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The Story

Living With Piles
For Nearly A Year

The patient, a business professional in his early forties from Dhaka, had been quietly managing occasional bleeding and discomfort during bowel movements for close to eight months. Long hours at a desk job and irregular eating habits had gradually worsened the problem, but like many patients, he kept postponing a proper check-up, hoping it would settle on its own with over-the-counter creams.

By the time he visited Dr. Krishna Pada Saha's chamber, occasional prolapse during long meetings and travel had started to affect his confidence at work. A detailed history and a gentle proctoscopic examination confirmed Grade III internal haemorrhoids — the point at which conservative care alone is rarely enough, but a full surgical haemorrhoidectomy is often more than is actually needed.

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Dr. Krishna Pada Saha performing LASER piles treatment
Age Group
40 – 45 Years
Diagnosis
Grade III Piles
Procedure
LASER Haemorrhoidoplasty
Hospital Stay
Day-care
Back To Work
3 Days
Case Details

The Challenge & Treatment Approach

How the case was assessed and the path chosen for a fast, lasting recovery.

Presenting Complaints

Intermittent bright red bleeding during bowel movements
A sensation of prolapse or lump after long sitting
Mild discomfort that worsened toward the end of the day
Months of self-managing with over-the-counter creams

Treatment Approach

Proctoscopic grading confirmed Grade III internal piles
LASER haemorrhoidoplasty selected over open surgery
Performed as a day-care procedure under local anaesthesia
Structured aftercare plan for diet and bowel habit
Recovery Journey

From Procedure To Full Recovery

01
Day 1

Day-Care LASER Procedure

The haemorrhoidoplasty was completed under local anaesthesia in under an hour, and the patient was discharged the same evening with clear aftercare instructions.

02
Day 3

Back To Desk Work

Mild discomfort was managed with oral medication and a fibre-rich diet; the patient resumed light office work from day three.

03
Week 2

Fully Normal Routine

By the second week, travel, long meetings and regular activity were all back to normal with no bleeding or discomfort.

04
Month 1

Clear Follow-Up Review

A one-month proctoscopic review confirmed complete healing with no residual disease or early signs of recurrence.

Patient Outcome

Back To Normal Life, Without Fear Of Recurrence

I kept putting it off because I dreaded the idea of surgery. The LASER procedure was quick, I was home the same day, and I was back at my desk within three days. I wish I hadn't waited eight months to get it looked at.

— Patient, Piles Surgery, Dhaka

Correct Grading First

Grading the disease accurately before recommending a procedure avoided unnecessary open surgery.

LASER-First Philosophy

Choosing LASER over conventional haemorrhoidectomy meant a faster, less painful recovery.

Day-Care Convenience

A same-day discharge let the patient recover in the comfort of home from day one.

Structured Follow-Up

A planned one-month review confirmed healing and gave the patient lasting peace of mind.

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