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Alright, let’s be real. Talking about piles (or hemorrhoids) isn’t exactly dinner conversation.
But if you’re dealing with the discomfort, the itching, or that unsettling feeling down there, you’re not alone.
These swollen veins in your anus or rectum are super common – in fact, it’s estimated that about half of Indians will experience them by age 50!
While most piles are just annoying and go away on their own, some can be more persistent or cause more trouble.
How do you know how serious yours might be? Well, that’s where understanding the levels of piles comes in handy.
Think of it like a grading system for severity.
It helps doctors figure out what’s happening and the best way to help you find relief. Let’s break it down, shall we?
More Than One Type? Yep!
Before we dive into the grades, it’s good to know there are a few different types of piles based on where they pop up:
Internal Piles: These form inside the rectum. Because there aren’t many pain nerves there, you might not even know you have them unless they bleed or get large enough to cause problems.
External Piles: These are on the outside around the anus. You can often see or feel them as bumps. They have more pain nerves around them, so they can be quite uncomfortable or painful, especially when sitting or passing stool.
Thrombosed Piles: This is when a blood clot forms inside either an internal or external pile. Ouch! This usually causes sudden, severe pain, swelling, and often a bluish color. This is definitely a situation where you want to see a doctor ASAP.
The Levels: Grading the Protrusion
Okay, now for the “levels” or “grades.”
When doctors talk about grades (Grade I, II, III, IV), they are primarily referring to internal piles and how much they prolapse (meaning, how much they stick out) during a bowel movement.
Here’s the breakdown of the classic four levels of piles:
Grade I:The Shy Guy. These are internal piles that stay inside the rectum. They might bleed during a bowel movement (you might see bright red blood on the toilet paper), but they don’t prolapse or stick out of the anus at all. You might not even feel them!
Grade II:The Peek-a-Boo Piles. These internal piles might prolapse (come out) when you’re having a bowel movement, especially if you strain. But, the good news is, they go back inside on their own afterwards without you having to do anything.
Grade III:Needs a Little Help. These internal piles prolapse during a bowel movement or with physical exertion, and they don’t go back inside on their own. You have to manually push them back in. This level often comes with more noticeable discomfort, itching, or pain. Medical treatment is often needed at this stage.
Grade IV:The Permanent Resident. These piles are prolapsed all the time and cannot be pushed back inside. They are permanently sticking out of the anus. This is often the most painful and uncomfortable grade and definitely requires medical attention to manage symptoms and prevent complications.
You can sometimes see Grade III or IV prolapsed piles as red, swollen lumps hanging from the anus – not exactly a pretty sight, and often quite symptomatic.
What About External and Thrombosed Piles?
It’s important to note again that external and thrombosed piles don’t neatly fit into this Grade I-IV system.
They are distinct types of hemorrhoids that have their own set of symptoms and treatment approaches.
While an external pile might swell up and feel like a lump (especially if thrombosed), it’s not graded on how much it prolapses from inside the rectum.
When to See a Doctor
Look, while many piles are mild, don’t hesitate to get medical advice if:
You experience persistent rectal bleeding (more than a week).
You have significant pain or discomfort that affects your daily life.
You feel a lump that is painful or doesn’t go away.
You suspect you might have thrombosed piles (sudden, severe pain).
You’re unsure if your symptoms are actually piles or something else like an anal fissure.
Understanding the levels of piles is a good first step, but a proper diagnosis from a healthcare professional is always best.
They can accurately assess the grade and type of your piles and recommend the most effective piles treatment for your specific situation.
Ready to get some relief?
If you’re struggling with the discomfort of piles, don’t suffer in silence.
Understanding the grades of piles is powerful, and getting expert help is even better.
Are piles making you worried? Find out everything here.
Piles, also called hemorrhoids, thicken and bulge as blood vessels, growing in and around the anus and affecting the lower rectal area.
These Piles can grow inside as well as outside the anus.Internal hemorrhoids grow as piles inside the anus, while external hemorrhoids develop as piles in the lower rectum.
Piles are differentiated into 4 categories based on their severity.
First degree, with no prolapse and just bleeding
second degree with prolapse that goes away on its own
third degree with Prolapse that requires manual reduction
fourth-degree prolapse that is permanent.
Reasons for piles:
Heavy strain on the anus or pressure from blood vessels around the lower rectum causes piles to form.
Various habits may result in piles; it can be due to an unhealthy diet or prolonged sitting. Pile formation can be increased by the following conditions:
Diarrhea
Constipation
Heavy weightlifting
Pregnancy
Obesity
Anal intercourse
Sitting on the lavatory for a long time
Piles Symptoms
The type and occurrence of piles determine their differences. Among the typical signs and symptoms are:
Tender lumps around the anus
Anal itching
Anal pain
Rectal bleeding in case of internal piles
Piles prolapsing from the anus
Alternatives for Piles Treatment Those Who Are Suffering?
Based on the severity, the piles are treated. Here are the major treatment choices:
Piles can be treated at home if the symptoms are mild and include fiber-rich foods for easy bowel movements, staying hydrated, and avoiding straining the bowels.
Over-the-counter medications are available for pain relief and stool softeners.
Contact your physician if the pain continues.
Quick relief options are medicines, ointments, and suppositories.
Surgery is recommended for larger and more serious hemorrhoids.
Suffering from Piles – Laser Surgery for Hemorrhoids
Piles surgery in Hyderabad at Laserqure is a minimally invasive procedure done in a day as an outpatient procedure.
