When to Consider Surgery for Piles: Expert Advice from Akola’s Dr. Tongase

Fri Oct 18, 2024

When Do You Need Surgery for Piles?

Piles (or hemorrhoids) are no walk in the park. They can cause discomfort, pain, itching, and sometimes even bleeding. Many people try various home remedies, dietary changes, and over-the-counter treatments to find relief. But what happens when these methods just aren’t enough? When does surgery become the only option? In this blog, we’ll guide you through the stages of piles and when surgery might be necessary—particularly for those in Akola seeking relief. Plus, we’ll share expert advice from Dr. Sital Tongase of Tongase Homeopathy.


What Are Piles, and Why Do They Occur?

Before diving into when surgery becomes necessary, let’s quickly cover the basics. Piles, or hemorrhoids, are swollen veins in the lower rectum and anus, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus).

Common Causes of Piles include:

- Straining during bowel movements

- Chronic constipation or diarrhea

- Sitting for long periods, especially on the toilet

- Obesity

- Pregnancy

- Low-fiber diet


In many cases, piles are more of a nuisance than a serious medical issue. However, left untreated, they can progress and become quite painful, sometimes requiring more than just lifestyle adjustments.


When Should You Start Considering Surgery?

So, how do you know when it's time to stop managing piles on your own and consult a doctor about surgery? Here are some key indicators:


1. Chronic, Unmanageable Pain

If you're experiencing persistent pain that doesn’t improve with home treatments like sitz baths, ointments, or dietary changes, it might be time to explore surgical options. Sometimes, the veins become so swollen and irritated that they simply can’t heal on their own.


2. Frequent Bleeding

Occasional bleeding when passing stools is fairly common with piles, but if it happens frequently or becomes heavy, this is a red flag. Constant bleeding could lead to anemia, causing fatigue and weakness. In these cases, surgery might be recommended to prevent further complications.


3. Prolapsed Piles (Grade 3 or 4 Hemorrhoids)

As piles progress, they may prolapse, meaning they extend outside of the anus and can’t easily be pushed back in. This can lead to irritation, pain, and hygiene issues. Once you reach Grade 3 or 4 hemorrhoids, non-surgical treatments often don’t work, making surgery the most effective option.


4. Recurrent Infections or Clotting (Thrombosis)

Thrombosed hemorrhoids are piles in which blood clots form, leading to severe pain, swelling, and sometimes infection. This can make daily life miserable. If you’ve experienced multiple instances of thrombosis, surgery might offer permanent relief.


5. Ineffectiveness of Non-Surgical Treatments

You’ve tried the creams, the fiber-rich diets, the lifestyle changes, and even over-the-counter medications, but nothing seems to provide lasting relief. If non-surgical treatments have failed over a prolonged period, your doctor might suggest that surgery is your best option.


Types of Piles Surgery Available in Akola


If you and your doctor decide that surgery is the best course of action, you’ll have several options based on the severity of your piles:


1. Hemorrhoidectomy

This is the most common surgical procedure for removing severe piles. The surgeon cuts away the hemorrhoid tissue and stitches the area closed. While it’s highly effective, it does come with a recovery period that can last a few weeks.


2. Hemorrhoid Stapling

Stapling is a less invasive option that cuts off the blood supply to the hemorrhoids, causing them to shrink. This procedure typically has a shorter recovery time, but there's a higher risk of hemorrhoids returning compared to hemorrhoidectomy.


3. Laser Surgery

A modern, minimally invasive option where a laser beam is used to remove or shrink hemorrhoids. It’s less painful than traditional surgery and offers a quicker recovery time, though it may not be suitable for all types of hemorrhoids.


Why Choose Tongase Homeopathy in Akola?


Here at Tongase Homeopathy, Dr. Sital Tongase has been helping people manage and overcome piles with both homeopathic treatments and advanced surgical options. With a personalized approach, Dr. Tongase focuses on identifying the root cause of the issue and guiding you toward the best treatment path, whether that’s homeopathy or surgical intervention.


Plus, getting treated locally in Akola offers the convenience of being close to home while receiving expert care.


If you're unsure about whether surgery is right for you, Dr. Tongase can help you evaluate your symptoms and discuss all your treatment options. We don’t push for surgery unless it’s absolutely necessary—often, homeopathic treatments can offer significant relief without going under the knife.


What Happens After Piles Surgery?


Post-surgery, patients generally experience relief from the pain and discomfort caused by piles, but it's important to note that recovery can take time depending on the type of procedure. You'll likely be advised to:

- Avoid straining during bowel movements

- Stick to a high-fiber diet

- Drink plenty of fluids

- Rest and avoid heavy lifting


These steps will help ensure a smooth recovery and prevent piles from coming back.


Final Thoughts

If you’ve been struggling with piles and feel like your current treatments aren’t enough, it might be time to consider a piles operation. Symptoms like chronic pain, frequent bleeding, or prolapsed hemorrhoids should never be ignored. Surgery, while a last resort for many, can provide lasting relief and improve your quality of life.

At Tongase Homeopathy in Akola, Dr. Sital Tongase is ready to help you find the best solution for your needs, whether that’s surgery or alternative treatments. Don’t let piles hold you back—there’s help available, and relief could be closer than you think.

Feel free to call us at Tongase Homeopathy at 9422193283, or visit us at Opp. GMD Market, Ram Nagar, Akola for a consultation today!




Dr Sital Tongase
MD Homeopath, with 15+ years of experience.

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