Piles develop due to increased pressure in the lower rectum. Common causes include chronic constipation, prolonged straining during bowel movements, sitting on the toilet for long durations, pregnancy, obesity, and a low-fiber diet.

Grade I: Small swellings inside the lining that bleed but do not prolapse. Grade II: Prolapse during motions but return inside spontaneously. Grade III: Prolapse during motions and need manual pushback. Grade IV: Permanently prolapsed outside and cannot be pushed back.

Early-stage piles (Grade I and mild Grade II) can often be managed with a high-fiber diet, adequate water intake, stool softeners, and medication. However, advanced Grade II, III, and IV piles usually need a procedure such as Laser Hemorrhoidoplasty for lasting relief.

LHP is a minimally invasive procedure where a fine radial laser fiber is inserted into the hemorrhoidal node. The laser energy shrinks the blood vessels feeding the piles without cutting the mucosa, so the piles shrink without open wounds.

Laser surgery suits many elderly patients and those with diabetes or hypertension because it involves minimal blood loss, does not need prolonged deep general anesthesia, and allows a quick return to normal routine. The doctor checks your overall health before deciding.

A high-fiber diet including green leafy vegetables, fresh fruits (papaya, apples), oats, whole grains, and at least 3 to 4 liters of water daily. Avoid spicy foods, deep-fried snacks, alcohol, and excessive caffeine.