How To Cure Piles Starting Stage?- Best tips by Dr Hemant Garg

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Discover effective strategies for managing early-stage piles through Dr. Hemant Garg’s expert guidance. This blog presents valuable insights and tips on how to cure piles in early stages. Dr. Garg’s expertise offers a profound understanding of treatment choices, enabling individuals to address this condition effectively and enhance their well-being.

What are Piles?

Hemorrhoids, commonly known as piles, refer to swollen and irritated blood vessels in the rectum and anus area. They often result in discomfort, pain, itching, and bleeding, particularly during bowel movements. These piles can be classified as internal, situated inside the rectum and possibly without evident symptoms, or external, forming beneath the skin around the anus and causing increased pain and discomfort. Various factors such as chronic constipation, excessive straining during bowel movements, obesity, pregnancy, and a lack of physical activity can contribute to the onset of piles.


  • Rectal Bleeding: It’s a typical indicator of piles where bleeding occurs during bowel movements without any accompanying pain. Blood may be visible on toilet paper, in the toilet bowl, or on the stool.
  • Pain or Discomfort: Individuals often experience varying degrees of pain or discomfort, especially during bowel movements. External piles, located beneath the skin around the anus, tend to cause more pronounced pain.
  • Itching or Irritation: Inflammation and swelling often lead to itching in the affected area, causing persistent discomfort and irritation.
  • Lump near the Anus: Particularly common with external piles, individuals might feel a sensitive lump near the anal opening. This lump might be tender to the touch.
  • Mucous Discharge: Some people might observe the discharge of mucous from the rectum in association with piles.
  • Prolapse: Internal piles might protrude outside the anus during bowel movements and then retract afterward.
  • Sensation of Incomplete Evacuation: Feeling as though the bowel isn’t entirely emptied post a bowel movement is another symptom frequently linked to piles.
  • Swelling around the Anus: The region around the anal area might become swollen or inflamed, leading to discomfort or pain.
  • Thrombosed Piles: In specific instances, a blood clot might form within an external pile, resulting in severe pain, swelling, and a bluish tint in the affected area.

It’s imperative to note that while these symptoms are commonly associated with piles, they could indicate other underlying conditions. Seeking guidance from a healthcare professional is essential for an accurate diagnosis and proper treatment.


  • Chronic Constipation: Straining during bowel movements due to chronic constipation is a significant contributor to the development of piles. Hard stools and the need for increased pressure during evacuation can strain blood vessels in the rectum and anus.
  • Pregnancy: The increased pressure on the pelvic blood vessels and hormonal changes during pregnancy can contribute to the development of piles. Additionally, the strain during childbirth can further exacerbate the condition.
  • Chronic Diarrhea: Persistent episodes of diarrhea can irritate the rectum and contribute to the development of piles.
  • Inadequate Fluid Intake: Insufficient intake of fluids can result in hard stools, leading to straining during bowel movements and an increased risk of piles.
  • Anal Intercourse: Engaging in anal intercourse may cause trauma to the anal area, potentially leading to the development of piles.

 Risk factors

  • Excessive Weight: Obesity applies pressure on pelvic veins, promoting the development of piles.
  • Inactivity: A sedentary lifestyle or prolonged sitting can disrupt blood flow, raising the risk of piles.
  • Genetic Predisposition: Family history of weak veins or a background of piles heightens the vulnerability to this condition.
  • Aging Factors: Advancing age weakens rectal and anal tissue support, augmenting the risk of piles.


  • Physical Examination: Visual assessment of the anal region detects external piles.
  • Digital Rectal Examination (DRE): Inserting a lubricated finger into the rectum identifies internal piles and abnormalities.
  • Anoscopy or Proctoscopy: Utilizing a light-equipped tube to examine the anal canal and lower rectum for internal piles.
  • Colonoscopy or Sigmoidoscopy: Not specific to piles but helps eliminate other causes of rectal issues.
  • Medical History: Discussing symptoms, bowel habits, and family background assists in diagnosis.
  • Stool Examination: Excludes alternate sources of rectal discomfort or bleeding.


  1. Lifestyle Adjustments:
  •   Dietary Modifications: Enhancing fiber intake from fruits, veggies, whole grains, and ample fluids softens stools, easing bowel movements.
  • Hygiene Practices: Maintaining proper anal hygiene through gentle cleaning and using moist towelettes or witch hazel wipes to soothe irritation.
  1. Medication Options:
  •  Over-the-counter (OTC) Remedies: Hydrocortisone, witch hazel, or lidocaine-based creams, ointments, or suppositories can relieve pain, swelling, and itching.
  • Oral Treatments: Pain relievers, stool softeners, or fiber supplements help manage symptoms.
  1. Medical Interventions:
  • Rubber Band Ligation: Tying off internal piles with rubber bands at the base to stop blood flow, causing them to shrink and fall off.
  • Sclerotherapy: Injecting a solution into the piles to induce shrinking by scarring.
  • Infrared Coagulation (IRC): Applying heat to create scar tissue in the piles, reducing their size.
  • Hemorrhoidectomy: Surgical removal of piles in severe cases.
  1. Less Invasive Procedures:
  •  Stapled Hemorrhoidopexy (PPH): Utilizing a stapling device to remove excess tissue and reduce blood flow to the piles.
  • Transanal Hemorrhoidal Dearterialization (THD): Redirecting blood flow to shrink piles without excising tissue.
  1. Home Therapies:
  • Warm Sitz Baths: Soaking the area in warm water several times daily for 10-15 minutes for relief.
  • Ice Pack Application: Using ice packs wrapped in cloth on the anal area to reduce pain and swelling.

The treatment choice varies based on symptoms, pile severity, and individual health. Seeking guidance from a healthcare professional is recommended to determine the most suitable treatment approach.


Piles, though often discomforting, can be effectively managed through diverse treatments, lifestyle modifications, and medical interventions. Early detection, adopting a fiber-rich diet, maintaining proper hygiene, and utilizing topical remedies can alleviate symptoms. Dr. Hemant Garg is the most reputed Fistula Treatment and Fissure Treatment in Jaipur and has years of work experience and is the Best Piles Doctor in Jaipur for Fissure Surgery and for such as Fistula surgery and Piles Surgery. By adhering to proper management and adjusting lifestyles, individuals can effectively ease symptoms, ensuring improved control and relief from pile-related issues. We hope the blog served the answer on how to cure piles starting stage

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