Piles Treatment

What Is The Alternative To a Surgery For the Piles

Piles, also known as hemorrhoids, are caused by the bulging of veins in the lower rectum and anus. When veins swell, the walls of the veins stretch, bleed, and become irritated. External piles form at the end of the anus. Internal piles form inside the anal canal. Depending on the type of piles and their severity, non-surgical and surgical treatment options are available to patients. It is feasible to treat piles or hemorrhoids without surgery. However, before considering alternate piles treatment options, you must first understand the disease and its degrees. The stage of the ailment determines the treatment. Let us take a look at the different stages of piles.

Degree of Severity of Piles 

  • Grade I is characterized by minor inflammations along the anus lining. They are barely noticeable and treatable without surgery. 
  • Grade II piles are more prominent than Grade I heaps but remain within the anus. They may be ejected from the body with the passage of feces.
  • Grade III appear outside the anus and are also known as prolapsed hemorrhoids. They can be felt hanging from the rectum by the patient. 
  • Grade IV is massive and cannot be moved back. These require treatment because they are still outside the anus.

Piles Treatment Alternative To Surgery

Topical Treatments

Hydrocortisone-containing hemorrhoid creams can be administered to the afflicted area to provide relief. These lotions can be obtained without a prescription. Numbing agents or witch hazel pads can also be employed.


Over-the-counter medications reduce inflammation and swelling in the area. They are available as pain relievers, ointments, pads, and so on. Using them for more than a week is not recommended because of the adverse side effects. Corticosteroids help to reduce inflammation and pain. Laxatives are prescribed to the patient to help with constipation. It would help them to pass stool and relieve some pressure easily.

Rubber Band Ligation

Another non-surgical piles treatment option for piles is rubber band ligation. However, it is only applicable to internal hemorrhoids. The process is tying a rubber band around the piles’ bases. It reduces blood flow to hemorrhoids, which causes them to shrink or dry up and fall off.

How is Rubber band ligation performed?

 The procedure uses a tiny tube equipped with a camera known as an ‘anoscope.’ It is put into the patient’s anus. Once located, the hemorrhoid is grabbed, and a rubber band is placed around its base. The banded clumps usually come off after a week. The scar will form at the site to prevent the veins from bulging into the anal canal.


Sclerotherapy is considered when the rubber band ligation is ineffective. The pile must be large enough to accommodate the rubber band ligation. Thus, it does not work on smaller piles. Smaller piles can be treated with sclerotherapy. Sclerotherapy aims to cut off the blood supply to the hemorrhoids.

How is Sclerotherapy Performed?

The procedure starts with injecting a hardening chemical solution at the base of the pile to scar the tissue and cut off the blood supply. The mounds will start to decrease as the blood supply is cut off. It can be done for numerous piles at once. For the first few days after treatment, the patient may see some blood in their feces. It is a less invasive and less uncomfortable piles treatment

Home Remedies To Treat Piles

Grade I and II piles can be managed with home remedies and over-the-counter medication. If you have piles, you should eat foods like whole grains, fruits, and vegetables. These nutrients soften and thicken up your feces, preventing constipation.

Constipation is frequently the result of excessive straining. To avoid gas problems, gradually integrate more fiber into your diet. Caffeine and alcohol should be avoided. Drinking 2 liters of water daily lowers the risk of piles by keeping the stool soft.

Warm baths are an excellent form of piles treatment. They can help alleviate the pain caused by piles. Soaking your anal region for 10 to 15 minutes in plain warm water at least twice daily will help. Many studies have shown that doing so after a bowel movement is beneficial. After that, you can take a full-body bath or a sitz bath. For further relief, add Epsom salt to the bath.

Exercising helps to avoid and relieve constipation, which relieves pressure on the veins. Exercise will help you lose weight, which is a primary cause of piles. 


Body weight and diet can contribute to an increased risk of developing piles. Maintaining a healthy weight by eating high-fiber foods can help prevent and even treat the disease. Initially, your doctor will advise you to make specific lifestyle adjustments to assist you in managing your piles. Patients can self-treat up to grade III or IV. It is essential to consult your doctor to get the best piles treatment for your level of severity.

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