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laser Treatment of piles / hemorrhoids

Hemorrhoids Image

What Are Piles / Hemorrhoids / Bavasir?

Hemorrhoids (commonly called piles) are swollen or inflamed anal cushions that line the anal canal. They may occur internally (above the dentate line), externally (below the dentate line), or as mixed (interno-external) piles also Hemorrhoids is a very common anorectal disease defined as the symptomatic enlargement and/or distal displacement of anal cushions. The most common symptom of hemorrhoids is bright red blood covering the stool, on toilet paper or in the toilet bowl. Hemorrhoids are found both in men and women. About half of all people have hemorrhoids by age 50.

LASER Treatment of Piles

Laser treatment of Haemorrhoids is a new, highly effective, scientifically proven procedure with much more precision and accuracy. A LASER hemorrhoidectomy is a procedure that employs laser energy for the treatment of hemorrhoids. When this treatment is applied, a Diode laser is used which leads to reduction in blood supply to Anal Cushions, Shrinkage of piles mass and coagulation.

Causes of Hemorrhoids

The most common cause in middle and old age is chronic constipation, but several factors can contribute:

  • Straining while passing stool
  • Low-fiber diet
  • Sitting too long on the toilet
  • Obesity and a sedentary lifestyle
  • Pregnancy (due to increased pressure)
  • Aging and weakening of connective tissues
  • Family history or genetic predisposition
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Signs and Symptoms

Patients with hemorrhoids may experience:

Bright red bleeding during or after bowel movements
A feeling of incomplete evacuation
Mucus discharge
Itching, burning, or discomfort near the anus
Painless swelling or lumps near the anus
Painful swelling or clots near the anus
Prolapse (the piles come out while passing stool)

Types of Hemorrhoids

Grade Description
Grade I Prominent blood vessels, no prolapse
Grade II Prolapse during stool, but reduces on its own
Grade III Prolapse requires manual reduction
Grade IV Permanently prolapsed and irreducible

How Are Piles Diagnosed?

A doctor will take a history and do a painless physical or proctoscopic exam to confirm the type and grade of piles.

Treatment options

Pile treatment depends on how advanced the condition is—early-stage piles often improve with diet and simple treatments. At the same time, more severe grades may need procedures like injections, rubber banding, or advanced laser surgery for lasting relief.

Grade I Hemorrhoids – Early Stage, No Prolapse

Laser Suitability: ❌ Not Needed

Best Treatment Options:
  • High-fiber diet and water intake
  • Stool softeners to avoid straining
  • Sclerotherapy (Injection therapy) – a quick injection to shrink piles
  • Infrared Coagulation (IRC) – painless, walk-in treatment using heat

Both injection treatment and IRC are daycare procedures often referred to as “Office Procedures”.

Doctor’s Note:

These piles stay inside and do not come out. So, laser treatment is not required at this stage. With small changes and simple treatments, most patients feel better quickly.

Grade II Hemorrhoids – Come Out with Motion, Go Back on Their Own

Laser Suitability: ✅ Highly Effective

Best Treatment Options:
  • Sclerotherapy
  • Rubber Band Ligation (RBL) – cuts off the blood supply to the pile
  • Laser Hemorrhoidoplasty (LHP) – no cuts, no stitches, minimal pain
Doctor’s Note:

This is the perfect stage for laser treatment. It is quick and bloodless, and patients go home the same day.

Grade III Hemorrhoids – Come Out & Need Manual Pushing Back

Laser Suitability: ✅ Ideal Choice

Best Treatment Options:
  • Laser Hemorrhoidoplasty (LHP) – preserves natural tissue, faster healing
  • Stapled Hemorrhoidopexy (MIPH/PPH)
  • Conventional Hemorrhoid Surgery (if required)
Doctor’s Note:

Laser is often the preferred option here – it avoids major cuts and offers quicker recovery with less discomfort.

