What is Piles / Hemorrhoids?

Piles is a rectal and anal condition/disease also known as ‘Hemorrhoids’. They are of two types, internal and external hemorrhoids. Internal hemorrhoids or prolapsed hemorrhoids are not felt since they remain in the anal canal. Most often it is the external hemorrhoids that protrude from the anus which pain, itch and bleed.

In India, at least a million new cases are recorded, every year making it one of the most common health conditions. The contributing factor in their numbers is due to higher intake of processed foods and increasing sedentary lifestyles of the Indian population.


Piles don’t always cause pain. It may exhibit other symptoms which differ based upon age, condition, severity, type and location.


  • Frequent, chronic, or severe constipation

  • Long bouts of diarrhea

  • Spending long hours seatet

  • Obesity

  • Over Exercising

  • Low-fiber diets

  • Lifting heavy objects

  • Genetic reasons

  • Pregnancy

  • Ageing


Grade 1

Hemorrhoids bleed and may protrude into, but do not prolapse out of, the anal canal. They are not visible

Grade 2

Grade 2Hemorrhoids prolapse/get pushed out on passing stool but they will also return unaided.

Grade 3

Hemorrhoids require manual reduction. Known as prolapsed hemorrhoids, they appear outside the anus but can be easily re-inserted into the rectum.

Grade 4

Hemorrhoids cannot be reduced/pushed back. They are permanent prolapse and remain outside of the anus.

The treatment of the piles depends on which of the above Grade it belongs to. Initially, the condition maybe treated with dietary changes and medicine but incase of no improvement then a day surgery may be needed.

Diet : In the case of onset of piles, it is recommended to increase one’s intake of liquids and fibrous foods.

Medications: Including painkillers, ointments, creams, and pads to help soothe redness and swelling around the anus.

Corticosteroids :They help to reduce inflammation and pain.

Laxatives : If the patient suffers from constipation leading to piles, the doctor will prescribe laxatives or suppository to reduce pressure on the lower colon while passing stools.

Surgical options : Today the latest laser surgery available for Piles is bloodless and scar less.

Our Expertise

Laser Hemorrhoid procedure (LHP) is the most preferred laser treatment for hemorrhoids. This helps the hemorrhoidal arterial flow feeding the hemorrhoidal plexus to stop. It is only an outpatient procedure and does not admission to a hospital.

Ultroid Hemorrhoid Management Treatment :
The most advanced and effective technique in curbing a re-occurrence is the Ultroid Hemorrhoid Management Treatment. There is no pain or invasion involved. Offered in only a few clinics in India and Pan Asia, our founder, Dr. Sambit Patnaik is trained to offer Ultroid Hemorrhoid Management Treatment in Mumbai, India.

Mumbai Piles Clinic is equipped to offer the latest laser treatment for piles.


  • MIPH Laser :

Minimally Invasive Procedure for Hemorrhoids (MIPH) is Stapled Hemorrhoidectomy. This advanced surgical procedure is performed with the help of a stapler device and patients can go home on the same day.

  • Ultrasonic Scapel Excision :

A hemorrhoidectomy using an ultrasonic scalpel another safe procedure. This procedure has less operation time, lower postoperative blood loss, and less postoperative pain.

  • BEIM Technology :

New BEIM procedure is a day care procedure. It does not require post-operative dressing.

  • HAL-RAR :

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR) can be used for all grades of hemorrhoids.

  • Banding :

An elastic band is put around the base of the pile, blocking the blood supply. This would lead to the hemorrhoid eventually falling off. This treatment is effective hemorrhoids in grade I, II, III.

  • Sclerotherapy :

For grade II and III hemorrhoids, this treatment is used whereby medicine is injected to make the hemorrhoid shrink and shrivel up.

  • Miligan Morgan Hemorrhoidectomy :

A UK technique, it is now performed in India. Done under local anesthesia or sedation, the excess tissue causing the bleeding is surgically removed. It is the most preferred for Grade III & IV since it removes the piles permanently.