Can piles be treated without surgery? Exploring non-surgical solutions

Piles, also known as haemorrhoids, are swollen blood vessels in the rectal or anal area that can cause discomfort, itching and bleeding. While surgery is sometimes required for severe cases, non-surgical treatments are available and effective for many individuals, especially for early-stage haemorrhoids. These options aim to relieve symptoms, shrink haemorrhoids, and improve comfort without the need for invasive procedures.

What are non-surgical treatments for piles?

Non-surgical treatments focus on reducing swelling, easing pain and improving bowel habits. Common options include:

• Lifestyle changes: Increasing fibre intake, staying hydrated and avoiding straining during bowel movements can help reduce symptoms.
• Topical treatments: Over-the-counter creams, ointments and suppositories containing hydrocortisone or witch hazel can alleviate itching and discomfort.
• Warm sitz baths: Soaking the affected area in warm water several times a day can reduce swelling and provide soothing relief.
• Medications: Oral pain relievers or stool softeners may be prescribed to manage discomfort and prevent further irritation.

What are the minimally invasive procedures for piles?

When lifestyle changes and topical treatments are insufficient, minimally invasive procedures may be recommended. These include:

• Rubber band ligation: A small rubber band is placed around the haemorrhoid to cut off its blood supply, causing it to shrink and fall off.
• Sclerotherapy: A chemical solution is injected into the haemorrhoid to shrink it over time.
• Infrared coagulation: Heat from infrared light is used to seal off haemorrhoids, reducing their size and discomfort.

These procedures are usually performed on an outpatient basis and involve minimal downtime.

Are non-surgical treatments painful?

Non-surgical treatments are generally well-tolerated and less painful than surgical options. Procedures like rubber band ligation may cause mild discomfort, but this is temporary and can often be managed with over-the-counter pain relievers. Warm sitz baths and proper aftercare can further minimise any discomfort associated with these treatments.

For individuals experiencing recurrent or severe piles, consulting with a specialist is essential to determine the most appropriate course of treatment. Early intervention and proper management can significantly improve symptoms and reduce the likelihood of recurrence.