The Piles is derived from the word ‘pila’, means ball. Piles is ball like swelling in the anal canal. It is divided into two categories.

  • Internal Hemorrhoid
  • External Haemmorrhoid

Internal Hemorrhoids/ Piles- Internal Hemorrhoids/ Piles-

The Dilated Rectal Veins Due To Straining, Situated Above The Pectinate Line Inside The Anal Canal Is Called Internal Hemmorrhoids. As Patient Strains At Stool, Hemmorrhoidal Veins Bulges Out Along With Its Covering. As The Disease Progresses, It Is Divided Into 4stages Or Grades. And That Decides The Treatment Modality As Per The Stages.

Grade I Piles/ Hemmorrhoid

It Is Initial Stage Of Piles, In Which Rectal/ Hemmorhoidal Veins Get Dilated By Straining At Stool Along With Its Mucous Covering But Remains At Its Site.

Symptom -
  • Bleeding
  • Anal Discomfort
  • Itching
Best Treatment For 1st Degree Internal Hemmorrhoid-
  • Injection Therapy ( Sclerotherapy)
  • Infrared Coagulation Therapy
  • HAL (Hemmorrhoidal Artery Ligation)
  • Ayurvedic Medicines – Conservative Approach
  • Laxatives And Diet Plan
  • Diet Plan

Grade 2 Piles/Haemorrhoids

As Straining At Stool Continues Along With Constipation,Further Dilatation And Mucus Covering Are Get Prolapsed.

Symptom -
  • Protusion Of Mass From Anus Which Causes Discomfort And It Gets Back To Its Position
  • Bleeding
  • Pain When Inflamed
  • Perianal Itching With Mucus Secretion

Grade 3 Piles/Haemorrhoids

When Straining At Stool And Constipation Continues.Pile Mass Protrude Further Mucosal Coverings With Haemorrohoids Plexus Come Out With Defecation And Has To Reduce With The Help Of Finger.

Symptom -
  • Bleeding
  • Constipation
  • Anal Discomfort
  • Tremendous Pain
  • When It Gets Thrombosed Or Strangulate

Grade 4 Piles/ Haemorrhoids

In This Grade Prolapsed Pile Mass Remains Outside The Anal Verge And Obstruct The Passage.

Symptom -
  • Pain
  • Bleeding
  • Suppuration
  • Discomfort
  • Itching
  • Can Get Strangulate
Best Treatment

Team Of Specialists

  • Dr. Atul Patil

    Consultant Proctologist & Consultant and associate professor At Dr. D Y Patil Ayurveda College,Pune.

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  • Dr. Sarita Patil

    Proctologist and Gynaecologist , Director- Vithai Piles hospital, Kasarwadi, Pune.

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  • Dr. Vikram Pawar

    Sr. Consultant & Chief of radiation oncology Services

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  • Anjali Vikram Pawar

    Vitthal Piles Center

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