Piles Treatment in Goregaon

Piles Treatment in Goregaon, Mumbai

Hemorrhoids, commonly known as piles, are swollen and inflamed veins located in the lower rectum and around the anus. This widespread condition affects millions of people globally, causing considerable discomfort and significantly impacting daily life quality. These swellings contain enlarged blood vessels that develop due to increased pressure in the anal and rectal area, leading to various uncomfortable symptoms that can range from mild irritation to severe pain.

The condition occurs when the normal cushions of tissue that help control bowel movements become swollen and displaced. However, when they become enlarged due to various factors, they transform into what we medically term hemorrhoids or piles. Understanding this condition is crucial for effective treatment and long-term management.

What Causes Piles?

The development of piles stems from increased pressure within the blood vessels of the anal and rectal region. Chronic constipation represents the most significant contributing factor, as repeated straining during bowel movements creates excessive pressure on the delicate blood vessels in this area. This continuous strain gradually weakens the supporting tissues, allowing the blood vessels to swell and protrude.

Pregnancy creates a unique set of circumstances that frequently lead to haemorrhoid development. The growing uterus places increasing pressure on the pelvic blood vessels, while hormonal changes affect the strength and flexibility of blood vessel walls. Additionally, the pushing required during labour and delivery can trigger acute haemorrhoid formation or worsen existing conditions.

Modern lifestyle factors play an increasingly important role in hemorrhoid development. Prolonged periods of sitting, particularly common in office environments, reduces blood flow and increases pressure in the anal region. Similarly, a sedentary lifestyle combined with poor dietary habits creates conditions favorable for chronic constipation and subsequent hemorrhoid formation.

Obesity contributes to hemorrhoid development through multiple mechanisms. Excess weight increases intra-abdominal pressure, which is transmitted to the rectal blood vessels. Additionally, dietary patterns associated with obesity often lack sufficient fiber, leading to constipation and straining. The inflammatory processes associated with obesity may also affect blood vessel integrity and healing capacity.

Age-related changes in tissue structure and strength make hemorrhoids more common in older adults. The connective tissues supporting the anal cushions gradually weaken over time, making them more susceptible to swelling and displacement. Additionally, decreased physical activity and potential medication effects on bowel function in older adults can contribute to constipation and hemorrhoid development.

Types of Piles We Treat

Internal Hemorrhoids

Located inside the rectum, usually painless but can cause bleeding.

Grading System:

Grade I: Small swellings inside the anal canal
Grade II: Larger, may prolapse during bowel movements but retract naturally
Grade III: Prolapse outside but can be pushed back manually
Grade IV: Permanently prolapsed, cannot be pushed back

External Hemorrhoids

Form under the skin around the anus, often painful and visible.

Characteristics:

Can be felt as hard lumps
Cause significant pain and discomfort
May develop blood clots (thrombosed hemorrhoids)
Often cause itching and irritation

Mixed Hemorrhoids

Combination of both internal and external types, requiring specialized treatment approach.

Symptoms of Piles

Common Signs of Piles:

Bleeding during or after bowel movements (bright red blood)
Pain or discomfort while sitting or during bowel movements
Itching or irritation in the anal region
Swelling around the anus
Mucus discharge from the anal area
Feeling of incomplete bowel evacuation

Symptoms that need immediate attention

Severe or persistent bleeding
Intense pain and swelling
Signs of infection (fever, increased pain, pus)
Sudden onset of severe symptoms
Changes in bowel habits
Blood clots in external hemorrhoids

Piles Treatment in Goregaon - Approaches by Dr Pradeep Shriyan

Conservative (Non-Surgical) Treatment
Dietary Modifications:
1. High-fibre diet recommendation
2. Increased water intake (8-10 glasses daily)
3. Avoiding spicy and processed foods
4. Regular meal timing
Lifestyle Changes:
1. Regular exercise and physical activity
2. Proper toilet habits (avoid prolonged sitting)
3. Weight management programs
4. Stress reduction techniques
Medical Management:
1. Topical medications for pain and inflammation
2. Stool softeners and fibre supplements
3. Anti-inflammatory medications
4. Sitz bath therapy
Minimally Invasive Procedures (Approx.)
Same Day Discharge-Based Treatments:
1. Rubber Band Ligation: Cutting off the blood supply to haemorrhoids
2. Sclerotherapy: Injection of a hardening agent
3. Infrared Coagulation: Heat therapy to shrink haemorrhoids
Advanced Techniques:
1. Hemorrhoidal Artery Ligation (HAL): Ultrasound-guided procedure
2. Stapled Hemorrhoidopexy: Circular stapling technique
Surgical Treatment for Piles
Laser Hemorrhoidoplasty: Our specialised laser treatment offers:
1. Painless procedure with minimal discomfort
2. Day-care surgery with same-day discharge
3. Faster healing and recovery
4. Minimal bleeding and complications
5. Precision targeting of affected tissue
Traditional Hemorrhoidectomy:
1. Complete removal of hemorrhoidal tissue
2. Best for Grade III and IV hemorrhoids
3. Long-term definitive solution
4. Higher success rates for severe cases
Stapled Hemorrhoidopexy (PPH):
1. Minimally invasive circular stapling
2. Reduced post-operative pain
3. Faster recovery compared to traditional surgery
Suitable for circumferential haemorrhoids

