How to Cure Piles According to Grades – Complete Treatment Guide

Piles (hemorrhoids) are one of the most common anorectal problems in India. However, the treatment depends entirely on the grade or severity of piles. Many patients search:

  • “How to cure piles permanently?”

  • “Best treatment for Grade 3 piles?”

  • “Do Grade 4 piles need surgery?”

  • “Can piles be treated without operation?”

The answer depends on the grade of hemorrhoids.

This medically reviewed guide by Dr. Karan R Rawat (MS, MCh – Gastro & Laser Surgery Specialist) explains how piles are treated according to grades, and when medical treatment is enough versus when advanced laser surgery is required.

What Are Piles (Hemorrhoids)?

Piles are swollen veins in the rectum or anus, usually caused by:

  • Chronic constipation

  • Straining during stool

  • Low fiber diet

  • Pregnancy

  • Obesity

  • Prolonged sitting

  • Sedentary lifestyle

They are classified into 4 grades based on severity.

Classification of Piles According to Grades

Grade Description Prolapse Treatment Approach
Grade 1 Internal swelling only No Medical
Grade 2 Prolapse but goes back automatically Yes Medical / Minor procedure
Grade 3 Prolapse needs manual pushing Yes Surgical
Grade 4 Permanently outside Yes (fixed) Advanced Surgery

Understanding this classification is crucial to cure piles effectively.

Grade 1 Piles – How to Cure

What Happens in Grade 1?

  • Bleeding during stool

  • No visible prolapse

  • Mild discomfort

  • Itching

Treatment for Grade 1 Piles

Grade 1 piles can be cured without surgery in most cases.

1️⃣ Dietary Changes

  • High fiber diet (green vegetables, fruits, oats)

  • 3–4 liters water daily

  • Avoid excessive spicy food

  • Avoid processed food

2️⃣ Medical Treatment

  • Stool softeners

  • Flavonoid tablets

  • Anti-inflammatory medicines

  • Local ointments

  • Sitz bath (warm water)

3️⃣ Lifestyle Correction

  • Regular exercise

  • Avoid straining

  • Do not delay stool

✅ In early stages, piles may completely reverse with proper management.

Grade 2 Piles – How to Cure

Symptoms

  • Bleeding

  • Prolapse during stool

  • Automatically goes back

  • Mucus discharge

Treatment Options

Conservative Management

Same as Grade 1 initially.

If Symptoms Persist:

  • Rubber band ligation

  • Infrared coagulation

  • Doppler-guided hemorrhoidal artery ligation

  • Laser hemorrhoidoplasty

🔹 Many patients from Agra prefer laser piles treatment because it is minimally invasive and quick.

Grade 3 Piles – How to Cure

Symptoms

  • Prolapse during stool

  • Needs manual pushing

  • Recurrent bleeding

  • Pain and swelling

At this stage, medical treatment alone is usually not sufficient.

Best Treatment for Grade 3 Piles

1️⃣ Laser Surgery

  • Minimally invasive

  • Less bleeding

  • Day-care procedure

  • Faster recovery

2️⃣ Stapler Surgery (MIPH)

  • Effective for prolapsing hemorrhoids

  • Short hospital stay

  • Less post-operative pain compared to conventional surgery

3️⃣ Conventional Hemorrhoidectomy

Reserved for complicated cases.

In experienced hands like Dr. Karan R Rawat, advanced laser treatment significantly reduces recurrence and recovery time.

Grade 4 Piles – How to Cure

Symptoms

  • Permanently prolapsed piles

  • Severe pain

  • Thrombosis (clot)

  • Ulceration

  • Inability to sit comfortably

Grade 4 piles almost always require surgery.

Treatment Options

Advanced Laser Surgery

  • Sphincter-preserving

  • Minimal wound

  • Quick discharge

Conventional Surgery

Used if piles are very large or thrombosed.

⚠️ Delaying Grade 4 treatment can lead to:

  • Severe anemia

  • Infection

  • Strangulated piles

  • Emergency surgery

When Should You Worry?

Consult immediately if you experience:

  • Heavy bleeding

  • Severe pain

  • Black stools

  • Sudden swelling

  • Fever with anal pain

  • Unexplained weight loss

Bleeding per rectum should never be ignored, as colon diseases can mimic piles.

Can Piles Be Cured Permanently?

Yes — if:

  • Correct grade is diagnosed

  • Proper treatment is chosen

  • Lifestyle changes are maintained

  • Constipation is permanently controlled

Laser and modern procedures reduce recurrence significantly.

Laser vs Conventional Surgery – Comparison

Feature Laser Conventional
Pain Minimal Moderate
Bleeding Very less More
Hospital stay Same day discharge 1–2 days
Recovery time 3–5 days 2–3 weeks
Stitches No major cuts Yes

Frequently Asked Questions (Optimized for Featured Snippets)

1. Can Grade 1 piles be cured without surgery?

Yes, with diet, medicines and lifestyle changes.

2. Is Grade 2 piles serious?

Usually manageable without major surgery.

3. What is the best treatment for Grade 3 piles?

Laser or stapler surgery provides excellent results.

4. Do Grade 4 piles always need surgery?

Almost always, yes.

5. Is laser piles treatment safe?

Yes, when performed by an experienced proctologist.

6. How long does recovery take?

3–7 days for laser surgery.

7. Can piles turn into cancer?

No, but symptoms may overlap with colorectal diseases.

8. Which doctor should I consult for piles?

A qualified proctologist or laser surgeon.

Myths vs Facts

Myth Fact
Piles always need operation Early grades don’t
All bleeding is piles Could be other diseases
Laser is expensive marketing It reduces pain & recovery
Surgery is very painful Modern techniques minimize pain

Prevention Tips to Avoid Recurrence

  • Daily fiber intake (25–35g)

  • Hydration

  • Avoid prolonged sitting

  • Regular bowel habits

  • Exercise 30 minutes daily

  • Avoid straining

Who Should Consult a Specialist?

  • Recurrent bleeding

  • Grade 3 or 4 prolapse

  • Failed medical treatment

  • Severe pain

  • Chronic constipation

Expert Opinion

According to Dr. Karan R Rawat, MS, MCh (Gastro & Laser Surgery Specialist):

“The key to curing piles permanently is early diagnosis, grade-specific treatment, and correcting constipation. Modern laser surgery has revolutionized piles treatment with faster recovery and minimal discomfort.”

Patients from Agra, Mathura, Firozabad, Aligarh, Etawah, Bharatpur, and nearby districts seek advanced treatment options.

Final Summary

✔️ Grade 1 – Medical treatment
✔️ Grade 2 – Medical + minor procedures
✔️ Grade 3 – Laser or stapler surgery
✔️ Grade 4 – Advanced surgical treatment

Early consultation prevents complications and ensures quicker recovery.

📞 Book Consultation

If you are searching for:

  • Best piles doctor near me

  • Laser piles treatment in Agra

  • Advanced hemorrhoid surgery

  • Permanent cure for piles

Consult a qualified proctologist for accurate grading and treatment.

👉 Call Now | Book Appointment | Consult Online

Don’t ignore symptoms. Early treatment means faster cure.