In the patient terminology Hemorrhoids is nothing but piles. Patient with piles have bleeding while passing stools, occasional pain and mucus discharge while passing stools and they will have some discomfort in the anal region. We do the clinical examination for the diagnosis of piles. That is a painless procedure. That is called as proctoscopy, where we grade the piles into grade 1 ,2 , 3 , 4 grades of piles. the grade 1 or grade 2 piles are very early stage, were lifestyle modification is enough for the treatment, the usual risk factors for piles is the constipation, heavy straining while passing stools, consumption of less water and less fiber in the diet. So the treatment options are wide variety. So we have open surgery, laser surgery, stapler Hemorrhoidectomy. Open surgery or conventional surgery, is where the patient used to have 7 days of hospital admission and there is bleeding and pain post operatively. So now lasers revolutionaries the treatment of piles here the procedure is day care and simple, painless and patient will not have any stitches in the wound, we can discharge patient in the evening. Only it takes 5 to 8 hours to cure piles with laser treatment. in laser Hemorrhoidectomy we have indications like grade 3 or grade 4 Hemorrhoidectomy with fissures. It is also a painless procedure, day care procedure.
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