Piles (Haemorrhoids)
Swollen, engorged veins in the lower rectum and anal canal. Internal piles (Grades I–IV) bleed and prolapse; external piles form thrombosed lumps at the anal margin. Common, benign, and highly treatable.
Symptoms
Bright-red painless bleeding at the end of defaecation, a lump that comes out during straining and either reduces spontaneously or has to be pushed back, itching, and a mucous discharge.
Recent advances in management
Laser haemorrhoidoplasty (LHP) is today's gold standard — a diode laser fibre shrinks the haemorrhoidal cushions from within, with no external wound, minimal pain, no need for stitches, and a same-day discharge. Stapler haemorrhoidopexy and rubber-band ligation remain useful for selected cases.
Operative & case images
Case images will appear here as they are added
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