Can 3rd-degree piles be cured without surgery?
The answer to this often asked question is yes; piles can definitely be cured without surgery. Of all the people affected by piles, only a small number need surgery that, too after all other alternative treatment methods have been explored without much success.
Seeing a Doctor about Haemorrhoids
Piles purely because of the part of our body it affects putting most of us in an embarrassing position while it comes to meeting a doctor and openly talking about it. Statistically, over 75% of us are supposed to have had enlarged hemorrhoids at some point in time in our lives, and only a small number musters the courage to step out and meet the doctor.
Like all other diagnoses, it’s advisable that we consult a specialist for examination as soon we notice the symptoms:
- bright red blood after you pass stools.
- an itching anus.
- urge to go to the restroom all the time
- remnants of slimy mucus in your innerwear or on toilet wipes after cleaning your buttocks
- lumps around your anorectal area.
- discomfort, especially around your anus.
Getting a medical exam will help your doctor arrive at the right diagnosis and, more importantly, rule out some other more severe conditions related to similar symptoms. It will also help prescribe effective treatment and help negate some of the more serious & worrisome causes for your symptoms. Upon meeting your doctor, you will presumably be told to explain the symptoms you have noticed. The doctor will examine to confirm whether your anus looks swollen up and if enlarged hemorrhoids are visible.
The doctor will want to understand if you have noticed blood in your stool, which may lead to a bowel endoscopy being done. Using the procedure, the doctor looks for anything unusual through a digital rectal examination.
To begin with, it’s important to understand two things
- difference between external and internal hemorrhoids – shared in one of our previous blog posts (link of the post for reference), both of them have different symptoms and treatment procedures.
- Internal hemorrhoids arise above the dentate line, are covered by columnar cells, and have a visceral nerve supply. They are further categorized — and treated — according to their degree of prolapse:
- First degree: Piles have not prolapsed, remaining inside the anus. Light bleeding may still be seen.
- Second degree: Piles might prolapse, or emerge from the anus, with force. This may happen with stretching during bowel movement and immediately withdrawing and retract into the anus after.
- Third degree: Piles appear during bowel movement, and may not withdraw on their own. You may feel them dangling from the rectum. In certain cases, surgery may be required to prevent further pain and infection.
- Fourth degree: Piles remain outside the anus and cannot be pushed back in. They are often big in size and treatment will be required.
3rd-degree piles treatment: Home Treatment & Non-invasive Procedures
Most patients, especially with the first and second-degree piles, can have their condition under control with home treatments and other techniques that don’t involve surgery. Since surgeries are usually seen as risky, painful, and come with complications and a recovery period, non-surgical treatment is almost always favoured. It is also a less expensive option. According to an estimation, less than 10% of all patients with piles need to go in for surgery if treated in time.
Like a lot of other medical conditions, piles, too, if not diagnosed or treated at the right time, will start getting severe and treatments that much more complex.
In the 3rd degree piles emerge during bowel movement and may not retreat on their own. You may feel them hanging from the rectum, and treatment may be required to prevent further pain and infection.
Minimally invasive procedures like Elastic Ligature, Coagulation, Sclerotherapy, or Laser are recommended basis the diagnosis.
3rd-degree hemorrhoids treatment: Surgery
In cases where home treatments and non-invasive procedures are not seen fruitful, your doctor is likely to recommend stapled hemorrhoidectomy (“stapled hemorrhoidopexy”). This relatively novel surgical procedure is rapidly becoming the preferred treatment for third-degree hemorrhoids. This surgery involved the removal of the enlarged hemorrhoidal supporting tissue that has allowed the hemorrhoids to slip downward and out.
Stapled haemorrhoidectomy is relatively less painful and faster than a traditional haemorrhoidectomy. It takes approximately 30 minutes to perform.
Vitality’s Laser Piles Clinic is one of the leading hospitals providing the best treatment for bleeding piles in Hyderabad. With state-of-the-art medical equipment, our panel of experienced piles doctors perform various diagnostic techniques to determine the type and severity of piles. They further suggest the treatment plan based on their diagnosis and use minimally invasive procedures to relieve patients from this painful and often embarrassing condition. Book an appointment with Vitality’s Laser Piles Clinic today!