Grade IV Hemorrhoids – Always Outside, Cannot Be Pushed Back

Laser Suitability: 🟡 Possible in Select Cases

Best Treatment Options:
  • Laser-assisted Hemorrhoid Surgery
  • Traditional Excision Surgery (in case there are prolapsed piles)
Doctor’s Note:

These are advanced piles. Laser can be helpful in some cases in experienced hands, especially for elderly or high-risk patients, but sometimes surgical removal is necessary.

Non-Cutting Treatment: Laser Hemorrhoidoplasty

Laser Hemorrhoidoplasty (LHP) is a minimally invasive, non-excisional treatment ideal for Grade II and III internal hemorrhoids. This technique inserts a radial fiber laser (1470 nm diode) into the hemorrhoidal tissue to coagulate and shrink the pile mass without cutting or removing any tissue.

Most Suitable For:
  • Grade II hemorrhoids
  • Grade III hemorrhoids
  • Grade IV hemorrhoids
How It Works:
  • A laser probe is inserted into the hemorrhoidal cushion.
  • Laser energy causes controlled coagulation of vessels and tissue shrinkage.
  • Over time, the hemorrhoids shrink, and symptoms disappear.
  • There is no cutting, no stitches, and minimal bleeding.
Advantages of Laser Hemorrhoidoplasty:
  • No Cutting, No Stitches
  • Minimal Pain and Discomfort
  • Faster Recovery – Most patients resume work in 3-4 days
  • Day Care Procedure – Done under short anesthesia
  • Very Little Bleeding
  • Preserves Normal Anal Tissues – No risk of incontinence
  • Minimal Recurrence When Done Properly
  • No scar formation

Laser Surgery vs MIPH (Stapled Surgery) – Which Is Better for Piles?

Understand the difference in simple words before you decide.

The Basics

MIPH (Stapled Surgery)

  • Involves cutting a ring of rectal tissue and stapling it back
  • Works by pulling up the prolapsed piles
  • Invasive and uses a foreign stapler device

Laser Surgery (LHP)

  • Uses focused laser energy to shrink piles from inside
  • No cutting or stitching
  • Tissue-sparing and gentle

Comparison: MIPH vs Laser Surgery for Piles

Aspect MIPH (Stapled Surgery) Laser Surgery
Pain After Surgery Moderate to severe pain, especially near the sensitive dentate line Much less pain; most patients resume normal activities within 1–2 days
Bleeding & Risks Can cause staple-line bleeding, rectal perforation, or narrowing (stenosis) Laser seals vessels – minimal bleeding; no staples, no risk of internal injury
Recovery Time It takes 7–10 days to feel normal; may require an overnight hospital stay Back to work in 1–3 days; usually a daycare procedure
Precision & Suitability Best for circumferential internal piles; less effective for external/segmental piles It can target each pile precisely and works for internal, external, or mixed piles.
Comfort & Lifestyle She may need dressings, pain control, and longer rest No dressings needed; only sitz bath and ointments; quick return to routine
Ideal For Internal Grade III–IV with circular prolapse Grades II, III, and IV are ideal for professionals, older people, and active people.

Sigmoidoscopy points to be highlighted

Not all Bleeding is from piles. Get it checked early with a sigmoidoscopy or colonoscopy.
Bleeding is not always simple. A quick test can save your health.
Sigmoidoscopy and colonoscopy: Simple tests, strong protection.
Think it is just piles? Be sure. Early detection matters.
Safe. Simple. Life-saving. Do not ignore bleeding – check with us today.

Why Laser Surgery Is Better Than Open Surgery for Piles

LASER Treatment of Piles

Laser treatment of Haemorrhoids is a new, highly effective, scientifically proven procedure, empowering doctors with much more precision and accuracy. A LASER hemorrhoidectomy is a procedure that employs laser energy for the treatment of hemorrhoids. When this treatment is applied, a medical laser is used to heat the problematic vein, which essentially causes them to collapse and disintegrate. In this procedure, the hemorrhoid is completely vaporized with the use of carbon dioxide or a laser beam. The smaller sized beam of the laser improves the accuracy and the precision of the procedure. In addition, the thinness of the laser beam is a factor which contributes to swift and unimpaired healing after the procedure. There are various options for those who need treatment for hemorrhoids, including traditional surgery.

