Hemorrhoids (Piles)

What are Hemorrhoids?

HEMORRHOIDS, also called PILES, are enlarged and engorged veins around rectum or anus. It is common irritations around the rectum and can be extremely painful. They are internal or external and can get bigger if not treated correctly and promptly.

Piles means Pool of Blood/Pond of Blood/Lake of Blood.

What are the causes for their development?

  • Very common, especially after the age of 50 .
  • Caused by excessive pressure on the veins in the pelvic and rectal area.
  • Pressure causes the veins to swell and become distended.
  • Chronic constipation in those who consume diets low in fiber and water.
  • A large uterus as in pregnancy, Bladder outflow obstruction.Obesity.
  • Unhealthy bowel functions caused by overuse of laxatives or enemas.


Various type of Hemorrhoidectomies have developed throughout the years but they are all associated with the same basic principle:

  • This is decreasing blood flow to the Anorectal ring and
  • Removing redundant Hemorrhoidal tissue.

What are the different Types of hemorrhoids?

Internal hemorrhoids -Originate inside the rectum. They are generally not painful and are often only noticed when they bleed.

Prolapsed hemorrhoids - are internal hemorrhoids that protrude through the anus when stool is passed or when a person stands or walks. They are usually painful.



  • Fresh bleeding while passing stool
  • A lump near your anus
  • Itching associated with bleeding.
  • Pain or discomfort.
  • Painless bleeding during bowel movements


  • 1.Sclerotherapy
  • 2.Banding
  • 3.Laser coagulation or
  • 4.infrared photo coagulation
  • 5.Hemorrhoidectomy: open or close.

Prevent at Home





Stapled Hemorrhoidopexy

Stapled Hemorrhoidopexy

Also known as MINIMAL INVASIVE PROCEDURE FOR PROLAPSE & HEMORRHOIDS (MIPH). Stapled Hemorrhoidectomy, or Circumferential Mucosectomy. Is a technique developed in the early 90's by Prof. Antonio Longo.

It reduces the prolapse of hemorrhoidal tissue by excising a transverse circular band of the prolapsed anal mucosa membrane above dentate line with the use of a circular stapling device.

  • The prolapsed tissue is pulled into a device that allows the excess tissue to be removed while the remaining hemorrhoidal tissue is stapled
  • Restores the hemorrhoidal tissue back to its original anatomical position

Benefits of MIPH over Open Surgical Procedures

  • Patients experience virtually minimum pain   as compared to conventional techniques.
  • Quicker return to normal activities
  • Mean hospital stay is much lower
  • Reduced blood loss
  • First bowel movements appear early.
  • Leaves the richly innervated anal canal tissue and perianal skin intact.

Next Steps...

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