Piles / Hemorrhoids (Laser and Banding)
Piles, also known as hemorrhoids, are swollen veins in the lower rectum or anus. They can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). This common condition affects people of all ages and can cause discomfort, itching, pain, and bleeding, especially during bowel movements. While mild cases may be managed through lifestyle changes and medication, advanced or persistent hemorrhoids often require medical or surgical intervention. Among modern treatment options, laser surgery and rubber band ligation (banding) are widely preferred for their effectiveness and minimal downtime.
Causes and Symptoms
Hemorrhoids are primarily caused by increased pressure in the lower rectum. Common contributing factors include chronic constipation, straining during bowel movements, prolonged sitting, obesity, low-fiber diets, and pregnancy. Genetics can also play a role in one’s susceptibility.
Symptoms of hemorrhoids vary based on the type and severity but may include:
– Bright red blood during bowel movements
– Pain or discomfort in the anal region
– Itching or irritation near the anus
– Swelling or a hard lump around the anus
– Mucus discharge
Laser Treatment for Piles
Laser treatment is a modern, minimally invasive surgical procedure used to treat both internal and external hemorrhoids. In this technique, a focused laser beam is used to shrink or remove the hemorrhoidal tissue. It causes minimal damage to surrounding tissues and seals blood vessels, reducing bleeding and post-operative pain.
Benefits of laser surgery include:
– Painless or significantly less painful compared to conventional surgery
– Quick recovery with minimal hospital stay
– Reduced bleeding and infection risk
– No stitches or cuts in most cases
– Safe for patients of all ages
Laser surgery is typically performed as a daycare procedure under local or general anesthesia. Patients can usually resume normal activities within a few days.
Rubber Band Ligation (Banding)
Rubber band ligation, or banding, is a non-surgical treatment mainly used for internal hemorrhoids. In this method, a small rubber band is placed at the base of the hemorrhoid to cut off its blood supply. As a result, the hemorrhoid shrinks, dies, and falls off within a few days, often during bowel movement.
Advantages of banding:
– Quick and simple outpatient procedure
– No need for anesthesia
– Very little post-procedure care
– Cost-effective and widely available
Patients may experience a feeling of fullness or slight discomfort for a few days after banding, but this typically resolves quickly.
Choosing the Right Treatment
The decision between laser treatment and banding depends on factors such as the grade of hemorrhoids, presence of complications, patient preference, and medical history. Grade 1 and 2 hemorrhoids often respond well to banding, while Grades 3 and 4 may require laser or other surgical interventions.
Final Thoughts
Both laser treatment and rubber band ligation offer safe, effective, and minimally invasive solutions for managing hemorrhoids. With early diagnosis and the right approach, patients can experience significant relief and improve their quality of life. Consulting a qualified colorectal or general surgeon is essential for evaluating the condition and choosing the most appropriate treatment option.