Who Should You Consult First for Piles?

Who Should You Consult First for Piles?

You wake up with discomfort after a long day. It burns when you sit, itches during the day, and passing stool feels painful. It might be piles, but you’re not sure what to do next. Do you try home remedies, or is it time to call a doctor? Piles, also known as hemorrhoids, are more common than people think. Over 75% of Indians suffer from them at some point, yet many suffer in silence. While home remedies can offer relief in the early stages, some symptoms need medical help.

In this blog, we’ll talk about what home care can manage and when medical treatment is the better choice, including newer options like piles laser treatment in Delhi.

What Are Piles and Why Do They Happen?

Piles are swollen veins in or around the anus and rectum. They can occur inside (internal piles) or outside (external piles). They’re caused by too much pressure in the lower rectum, often due to:

  • Constipation
  • Sitting for long hours
  • Straining while passing stool
  • Pregnancy
  • Obesity
  • Low-fibre diet

Some piles go away on their own, but others get worse with time.

When Do Home Remedies Work for Piles?

If you catch piles early, you may manage it at home. The key is knowing what stage you’re in. Grade 1 and 2 piles usually respond well to home treatment.

Signs home care might work:

  • Mild pain or itching after bowel movement
  • Small lumps that go away on their own
  • Bleeding that stops in a day or two
  • Occasional discomfort when sitting

Effective Home Remedies for Mild Piles

These remedies can reduce irritation and support healing:

  • High-Fibre Diet

 Add fruits, vegetables, oats, and whole grains.

  • Stay Hydrated

 Drink 2 to 3 litres of water every day to soften stool.

  • Warm Sitz Baths

 Sit in warm water for 10–15 minutes to soothe pain.

  • Ice Packs

 Helps with swelling and inflammation.

  • Over-the-Counter Ointments

 Creams with witch hazel or hydrocortisone offer short-term relief.

  • Avoid Straining

 Don’t sit too long in the toilet. Keep your posture upright.

  • Daily Movement

 Walking or gentle exercise helps avoid pressure buildup.

When Should You Stop Home Remedies and See a Doctor?

If you’re doing everything right and the symptoms stay or get worse, it’s time to consult a doctor. Waiting too long can lead to complications.

Warning signs that need medical care:

  • Bleeding that lasts more than 2–3 days
  • Severe pain during or after bowel movement
  • A lump that doesn't go back in
  • Blood clots (thrombosed piles)
  • Mucus discharge or pus
  • Difficulty in sitting or walking

Many patients avoid treatment due to shame or fear, but modern procedures are quick and simple some take just 30 minutes.

Which Doctor Should You Visit for Piles?

Start with a general surgeon or proctologist. They specialise in anorectal disorders and can offer proper diagnosis through a simple physical exam or anoscopy.

You’ll likely be asked about:

  • Bowel habits
  • Diet
  • Any previous treatments
  • Duration and type of symptoms

Tests may include digital rectal exam or sigmoidoscopy in some cases.

What Are the Treatment Options if Home Care Fails?

Today’s treatment is not the same as your grandparents’ painful surgery. Now, doctors offer painless options like:

1. Rubber Band Ligation

Used for internal piles. A small rubber band cuts blood flow to the pile, which dries and falls off.

2. Laser Procedure

A laser is used to shrink the pile without cutting. Fast, bloodless, and patients can go home the same day.

3. Sclerotherapy

A chemical is injected to shrink the vein.

4. Stapler Surgery

The pile is stapled back into position and blood flow is blocked.

Why Laser Treatment is Becoming the First Choice

Laser treatment for piles is now widely accepted in India. Doctors recommend it for Grade 2 and 3 piles that don't respond to medicine or diet.

Benefits:

  • No cuts or stitches
  • Less bleeding
  • Minimal post-surgery pain
  • Done in 30–45 minutes
  • Resume routine in 2–3 days

Over 90% of patients report long-term relief with this method.

If you’re looking for piles laser treatment in Delhi, Essentia Medicals offers this service with expert care and follow-up. Their approach is friendly, discreet, and focuses on patient comfort.

Real Story: Ramesh's 2-Year Struggle with Piles

Ramesh, a 36-year-old IT worker in Noida, had mild piles symptoms but kept trying ointments and home remedies. After two years, his pain got worse, and he started bleeding during every bowel movement.

He finally visited Essentia Medicals, where he underwent laser treatment. He returned to work within 3 days and said, “I wish I had gone earlier. Don’t suffer for so long. Get help.”

Tips to Prevent Piles from Coming Back

Whether you're managing piles at home or recovering after treatment, prevention is key.

Daily tips that actually work:

  • Eat fibre every day (25–30g)
  • Don’t delay when you feel the urge
  • Stay active—walk at least 30 mins a day
  • Avoid spicy, oily foods that irritate your bowel
  • Don’t sit on the toilet for more than 5–10 mins
  • Use squat position (or footstool) to ease pressure
  • Keep your weight in check

These small habits can keep piles away for good.

Conclusion:

Mild piles can be managed with water, fibre, and a few lifestyle tweaks. But when the pain doesn’t go away or daily life gets affected, it’s time to stop guessing and see a doctor. You don’t need to suffer in silence. Safe, painless treatments like laser therapy are now available across India.

And if you’re near Delhi, Essentia Medicals is one of the best centres for fast and effective care without the fear of surgery

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