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.

Cryo Surgery: 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).