Condition

Piles (Haemorrhoids)

10+experience
₹500consultation

Treated by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy

Piles, also called haemorrhoids, are swollen blood vessels in and around the anus and lower rectum. They can cause discomfort, bleeding, and itching. Dr Ravi Chandra Reddy evaluates each patient to recommend the most appropriate treatment, from lifestyle changes to procedures when needed.

Treatable Early Detection Matters Multiple Options
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Piles (Haemorrhoids) at Dr Ravi Chandra Reddy
Quick Facts

At a glance.

Clinical Overview
Progression TypeVariable
Diagnosis MethodClinical examination
Types

Types of piles (haemorrhoids).

Internal haemorrhoidsExternal haemorrhoidsProlapsed haemorrhoids

Internal haemorrhoids

These form inside the rectum, usually painless but may bleed or prolapse through the anal opening.

External haemorrhoids

These develop under the skin around the anus and can be painful, especially if a blood clot forms.

Prolapsed haemorrhoids

Internal haemorrhoids that have stretched and bulged outside the anus, sometimes requiring manual reduction.

Causes

What causes piles (haemorrhoids)?

Multiple factors can contribute to the development and progression of this condition.

Straining during bowel movements
Chronic constipation or diarrhoea
Prolonged sitting, especially on the toilet
Low-fibre diet
Symptoms

Signs to look out for.

Recognising the signs early gives you more treatment options.

Early StageMild discomfort
Painless bleeding during bowel movements
Mild itching or irritation around the anus
Discomfort or awareness of a lump
ModerateIncreasing impact
Persistent bleeding with bowel movements
Prolapse of tissue during straining
Increased pain or swelling around the anus
AdvancedSignificant limitation
Prolapsed haemorrhoids that do not retract on their own
Severe pain if a clot forms in an external haemorrhoid
Mucus discharge and difficulty keeping the area clean
Evaluation

How it's evaluated.

Assessment begins with a clinical history and examination of the anal area. Most cases are diagnosed on examination alone. Additional tests such as proctoscopy or colonoscopy may be recommended if there are concerns about other conditions, but not every patient requires them.

Treatment

Treatment options available.

From conservative to surgical — we always start with the least invasive option first.

Dietary and lifestyle changes
View details

Dietary and lifestyle changes

  • Increase fruits, vegetables, and whole grains
  • Drink adequate water throughout the day
  • Avoid prolonged sitting and straining on the toilet
Our Approach

How we handle this condition.

A structured, patient-first approach from first visit to full recovery.

Step 01

Initial consultation

Dr Ravi Chandra Reddy takes a detailed history and performs a clinical examination to confirm the diagnosis and rule out other conditions.

Step 02

Personalised treatment plan

Treatment is tailored to the type and severity of haemorrhoids, starting with conservative measures and progressing only if needed.

Step 03

Procedure or surgery when indicated

If office-based or surgical intervention is appropriate, the doctor explains the approach, what to expect, and the recovery process.

Step 04

Follow-up and prevention guidance

Ongoing support includes monitoring healing, managing any symptoms, and advising on diet and habits to reduce the chance of recurrence.

Recovery

Recovery & aftercare.

What to expect at each phase of recovery.

Immediate post-treatmentWound healing and symptom resolutionLong-term management

Immediate post-treatment

After office procedures, most patients return to normal activities within a day or two. Surgical cases require more rest and careful wound care, with timelines varying by individual.

Wound healing and symptom resolution

Discomfort, minor bleeding, and swelling gradually settle over one to several weeks. Pain relief, sitz baths, and stool softeners support comfort during this period.

Long-term management

Maintaining a high-fibre diet, staying hydrated, and avoiding straining help prevent recurrence. Regular follow-up ensures any concerns are addressed early.

Outcomes

Treatment outcomes.

Symptom relief

Good management can reduce or eliminate bleeding, pain, and prolapse in many patients. However, haemorrhoids can recur if underlying habits are not addressed.

Functional improvement

Treatment aims to restore comfort and normal bowel habits. Complete prevention of future episodes is not guaranteed and depends on ongoing lifestyle measures.

Need for repeat intervention

Some patients may require additional procedures over time, particularly if risk factors such as chronic constipation persist.

Individual variation

Recovery and long-term results vary. Factors such as severity, patient adherence to dietary advice, and underlying conditions all influence outcomes.

What happens if this is left untreated?

Untreated haemorrhoids may persist or worsen, leading to ongoing discomfort, bleeding, and difficulty with hygiene. Prolapsed haemorrhoids can become strangulated, cutting off blood supply and causing severe pain. Chronic blood loss, though usually small, can contribute to anaemia in some cases.

When should you see a doctor?

Seek medical advice if you notice rectal bleeding, especially if it is persistent or accompanied by pain, or if a lump appears around the anus. It is important to have these symptoms evaluated to rule out other conditions. Anyone with severe pain, fever, or a sudden change in bowel habits should seek prompt care.

FAQ

About piles (haemorrhoids).

Can piles go away on their own?
Is surgery always needed for piles?
How long does recovery take after haemorrhoid surgery?
Will piles come back after treatment?
Are bleeding haemorrhoids a sign of something serious?
Related Care

Procedures we offer.

Explore More

Related resources.

Related Procedures

Fissure SurgeryFistula-in-Ano Surgery

Related Conditions

Acid refluxGERD Hiatus herniaSwallowing disorders

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Don't let piles (haemorrhoids) hold you back.

Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.

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