Expert diagnosis and advanced treatment for piles (hemorrhoids) — including painless laser hemorrhoidoplasty, stapler hemorrhoidopexy, and non-surgical management. Performed by Dr. Hamikchandra Patel at Shaleen Multi Speciality Hospital, Sola, Ahmedabad.
Understanding Piles
Piles, medically known as hemorrhoids, are swollen and inflamed veins in the rectum and anus. They are one of the most common colorectal conditions in India, affecting millions of people across all age groups. Despite being extremely common, many patients delay treatment due to embarrassment — which often allows the condition to worsen.
Hemorrhoids are classified as internal (forming inside the rectum, typically painless with bright red bleeding) or external (forming under the skin around the anus, often painful with visible swelling). Both types are treatable, and most patients experience significant relief after appropriate care.
With advances in piles laser treatment and minimally invasive surgical techniques, most patients can now be treated with minimal pain, no large incisions, and a faster return to daily life compared to traditional open surgery.
Internal piles develop inside the rectum. They are usually painless but cause bright red bleeding during bowel movements. They are graded 1 to 4 based on severity. External piles develop around the anal opening, cause pain, itching, and swelling, and may present as thrombosed (clotted) hemorrhoids in severe cases.
Piles are more common with age, obesity, pregnancy, chronic constipation, low-fibre diet, heavy lifting, and prolonged sitting. They affect both men and women equally and are increasingly seen in younger adults due to sedentary lifestyles and poor dietary habits.
If you notice rectal bleeding, a persistent lump at the anus, severe pain during bowel movements, or mucus discharge — do not ignore these symptoms. Early piles diagnosis and treatment prevents the condition from progressing to a higher grade requiring complex surgery.
Classification
Internal piles are classified into four grades based on the degree of prolapse and severity. Understanding the grade helps determine the most appropriate treatment — from simple dietary changes to surgery.
Hemorrhoids bulge into the anal canal but do not prolapse. Painless bleeding may occur. No visible lump outside the anus.
Diet & MedicinesHemorrhoids prolapse during bowel movement but return inside spontaneously. Bleeding and discomfort are common.
Medicines / LaserHemorrhoids prolapse and must be manually pushed back. Significant bleeding, pain, and mucus discharge may occur.
Surgical TreatmentHemorrhoids remain prolapsed and cannot be pushed back. Often accompanied by thrombosis, severe pain, and continuous bleeding.
Surgery RequiredRecognise the Signs
Piles symptoms vary depending on the type (internal or external) and the grade. Here are the most common signs that indicate you should consult a piles specialist in Ahmedabad:
Bright red blood on toilet tissue or in the toilet bowl after a bowel movement is the most common and early symptom of internal piles. It is typically painless.
A soft or hard lump around or protruding from the anus, which may be sensitive or painful to touch — especially in cases of external or prolapsed piles.
External piles and thrombosed hemorrhoids cause significant pain and make sitting uncomfortable. Internal piles are usually painless unless prolapsed or thrombosed.
Persistent itching or irritation around the anal region is a classic symptom of piles, often caused by mucus discharge from prolapsed hemorrhoids irritating the surrounding skin.
A mucus or slimy discharge after bowel movements may indicate prolapsed internal piles. This can also cause a persistent feeling of incomplete bowel evacuation.
External piles can become thrombosed — a blood clot forms inside the hemorrhoid — causing a sudden, very painful firm swelling at the anus requiring urgent treatment.
Piles Symptoms & Treatment
Treatment for piles depends on the grade, severity, and type of hemorrhoids. Dr. Hamikchandra Patel recommends the most appropriate approach after a thorough evaluation — ranging from conservative management to advanced surgical techniques.
Grade 1 and early Grade 2 piles can be effectively managed without surgery through diet and lifestyle changes, medications, and supportive care tailored to the patient.
The most advanced and preferred technique for piles treatment. A laser fibre is inserted into the hemorrhoid and delivers precise energy to shrink the tissue — with no cuts, minimal bleeding, and very fast recovery.
A circular stapler is used to remove a ring of excess hemorrhoidal tissue and reposition the remaining tissue back inside the anal canal. Suitable for Grade 3 and Grade 4 prolapsed piles.
The traditional surgical approach where hemorrhoids are surgically excised. Recommended for very large Grade 4 piles, thrombosed external hemorrhoids, or cases where other techniques are not suitable.
Treatment Cost
The cost of piles treatment in Ahmedabad depends on the grade of piles, the surgical technique chosen, hospital charges, and whether the procedure is covered by health insurance.
| Treatment Type | Suitable For | Approx. Cost |
|---|---|---|
| Non-Surgical (Medicines + Diet) | Grade 1 & 2 | Low |
| Rubber Band Ligation | Grade 1 & 2 | Moderate |
| Laser Hemorrhoidoplasty | Grade 2, 3 & 4 | Call for Quote |
| Stapler Hemorrhoidopexy | Grade 3 & 4 | Call for Quote |
| Open Hemorrhoidectomy | Grade 4 / Complex | Call for Quote |
The final cost of piles laser treatment in Ahmedabad depends on several factors:
Most health insurance policies in India cover piles surgery under hospitalisation benefits. Contact us to know if your policy applies.