No Cuts, No Stitches

Laser surgery works from inside the piles using focused light. There is no external wound, skin cutting, or need for stitches.

Much Less Pain

Patients report minimal discomfort after laser treatment, unlike open surgery, which often causes pain for several days due to raw wounds.

Very Little Bleeding

The laser seals the blood vessels as it works, so there is hardly any bleeding during or after the procedure.

Faster Recovery

Most patients leave the same day and return to work in 1–3 days. Open surgery may need 10–15 days of recovery.

No Dressings, No Wound Care

Since there are no open wounds, you do not need to visit the hospital daily for dressings—just regular sitz baths and medicines.

Safe and Hygienic

Laser is a clean, precise, and controlled procedure. There is minimal risk of infection or complications compared to traditional methods.

Preserves Normal Tissue

Unlike open surgery, which may remove healthy tissue around the piles, laser only targets the diseased veins, protecting your natural anatomy and reducing the risk of incontinence.

Ideal for Working Professionals & Elderly

Laser piles surgery is a day-care procedure with a fast return to routine life, perfect for those who cannot take long leaves or tolerate open wounds.

Frequently Asked Questions (FAQs) – Piles / Hemorrhoids / Bavasir

Piles are swollen blood vessels (veins) in or around the anus and rectum. They may stay inside or come out while passing stool. They can cause bleeding, discomfort, or itching.

Common causes include:
  • Straining while passing stool
  • Constipation
  • Low-fiber diet
  • Sitting too long on the toilet
  • Obesity, lack of exercise
  • Pregnancy

Symptoms include:
  • Bright red bleeding during or after passing stool
  • Itching or discomfort around the anus
  • Pain or swelling near the anus
  • A lump that may come out while passing stool
  • Feeling of incomplete bowel movement

No, piles are not dangerous or cancerous. However, untreated piles can worsen and become harder to manage.

Small piles (Grade I) may improve with diet and lifestyle changes. However, advanced piles (Grades II-IV) often need medical or surgical treatment.

A doctor will take a history and do a painless physical or proctoscopic exam to confirm the type and grade of piles.

Laser surgery is much less painful than traditional methods. There are no cuts or stitches; most patients go home the same day.

With proper care, diet, and follow-up, recurrence is rare, especially after laser surgery. However, straining and constipation can bring them back.

You should see a doctor if:

  • When you see bleeding from the anus
  • Piles come out while passing stool
  • There is constant discomfort, pain, or itching
  • Home remedies are not working

  • Take Sitz Baths regularly
  • Follow all post-op instructions
  • Eat high-fiber foods and drink plenty of water
  • Take medications as prescribed
  • Keep the area clean and dry
  • Wear loose, breathable clothes
  • Walk daily to improve recovery
  • Contact your doctor if you notice bleeding or severe pain

  • Avoid straining during bowel movements

    Use stool softeners, and do not force motion.

  • Avoid Using Dry Tissue Paper

    Always dab gently with wet wipes or wash with water.

  • Avoid Sitting Too Long on the Toilet

    Limit toilet time to avoid unnecessary pressure.

  • Avoid lifting heavy weights

    Postpone lifting anything heavy for at least a week.

  • Avoid Gym and Strenuous Exercise for 7–10 Days

    Let your body heal fully before resuming physical workouts.

