Treatment options (Bleeding Piles)
Current Treatment options:
Conservative: Dietary advice and Laxatives.
Conventional Surgery: Ligation and Excision of piles.
Infrared Cogulator: By itself or as a combination with surgery.
Stapler Procedure: A relatively costly and new procedure.
Here there is a 'simultaneous cut and stitch' performed at a location above the piles.
Requires anesthesia and hospital stay.
DGHAL: Doppler Guided Hemorrhoidal Arterial Ligation
This is a relatively new technique, not yet widely accepted. It requires anesthesia. It is still in experimental stage.
Previously used Treatments:
Injection Sclerotherapy: It was popular before introduction of pile banding. Inadvertent deep injection can lead to abscess formation with unpleasant consequences.
Cumbersome hence given up.
Pile Banding : A rubber band is used to grip the pile mass at its base and constrict it like a noose. This then undergoes necrosis (death of tissues due to lack of blood supply). It was popular in the past as an outpatient procedure until the advent of infrared Coagulator(IRC).