📞 Get Cost EstimateStep-by-Step Process
Dr. Hamikchandra Patel conducts a thorough history and physical examination including proctoscopy (examination of the anal canal). The grade and type of piles are determined, and the most appropriate treatment plan is discussed with the patient in detail.
For surgical cases: routine blood tests, fasting from midnight before surgery, medication review (blood thinners, supplements), and a bowel preparation enema are organised. Most piles surgeries are elective and can be scheduled within a few days of consultation.
The procedure is performed under spinal or general anaesthesia in 20–60 minutes depending on technique. For laser treatment: a fibre-optic probe shrinks the hemorrhoid from within. For stapler: a circular device repositions and removes excess tissue. For open surgery: direct excision under direct vision.
Patients are monitored post-surgery and discharged after 24 hours once stable. Mild soreness is normal and managed with prescribed pain relief. You will receive detailed post-operative instructions including diet, hygiene, sitz baths, and activity guidelines.
Laser and stapler patients typically resume desk work within 2–3 days and normal activity within 1 week. Open hemorrhoidectomy patients may need 2–3 weeks. A follow-up at 1 week and 1 month ensures complete healing and reviews dietary and lifestyle recommendations to prevent recurrence.
Lifestyle & Prevention
While piles can affect anyone, simple lifestyle and dietary changes can significantly reduce your risk of developing hemorrhoids or prevent them from worsening.
Eat plenty of fruits, vegetables, whole grains, and legumes. Fibre softens stools and reduces straining during bowel movements — the primary cause of hemorrhoids.
Drink at least 8–10 glasses of water daily. Adequate hydration keeps stools soft and prevents constipation — a major risk factor for piles.
Avoid sitting on the toilet for extended periods. Take short walks during long sitting sessions at work. Standing desks can also help reduce anorectal pressure.
Hot, spicy, and deep-fried foods irritate the anal lining and worsen hemorrhoid symptoms. Limit alcohol and caffeine which dehydrate the body and harden stools.
Soaking the anal area in warm water for 10–15 minutes two to three times daily relieves itching, pain, and inflammation — especially effective after bowel movements.
Moderate daily exercise — brisk walking, yoga, or swimming — improves bowel regularity and reduces constipation. Avoid heavy weightlifting which increases intra-abdominal pressure.
Why Choose Us
Dr. Hamikchandra Patel specialises in gastrointestinal and laparoscopic surgery with over 2,000 piles cases treated, including all grades and complex presentations.
State-of-the-art laser equipment for painless hemorrhoidoplasty — the most advanced and preferred method for piles laser treatment in Ahmedabad with superior outcomes.
Fully equipped facility at Shaleen Multi Speciality Hospital, Sola — with modern operation theatres, dedicated recovery wards, and comprehensive post-operative care.
We understand the sensitivity of anorectal conditions. Every patient is treated with dignity, privacy, and compassion. All consultations are completely confidential.
Piles surgery is covered under most health insurance policies. We assist with cashless claims and insurance paperwork to make your treatment hassle-free.
Easily accessible from SG Highway, Science City Road, and surrounding areas of Ahmedabad. Flexible appointment slots including early morning and evening consultations.
Post-Treatment Guidance
Most piles treatment recoveries are smooth and uneventful. However, contact your surgeon promptly if you experience any of the following after treatment:
Frequently Asked Questions
Don't let piles affect your quality of life. Book a confidential consultation with Dr. Hamikchandra Patel — Ahmedabad's trusted specialist for advanced laser piles treatment, stapler surgery, and comprehensive hemorrhoid care. Located at Shaleen Multi Speciality Hospital, Sola.
Looking for the best piles treatment in Ahmedabad? At Shaleen Hospital, we specialize in providing advanced and compassionate care for piles. Our expert team is dedicated to offering the best piles treatment in Ahmedabad, ensuring effective relief and improved quality of life. Contact us today to learn more about our treatment options and to schedule a consultation.
Painless Bleeding Is The Most Common Symptom
Painless bleeding is often the most common and noticeable symptom of piles, also known as hemorrhoids. Individuals may observe small amounts of bright red blood on toilet tissue or in the toilet bowl. This symptom occurs because the swollen hemorrhoidal tissues can easily become damaged and bleed, especially during bowel movements.
Although the bleeding is typically painless, it should not be ignored as it can indicate the presence of piles. It's important for those experiencing this symptom to consult a healthcare provider for diagnosis and appropriate treatment to manage the condition and prevent complications.
Type Of Surgery Depends On The Severity and Grading Of Piles and Associated Disease Like Fissure, External Thrombosed Piles Etc.