Types of Piles and Their Treatment – By Dr. Karan R Rawat, Best Piles Specialist in Agra
Introduction
Piles, medically known as hemorrhoids, are swollen and inflamed veins in the rectum and anus that cause discomfort, pain, bleeding, and itching. This common anorectal condition affects millions of people across India, yet many delay treatment due to hesitation and lack of awareness.
Dr. Karan R Rawat, the leading Piles Specialist, Proctologist, and Laser Surgeon in Agra, offers state-of-the-art, painless solutions for all grades of piles. This blog highlights the types of piles, their symptoms, and the best treatment options available today.
Types of Piles (Hemorrhoids)
Piles are classified based on their location and severity into internal and external hemorrhoids:
1. Internal Piles
These form inside the rectum and are usually not visible externally. They're classified into four grades:
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Grade 1: Small swellings, often asymptomatic. May cause slight bleeding.
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Grade 2: Prolapse during straining but go back inside on their own.
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Grade 3: Prolapse during bowel movements and need to be manually pushed back.
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Grade 4: Permanently prolapsed and cannot be pushed back inside; may cause severe pain, bleeding, and discomfort.
2. External Piles
Located under the skin around the anus, they can be felt as hard lumps. They can be extremely painful, especially if a blood clot (thrombosis) forms within them.
Common Symptoms of Piles
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Bleeding during defecation
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Itching or irritation around the anal region
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Pain and swelling near the anus
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A lump or protrusion during bowel movements
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Mucous discharge or feeling of incomplete evacuation
Treatment Options for Piles – By Dr. Karan R Rawat
At Safe Gastro and Surgery Centre, Agra, Dr. Karan R Rawat employs a patient-friendly, minimally invasive approach to treat piles based on the severity and patient’s lifestyle.
1. Medical Management (for Grade 1 and mild Grade 2)
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High-fiber diet & hydration
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Stool softeners
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Topical creams and sitz baths
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Avoiding prolonged sitting/straining
2. Non-Surgical Procedures
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Rubber Band Ligation: For internal Grade 1–2 piles. Bands cut off blood supply, causing the pile to shrink and fall off.
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Sclerotherapy: Injection of a chemical to shrink hemorrhoids.
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Infrared Coagulation (IRC): Heat is used to seal the blood vessels supplying piles.
3. Laser Surgery (Preferred for Grade 2, 3 & early 4)
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Painless, bloodless, and daycare procedure
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Minimal recovery time
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No stitches or cutting
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Performed with advanced diode laser technology by Dr. Karan R Rawat
Laser piles surgery is the most advanced treatment, highly effective with fewer chances of recurrence.
4. Stapler Surgery (MIPH – Minimally Invasive Procedure for Hemorrhoids)
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Recommended for Grade 3 and Grade 4 internal piles
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Stapler device removes excess tissue and lifts the hemorrhoid back into place
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Less pain and faster recovery than conventional surgery
5. Conventional Hemorrhoidectomy
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Reserved for large or complicated piles
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Involves surgical removal under anesthesia
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Dr. Karan R Rawat ensures optimal pain management and post-operative care
Why Choose Dr. Karan R Rawat in Agra?
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Expert in Piles, Fissure, and Fistula
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Pioneer in Laser & Stapler surgery in the region
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More than a decade of surgical experience
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Personalized care and post-treatment guidance
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Hundreds of successful procedures with minimal recurrence
Conclusion
Ignoring piles can lead to chronic pain, infections, and complications. Early diagnosis and proper treatment can relieve symptoms and restore comfort.
If you or a loved one is suffering from piles, consult Dr. Karan R Rawat, the most trusted Piles Specialist, Proctologist, and Laser Surgeon in Agra. He is known across Agra and nearby districts for providing modern, painless, and highly effective piles treatment.
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