The treatment follows a laser beam for eliminating the tissue.
We prefer treatment options for acute symptoms, as conventional surgery has various disadvantages, which include time taken to heal and postoperative pain.
As it is a traditional surgery method, the time for recovery is much longer compared to laser. They also contain post-surgical complications.
Benefits of Laser Piles Surgery
Laser pile surgery provides several benefits, and some of the benefits are as below:
Minimum pain:
The common aspect of surgery is pain, but a laser treatment is painless and quick and relatively simple when compared to the traditional open method using a scalpel to cause incisions.
Pain is significantly reduced when compared to traditional surgeries.
During laser pile surgery, people often do not experience any pain.
Conventional surgeries are frequently influenced by complicated procedures.
In comparison, laser pile surgery is a much safer, faster, and more effective surgical option for removing piles.
The treatment procedure does not require the use of smoke, sparks, or steam.
As a result, this treatment option is far safer than traditional surgeries.
Less Bleeding:
Compared to traditional surgery, the blood loss is less in laparoscopic surgery.
Consequently, there is no need to be concerned about infection or blood loss during treatment.
The piles are cut by laser beams, which partially seal the blood tissue, resulting in only less blood loss.
The sealing also reduces the risk of infection. There is no damage to the tissues. Both the cut and the treatment are safe.
A swift treatment:
The laser pile treatment is done swiftly in no time compared to traditional surgery, and that’s why it’s a desired choice of treatment for piles for many.
The surgery time taken is less than 30 mins, whereas a higher number of piles takes as long as 1 to 2 hours.
The laser treatmentin Hyderabad is done as an outpatient procedure, and you may leave home the same day without an overnight stay at the hospital.
Fast discharge:
Similar to the rapid treatment, the discharge option is also fast. Surgery for laser piles is non-invasive.
Consequently, overnight stays are not necessary. After surgery, patients are allowed to leave the same day.
After that, one can get back to their regular activities.
Speedy healing:
As soon as the surgery is complete, the healing phase begins, and the healing time is very quick.
There is a very low chance of infection as the blood loss is less, thus resulting in quick healing.
Within a few days, patients can resume their regular lives. Healing is significantly quicker than with traditional open surgery.
Simple procedure:
Laser piles surgery is a simple procedure. In contrast to traditional open surgery, a surgeon has greater control.
The majority of the surgery is technical. Open surgeries, on the other hand, are extremely manual, which increases the risk.
The success rate for laser pile surgery is significantly higher.
Follow-up:
There are fewer visits after laser surgery. There is a greater chance of cuts or wounds opening during open surgery.
Laser surgery does not have these problems. As a result, follow-up visits are uncommon.
Recurrence:
It is uncommon for piles to return following laser surgery. No external wounds or infections are present.
As a result, there is little chance of piles happening again.
Infections Following Surgery: Suffering from Piles
Infections following surgery are rare. There are no internal or external wounds or cuts.
The laser beam is used to make the invasive incision. Consequently, there are no postoperative infections.
Disadvantages of Laser piles treatment
Every surgery has some kind of drawback. Laser piles surgery has too, and these include:
Costly Equipment: Laser piles surgery requires advanced and high-quality equipment, which only a few hospitals possess.
As a result, finding reliable and affordable laser surgery options can be challenging.
Equipment Malfunction: Occasionally, the surgical equipment may catch fire due to defects or mishandling.
Inexperienced surgeons might not manage the equipment properly, leading to further issues. It’s important to research the hospital’s quality and reputation beforehand.
Surgeon Training: Surgeons need specific training to perform laser piles surgery.
Untrained surgeons can lead to complications, so it’s crucial for patients to verify the surgeon’s credentials and experience.
Need for Spare Laser Fiber: Laser fibers, which are used to treat conditions during surgery, are limited and not available for all cases.
Having an extra laser fiber on hand during surgery is essential.
Higher Treatment Costs: The costs associated with laser surgery are generally higher than those of traditional open surgery.
However, many hospitals offer insurance and other financial assistance.
Risk of Uncontrollable Bleeding: Although rare, laser surgery can lead to uncontrolled bleeding and damage to healthy tissues, which can be significant.
Fibrosis: The use of laser beams can cause fibrosis, a condition where tissue becomes fibrous, leading to potential tissue fissures in the future. This is a secondary complication of laser pile surgery.
Anesthesia Issues: There is a risk that the effects of anesthesia might decrease during surgery, which could lead to complications if the patient becomes conscious mid-procedure.
Prevention methods From Suffering from Piles
It is very easy to keep away from piles. We often ignore these healthy habits, which results in piles.
The ultimate goal is to keep our stools soft for easy passing. Laserqure frequently requests that their patients adhere to the following list that helps you avoid piles.
Eating healthy and balanced food with high fibre containing foods like whole grains, vegetables, and fruits
Stay hydrated; drink fluids, water, and juice
Consider fibre supplements
Do not strain when passing stool.
Keep active and engage in exercise.
Avoid prolonged periods of sitting.
Wrapping Up
Consult Laserqure the Best piles treatment in Hyderabad, if suffering from severe piles.
Do not ignore if you notice symptoms and signs like burning, itching or strains during bowel movements.
Avoid ignoring the signs of chronic constipation. If you experience any of these symptoms, do Visit laserqure immediately.
Not every pile needs laser pile surgery. Contact our proctologist or general physician now for more details.
