood vessels that get developed around the anus or lower rectum, There are two types: Internal hemorrhoids and External hemorrhoids

Internal hemorrhoids form in the lining of the anus and 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 management:

Grade One: No prolapse

Grade Two: Prolapse that goes back in on its own

Grade Three: Prolapse that must be pushed back in by the patient

Grade Four: Prolapse that cannot be pushed back in by the patient (often very painful)

External piles are swellings that develop further down your anal canal, closer to your anus. They can be really 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. About half of all people will have hemorrhoids by age 50.

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Cause Piles

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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

  • Obesity- Diet related obesity may cause piles. 
  • Chronic constipation / diarrhea - It may cause strain while excreting, puts pressure on blood veins causing piles. 
  • Regularly lifting heavy weight
  • Pregnancy- In pregnancy uterus enlarges, pressing blood vessels in the pelvic region, causing piles.  
  • Sit on the toilet for too long time
  • Inherited - The tendency to develop piles may run in the family.
  • Low fibre diet- A low-fiber diet can leave you constipated, which can contribute to piles
  • Aging- Tissues that support and hold piles in place can weaken with age, causing piles to bulge and prolapse.but in today’s world young adults are also suffering from piles.
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Symptoms Piles

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Risk Piles

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  • Anemia

    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.

  • Mucus Due to continuous

    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. Untreated infections can sometimes cause serious complications, such as tissue death, abscesses, and fever.

  • 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.

Advantage of Piles Treatment

Advantage of Laser Treatment over the Traditional Surgical Procedure.

Specifics Piles Surgery Open Surgery
Cuts And Wounds   No   Yes
Pain   Painless   Painful
Recurrence   No   Yes
Diet Restrictions   No   Yes
Rest After Surgery   Can Resume Work   1-2 Month Rest
Invasive   Minimum   Large

Treatment Piles

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.


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.
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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.

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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.

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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. 

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Before & After

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World's most advaned Piles surgery for Piles

Pelvic Care specializes in providing the best treatment for Piles. With our own team of doctors, we deliver personalized care according to your medical needs. Our easy admission to discharge process and State of art infrastructure ensures a hassle free experience.

Why Pelvinic Care for Piles?

Our team of experts is dedicated to offering excellent care to enhance your quality of life through a holistic healing approach and physical therapy. As a specialised one-stop daycare surgical solution, we take pride in dealing with various types of Proctological ailments with utmost attention and care.

Patient Care

Pelvinic is a specialized, team-based approach to support and care for individuals. We strive to provide a home-like environment and the best treatments for our patients for quick recovery. We offer customized services and personal attention to our patients who come for medical treatment and care. Our patient coordinator will receive reports on your condition and all the necessary information to continue your care following your discharge. Our belief is empowering and motivating you to lead a healthy life. Make the right decision today to become a healthier you tomorrow!


Our team of doctors, surgeons, and other healthcare professionals have been educated, trained and are widely experienced in their particular specialty.With India’s growing population, our doctors have a wider exposure to treating ailments and diseases and therefore are more skilled in providing the right treatments. Our doctors have a vast experience of over 50000 surgeries and are trained in the use of latest diode Laser technology.

Advance Technology

PELVINIC  incorporates the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently.We focus on developing treatment plans as per each patient’s strengths, weaknesses, variety of motions and potential functioning. Our team is equipped with the latest painless techniques that lead to 100% customer satisfaction.


Pelvinic hospital offers the complete range of medical and surgical specialties to treat anal diseases under one roof, with highly experienced doctors, paramedical staff and state-of-the-art infrastructure.Our surgical daycare centre is ranked among the best of the best in Delhi (NCR). As we are the first-ever surgical daycare centre for pelvic disorders, we provide early mobilization, a home-like environment for quick recovery and preoperative investigations for our patients.

What We Do?

From giving OPD appointment to diagnose and prescribe surgery, Preoperative test to day-surgery to recovery stay and postoperative and diet instructions, we ensure to give our best of all to our patients without compromising at any stage of the treatment that too at a very cost-effective rate.

•    We have a dedicated staff to ensure your daycare stay is comfortable and hassle-free. our staff will provide you with all the necessary assistance required such as appointment, priority admission, billing and discharge assistance like detailed summary of the hospitalisation including health problems, examination findings, treatment given and procedures performed.
•    The contact details of the treating doctor and staff will be shared so that you and your medical practitioner can keep in touch with him/her post procedure.

Our Doctor

Dr. Sandip Banerjee

Consultant Laparoscopic Coloproctologist


With almost 15 years of experience and 5000+ surgeries, Dr. Sandip Banerjee is one of the finest award winning Laparoscopic Colorectal surgeons in Delhi/Ncr for ailments like piles, fistula, anal fissure and anal abscess, pilonidal sinus, anal & rectum cancer. He has particular specialist experience in complex abdominal wall hernias and a general surgical practice including laparoscopic hernia and gallstone surgery, anti-reflux surgery. He is considered to be the best surgeon in South Delhi because of the patients whom he has given a chance to a comfortable life without any pain or worry. He qualified from prestigious BJ Medical College, Pune. He obtained his post-graduation in General Surgery from National Board of examinations (DNB General Surgery). His main clinical interest is Colon and Bowel related diseases and the modern management of haemorrhoids and fistula. He got trained in Laparoscopic Colorectal Surgery from world class doctors Dr. Joel Leroy (France) and Dr. A Melany (Brazil) and AIIMS Delhi. With an interest in Gastro Intestinal cancer surgery, Dr Sandip completed two years fellowship in GI oncology under the leadership of Dr Adarsh Chaudhary from premier MEDANTA hospital Gurgaon. He also completed fellowship in Bariatric Surgery after this. He is currently working as a Head Laparoscopic and Colorectal Surgeon in Apollo Spectra, Kailash Colony New Delhi, and also associated with Rainbow Hospital, Fortis Hospital, National Heart Institute, Indraprastha Apollo Hospital Sarita Vihar and several other prime South Delhi Hospitals as a senior visiting consultant. His previous assignments were with MAX Smart Saket, Fortis Gurgaon, and Medanta Gurgaon. He has been awarded as INDIA’S BEST DOCTORS AWARD for the best laparoscopic surgeon in Delhi and Achievers Award by All India Achievers Association    


The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Patient Testimonial

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Mr Abdullah


For us, our "Reward" is the Trust that our patients repose on us and their sweet ' Thanks moment '. PELVINIC is grateful to Mr Abdullah, a resident of Turkmenistan for allowing us to share this moment of pride

Mr. Atul Kumar Maurya


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. Rajesh Sharma


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 K. L. Shah

New Delhi

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.

Frequently Ask Question

The Most Advanced State Of Art Daycare Surgery Centre In Delhi/NCR.

Should I push my hemorrhoid back in?

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.

Does piles have permanent cure?

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

How long until my hemorrhoid goes away?

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.

Can stress cause hemorrhoids?

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
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