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Overview

Understanding
Piles / Hemorrhoid

Piles (haemorrhoids) are swollen blood vessels inside or around the anus, extremely common but rarely discussed openly. Depending on the grade, treatment ranges from dietary and medical management to LASER haemorrhoidoplasty or surgical haemorrhoidectomy. Dr. Krishna Pada Saha assesses each case individually and recommends the least invasive option that will still give lasting relief.

Left untreated, piles tend to worsen gradually — a Grade I hemorrhoid that causes only occasional bleeding can, over months or years, progress to a Grade III or IV that prolapses and needs surgery. That's why Dr. Saha encourages an early proctoscopic evaluation rather than waiting for symptoms to become severe. At the first consultation, he takes a detailed history, performs a gentle examination, and explains exactly which grade you have and which of the available options — conservative, office-based, LASER, or surgical — genuinely fits your situation, so you're never pushed toward a bigger procedure than you actually need.

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Piles / Hemorrhoid
Procedure Type
Laser / Surgical
Anesthesia
Local or Spinal
Hospital Stay
Day-care to 1 night
Recovery Time
2 – 7 days
Recurrence
Low with correct grading
Know The Condition

Common Causes & Symptoms to Watch For

Recognising these early can help you seek timely, effective treatment.

Common Causes

Chronic constipation and repeated straining during bowel movements
Low-fibre diet and inadequate water intake
Prolonged sitting or standing for long hours
Pregnancy and childbirth
Obesity and heavy weight-lifting

Symptoms To Watch For

Bright red bleeding during or after passing stool
A soft lump around the anus that may reduce on its own
Itching or irritation around the anal area
Mucus discharge staining underwear
Pain, particularly with thrombosed (clotted) piles
Our Approach

Treatment Options We Offer

Every patient is different — Dr. Saha recommends the safest, least invasive option that will give lasting results.

Grading on Examination

Piles are graded I–IV on proctoscopic examination, which determines the right treatment path.

Conservative Care (Grade I–II)

Fibre-rich diet, medication, and lifestyle changes are often enough for early-grade piles.

LASER Haemorrhoidoplasty (Grade II–III)

A day-care LASER procedure that shrinks the piles with minimal pain and no major wound.

Surgical Haemorrhoidectomy (Grade III–IV)

Reserved for larger, prolapsing piles that need definitive surgical removal.

What To Expect

Your Treatment Journey

A clear, step-by-step path from consultation to full recovery.

01
Step 1

Consultation & Evaluation

A detailed history and clinical examination to accurately assess your condition and rule out other anorectal issues.

02
Step 2

Personalised Treatment Planning

Based on the severity and your overall health, Dr. Saha recommends the most appropriate — and least invasive — treatment path.

03
Step 3

Day-care Procedure

The procedure is performed under local, spinal or general anaesthesia as appropriate, most often on a day-care basis.

04
Step 4

Recovery & Follow-up Care

Most LASER-treated patients return to work within 2–3 days; surgical haemorrhoidectomy needs a slightly longer, well-managed recovery with pain control and stool softeners.

Why Choose Dr. Saha

Trusted Care for Piles / Hemorrhoid

Individualised Grading

Every patient is graded I–IV before a treatment path is even discussed, so you're never offered surgery when conservative care would do.

LASER-First Philosophy

Wherever the grade allows, LASER haemorrhoidoplasty is offered first for a faster, less painful recovery.

Day-Care Convenience

Most procedures are completed on a day-care basis, so you're home the same evening.

Low Recurrence Focus

Technique is matched precisely to disease severity, keeping long-term recurrence rates low.

FAQs

Frequently Asked Questions

Is LASER treatment for piles painful?

LASER haemorrhoidoplasty causes noticeably less pain than conventional surgery, and most patients manage any discomfort with simple oral medication.

Do all piles need surgery?

No. Grade I and II piles often settle with dietary changes, fibre supplementation and topical medication. Surgery or LASER is usually reserved for Grade III–IV or non-responsive cases.

How soon can I return to work?

Most LASER-treated patients return to normal activity within 2–3 days, while surgical haemorrhoidectomy needs a slightly longer recovery.

Can piles come back after treatment?

Recurrence is uncommon when the correct procedure is matched to the grade of disease and healthy bowel habits are maintained afterward.

What foods should I avoid with piles?

Spicy, low-fibre and highly processed foods can worsen straining and irritation — Dr. Saha provides a personalised dietary plan alongside treatment.

Is piles surgery covered under day-care, or do I need to stay overnight?

Most LASER procedures are day-care; conventional haemorrhoidectomy for higher-grade piles occasionally needs a single overnight stay for monitoring.

Get In Touch

Ready to Consult for Piles / Hemorrhoid?

Dr. Krishna Pada Saha
Need Help Deciding?

Share your symptoms with our team and get guidance on the right next step.

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