Exploring non-surgical treatment options for piles
Written in association with:
Published: 17/01/2025
Edited by: Karolyn Judge
Piles, or haemorrhoids, are swollen blood vessels in the rectum or anus that can cause discomfort, itching, and sometimes bleeding. For many patients, non-surgical treatment options provide effective relief and help manage symptoms without the need for invasive procedures.
What are the non-surgical options?
Several non-surgical approaches are available to alleviate the symptoms of piles. These include:
Lifestyle changes: Eating a high-fibre diet, staying hydrated, and avoiding straining during bowel movements can prevent piles from worsening and reduce symptoms. Topical treatments: Over-the-counter creams, ointments, and suppositories containing hydrocortisone or witch hazel can reduce inflammation, itching, and pain. Oral medications: Pain relievers may help manage symptoms by improving blood flow and reducing swelling in the veins.
Minimally invasive procedures
If lifestyle changes and topical treatments don’t provide sufficient relief, minimally invasive procedures can be considered:
Rubber band ligation: This involves placing a small rubber band around the base of the haemorrhoid, cutting off its blood supply and causing it to shrink. Sclerotherapy: A chemical solution is injected into the haemorrhoid, causing it to shrink and eventually dissolve. Infrared coagulation (IRC): A heat-based technique that causes haemorrhoidal tissue to harden and shrink.
Are non-surgical treatments effective?
Non-surgical treatments are often effective for managing mild to moderate piles. These methods aim to reduce symptoms and improve comfort, although the results can vary depending on the severity of the condition. It’s important to note that while non-surgical treatments can address symptoms, they may not completely eliminate the haemorrhoids, particularly in severe cases.
When to see a specialist
If symptoms persist despite non-surgical treatments, or if the haemorrhoids are large and cause significant discomfort, consulting a specialist is essential. A colorectal surgeon or gastroenterologist can assess your condition and recommend advanced treatments or surgical options if necessary.
Non-surgical treatments for piles are generally safe and effective, especially when combined with healthy lifestyle changes. By addressing symptoms early and seeking specialist advice when needed, patients can manage piles effectively and avoid the need for more invasive procedures.