Hemorrhoids Diet Plan – Simple, high-fiber, and healing-focused

  • Morning (Start Your Day Right):
    • Warm glass of water with 1 tsp Isabgol (psyllium husk) or soaked raisin
    • 1 banana or a few soaked figs (anjeer)
    • Light walk for 10–15 minutes
  • Breakfast:
    • Oats porridge with flaxseeds or chia seeds
    • Papaya or apple
    • Herbal tea or coconut water
  • Mid-Morning Snack:
    • A handful of almonds or walnuts
    • One seasonal fruit (guava, pear, or orange)
  • Lunch:
    • 1–2 multigrain or whole wheat rotis
    • Vegetable sabzi (lauki, tori, spinach, carrots, pumpkin)
    • Brown rice or quinoa with dal
    • Salad (cucumber, tomato, beetroot, carrot)
    • Buttermilk or plain curd
  • Evening Snack:
    • Roasted chana or a small bowl of sprouts
    • Herbal tea or green tea
  • Dinner:
    • Light khichdi (moong dal + rice) or daliya
    • Steamed vegetables
    • A glass of lukewarm water with a few drops of lemon
  • Before Bed:
    • Soaked munakka or prunes (3–4)
    • Warm water with a teaspoon of Isabgol (optional)

❌ Foods to Avoid:

  • Spicy, fried, and oily food
  • Red chili, pickles, and heavy masalas
  • Caffeine and alcohol
  • White bread, maida, and processed snacks
  • Excessive non-veg or red meat
  • Carbonated drinks

💧 Hydration Tips:

  • Drink 8–10 glasses of water daily
  • Coconut water, clear soups, and herbal teas are helpful
  • Avoid dehydration — it worsens constipation

Mini laser (IRC) Grade 1 and 2 Hemorrhoids

MiniLaser for Grade 1–2 Hemorrhoids – Only with Us in Punjab
Get treated by an expert with 34+ years of surgical experience
Trusted by over 1000 happy patients
Quick 10–15 minute procedure
Same-day discharge — Go home the same day!
Fast recovery — Resume work same day
Minimally invasive — No cuts, no stitches, minimal pain

Why Choose Dr. Kamal Gupta?

Dr. Kamal Gupta, known as the “Laser Man of India”, is a renowned expert in laser surgery for piles. At Karan Hospital, patients receive honest guidance, advanced laser treatments, and compassionate care for fast recovery and long-term relief.

Reach out to Dr. Kamal Gupta today for expert advice and modern, minimally invasive treatment options.

Dr. Kamal Gupta MS FACS FAIS FIAGES FISCP FACRSI

Certified Trained Specialist in Laser Proctology, Berlin, Germany
Travelling Fellowship St. Mark’s London, UK
Fellow International Society of University of Colon and Rectal Surgeons
Author of the text book on “Lasers in Proctology” , published by Springer

Contact Information

ADDRESS 408-A, Adarsh Nagar, Near Jain Bhawan,
Kapurthala Road, Jalandhar, INDIA (144008)
MOBILE +91 8725 048 415
EMAIL drkamalgupta.appointments@gmail.com

Testimonials

What Our Patients Say

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Hundal Trucking LLC

I was referred to Dr Kamal Gupta’s Karan Hospital as I was suffering from fistula and it had to be operated to get rid of it. Dr Gupta and team did a great job I was operated on March 31st and had couple of follow up visits and I am ready to go back to US after the treatment. The whole team at the hospital is very courteous and knows their job description very well. The facility is clean and well maintained and the costing too was reasonable. I recommend all patients to this hospital for best results. I wish them all the best.

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Dr Saab

I had fistula in ano since 2,3 years. I specially came from Canada for this treatment. Dr Kamal treated me very well and explained everything to me very clearly. They took me for surgery on January and now after 3 months I’m fully cured. I recommend everyone to visit here for this treatment

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Raj Banger

I had suffered from fistula in ano since one year. I had visited so many hospital but one of my known recommend me to visited Karan hospital. I visited their and now I'm fully satisfied after 3 months of treatment. I'm very thankful to Dr Kamal Gupta and his staff for treating me very well. So I recommend each and everyone visited to Karan Hospital and get yourself treated from here.

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Rohit Kumar

I had fissure in ano since very long time so I visited karan hospital for my treatment. Dr kamal gupta is very good surgeon and his team also very understanding towards patient. So i recommend everyone to visit here and get yourself treated.

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