What are Piles (Hemorrhoids)?

Piles, also called hemorrhoids, are swollen blood vessels in and around the anus and lower rectum. They may cause bleeding during bowel movements, itching, pain, swelling or a lump around the anus.

If you are looking for piles treatment in Bangalore, Dr Joshis Deerghayu Hospital provides clinical evaluation and personalised treatment based on the type, grade and severity of hemorrhoids. Treatment options may include dietary and lifestyle measures, medical management, Ayurvedic therapies, minimally invasive procedures and laser treatment when clinically appropriate.

Types of Piles

  • Internal Hemorrhoids: Located inside the rectum, they are usually painless but may cause bleeding during bowel movements. They are graded into four stages based on the extent of prolapse: Grade I hemorrhoids remain inside the rectum and may cause bleeding; Grade II prolapse during bowel movements but return on their own; Grade III prolapse and require manual pushing back into the rectum; and Grade IV remain prolapsed and cannot be pushed back manually.
  • External Hemorrhoids: These form under the skin around the anus and can cause pain, swelling and irritation.
  • Thrombosed Hemorrhoids: A type of external hemorrhoid where blood clots form, leading to severe pain, swelling and inflammation.

What causes Piles?

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting for long periods, especially on the toilet
  • Low-fiber diet
  • Obesity
  • Pregnancy
  • Aging
  • Family history of hemorrhoids

Symptoms of Piles:

  • Bright red blood during bowel movements
  • Itching or irritation in the anal region
  • Pain or discomfort while sitting
  • Swelling around the anus
  • A lump near the anus, which may be sensitive or painful
  • Mucus discharge during defecation

How are Piles diagnosed?

Piles are diagnosed through a physical examination and if needed, proctoscopy or colonoscopy. Early diagnosis is essential to rule out more serious conditions like colorectal cancer.

Piles Treatment Options

Treatment for piles depends on the type and severity of hemorrhoids, the symptoms you are experiencing and your overall health. Mild piles may improve with dietary and lifestyle changes, while persistent or more advanced hemorrhoids may require a medical procedure. A doctor can assess the condition and recommend the most appropriate treatment.

Lifestyle and Medical Treatment

For mild or early-stage piles, lifestyle changes and medical treatment may help relieve symptoms and prevent the condition from becoming worse. The main aim is to reduce constipation, keep stools soft, avoid straining during bowel movements and relieve symptoms such as pain, itching and irritation.

Recommended measures may include:

  • High-fibre diet
  • Adequate hydration
  • Avoid straining prolonged sitting
  • Healthy bowel habits
  • Warm sitz baths
  • Medical treatment

Ayurvedic treatment for Piles

  • Kshara Sutra therapy - A minimally invasive Ayurvedic procedure in which a specially prepared medicated thread is used to ligate and treat the affected tissue. The procedure is performed under appropriate clinical assessment and aims to promote controlled healing of the treated area.
  • Basti (Medicated Enema) - A specialized Panchakarma therapy that uses herbal oils and decoctions to cleanse the colon and reduce inflammation, especially effective for chronic constipation and Vata imbalance.
  • Herbal Remedies - Arshoghni Vati, Triphala, Abhayarishta and Haritaki are commonly used to regulate bowel movements, reduce inflammation and improve digestion.
  • Dietary & Lifestyle Changes (Pathya-Apathya)

Minimally Invasive Procedures

  • Rubber band ligation – Cuts off blood supply to the hemorrhoid
  • Sclerotherapy – Injection to shrink the hemorrhoid
  • Infrared coagulation – Infrared light to shrink the tissue

Surgical treatment for Piles

  • Hemorrhoidectomy – Complete removal of hemorrhoids
  • Stapled hemorrhoidopexy – A less painful alternative with faster recovery

Laser Treatment for Piles

Laser-based procedures may be considered for selected patients depending on the type, grade and characteristics of the hemorrhoids. Your doctor will determine whether laser treatment or another approach is appropriate after examination.