Piles Treatment Cost in Goregaon, Mumbai

Cost Range Overview (Approx.)
Detailed Cost Breakdown
Minimally Invasive Same Day Procedures:
1. Rubber band ligation: ₹8,000 – ₹15,000
2. Sclerotherapy injection treatment: ₹5,000 – ₹12,000
3. Infrared coagulation therapy: ₹10,000 – ₹20,000
4. HAL/RAR (Hemorrhoidal Artery Ligation): ₹35,000 – ₹60,000
Surgical Treatment Costs:
1. Advanced laser hemorrhoidoplasty: ₹40,000 – ₹80,000
2. Traditional hemorrhoidectomy: ₹25,000 – ₹50,000
3. Stapled hemorrhoidopexy (PPH procedure): ₹45,000 – ₹85,000
4. Complex revision or combination procedures: ₹60,000 – ₹1,20,000
Cost Factors Affecting Piles Treatment
Medical Factors
Severity and Grade of Hemorrhoids:
1. Grade I & II hemorrhoids: Lower treatment costs due to less invasive interventions required
2. Grade III & IV hemorrhoids: Higher costs necessitated by complex surgical procedures and longer recovery periods
3. Mixed internal and external hemorrhoids: Increased cost reflecting comprehensive treatment approaches
4. Presence of complications: Additional procedures and extended care significantly increase overall expenses
Patient Health Status:
1. Underlying medical conditions (diabetes, cardiovascular disease): Additional monitoring and specialized care increase costs
2. Age-related factors affecting healing capacity: May require extended recovery care and modified treatment approaches
3. Previous anal or rectal surgeries: Increased complexity and potential for complications affect pricing
4. Current immune system status: Impacts healing time and may require specialized post-operative care
5. Blood clotting disorders: May necessitate additional precautions and monitoring
Treatment Response and Complications:
1. Failed conservative treatment requiring surgical intervention: Progressive cost increase as treatment intensity escalates
2. Recurrent hemorrhoids necessitating revision procedures: Additional surgical interventions multiply total treatment expenses
Procedure-Related Factors
Type of Treatment Methodology:
1. Conservative management approaches: ₹2,000 – ₹10,000 per month for medications, dietary counseling, and lifestyle modifications
2. Same Day Discharge minimally invasive procedures: ₹8,000 – ₹25,000 for techniques like banding, sclerotherapy, or coagulation
3. Day-care surgical procedures: ₹35,000 – ₹80,000 for laser treatments and minimally invasive operations
4. Major surgical interventions: ₹50,000 – ₹1,20,000 for complex hemorrhoidectomy or combination procedures

How long does piles surgery take?

Most procedures take 30-60 minutes, depending on complexity. Laser treatment is typically completed in 15-30 minutes.

Is piles surgery painful?

Modern techniques, especially laser surgery, significantly reduce pain. We use advanced pain management protocols for comfortable recovery.

When can I return to work after surgery?

Most patients return to desk jobs within 3-5 days after laser surgery and 7-14 days after traditional surgery.

Are there any dietary restrictions after surgery?

We recommend a high-fibre diet, adequate fluids, and avoiding spicy foods for faster healing.

Dr. Pradeep Shriyan, a seasoned and accomplished laparoscopic, general surgeon and Proctologist in Mumbai, is a trusted professional serving the Mumbai Suburban. With a wealth of experience and expertise, Dr. Pradeep Shriyan specializes in a wide range of procedures.

Whether you require expert care for hernia repair, recurrent hernia or any other related condition, we invite you to schedule an appointment with the highly skilled and trusted professional, Dr. Pradeep Shriyan. With his extensive expertise and experience, Dr. Shriyan is committed to delivering top-notch surgical interventions to address your specific needs.

Take the first step towards improved health and well-being by booking an appointment with Dr. Pradeep Shriyan today.

Book Appointment

Preventive Measure for Piles

Here are some tips which can help to prevent Piles:
1. High fiber-containing diet 2. Fluid Intake 3. Avoid Straining 4. Stay Active 5. Never Hold Back

Pre-operative Care

• Have nothing to eat or drink 6 Hours before surgery except for prescribed medications you have been told to take with a sip of water.
• Report 2 hours before the Surgery time (OT Procedure)
• Carry Doctor’s Case Paper on which treatment is written at the time of Admission to Hospital
• Carry Insurance Documents with you to the Hospital before Admission
• Do not apply any lotions, perfumes, deodorants, or Nail polish before surgery
• Take off your jewellery including earrings and piercings
• Don’t shave the area, this will be taken care by Hospital nurse

Download Pre-operative Care Instructions

Post-operative Care

1. Take pain relieving and other medications as advised. Pain-relieving medication should be taken with food.
2. Follow-up with the doctor after a period of 10 days.
3. Eat a healthy diet and drink plenty of non-alcoholic and non-caffeinated drinks.
4. Do not operate any machinery, or lift any heavy articles after Surgery
5. Rest for a few days after the surgery is advisable, but keep mobile.
6. It is critical to stay hydrated and maintain a high-fiber diet in order to have easy and painless bowel movements.
7. Warm sitz baths may also help to reduce pain following surgery.
8. It is normal to have some bleeding after surgery, but if a significant amount runs down the leg, a doctor should be informed immediately.

Download Post-operative Care Instructions