  • Minimal pain and discomfort
  • Faster recovery time
  • Short hospital stay or daycare procedure
  • Low risk of complications

Piles treatment without surgery

Not all piles cases require surgery. Many patients can be treated effectively without surgery using Ayurvedic and non-invasive treatments.

  • Diet and lifestyle changes
  • Herbal medications
  • Kshar Sutra therapy
  • Non-invasive procedures like sclerotherapy

Why Choose Deerghayu Hospital for Piles Treatment?

Choosing the right treatment for piles depends on the type and severity of hemorrhoids, the symptoms you are experiencing and your overall health. At Deerghayu Ayurvedic Hospital, patients are evaluated before a suitable treatment plan is recommended. Our approach combines Ayurvedic care with appropriate minimally invasive and laser-based treatment options when clinically indicated.

Personalized Treatment Planning

Piles can vary in type and severity. Our doctors assess the patient's symptoms and clinical condition before recommending an appropriate treatment approach.

Comprehensive Piles Care

Treatment options may include lifestyle and dietary measures, medical management, Ayurvedic therapies, minimally invasive procedures and laser treatment, depending on the patient's condition.

Laser Treatment Options

For suitable patients, laser-based treatment may be considered as a minimally invasive option. The doctor will explain the procedure, expected recovery and alternatives before treatment.

Ayurvedic Treatment for Piles

Ayurvedic management may include dietary and lifestyle guidance, medicines and selected procedures such as Kshara Sutra therapy, based on individual assessment and clinical suitability.

Focus on Recovery and Comfort

Treatment is planned with attention to symptom relief, recovery and healthy bowel habits. Patients are also advised on diet, hydration and lifestyle measures that may help reduce the risk of recurrence.

Care at Deerghayu Ayurvedic Hospital

Patients can discuss their symptoms, treatment options, expected recovery and follow-up care with the medical team before deciding on the most appropriate treatment.


Common Questions about Piles treatment


Below are some frequently asked questions about piles treatment in Bangalore, laser treatment and non-surgical options.

1. What non-surgical Piles treatments do you offer?

At Deerghayu Hospital, we offer non-surgical treatments for piles including medication, dietary and lifestyle changes, sitz baths and Ayurvedic therapies such as herbal ointments and Ksharasutra therapy, depending on the severity.

2. How much does Piles treatment / surgery cost?

The cost depends on the type and grade of hemorrhoids, the treatment recommended, investigations, hospital stay and other clinical factors. At Deerghayu, the final treatment cost is discussed after evaluation. For current pricing and insurance eligibility, contact the hospital.

3. Is the treatment covered by insurance?

Some piles procedures may be covered by health insurance depending on your policy, hospitalization requirements and the treatment performed. Please contact our hospital to confirm whether your specific insurance plan and procedure are covered..

4. Is laser piles treatment painful?

Laser piles treatment is usually not painful as it is a minimally invasive procedure. Unlike traditional surgery, it does not involve large cuts or stitches. Most patients experience only mild discomfort and the recovery is much faster with less pain and minimal bleeding.

5. Can piles be treated permanently?

Piles can often be treated effectively, but recurrence is possible, especially if constipation, straining or unhealthy bowel habits continue. The appropriate treatment depends on the type and grade of hemorrhoids. Maintaining adequate fibre intake, hydration and healthy bowel habits can help reduce the risk of recurrence.

6. Which is the best treatment for piles?

The best treatment for piles depends on the severity of the condition. For early-stage piles, non-surgical treatments like medications, lifestyle changes and Ayurvedic therapies may be effective. For moderate to severe cases, advanced options like laser piles treatment offer excellent results with minimal pain and faster recovery.


Book for Piles treatment consultation

Get expert consultation and advanced treatment for piles at Dr. Joshi's Deerghayu Hospital located in Vijaya Bank Layout, off Bannerghatta Road BTM Layout, Bangalore

This page has been medically reviewed by Dr. Manjunath Joshi, BAMS, MS and Dr. Shwetha Joshi, BAMS, MD, with experience in management of anorectal conditions, including piles, fissure & fistula (Last reviewed on 30 August 2026)

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