The term piles is a colloquial word for the medically used term haemorrhoids. Piles are more commonly occurring than you would think, almost up to 40% of adults experience it at some point in their lifetime. Often considered a lifestyle condition, it affects everyone irrespective of gender or age.
Recognise the signs and understand the solution
You know you have piles if you feel pain, itching, or sometimes bleeding in the anal area. Piles are swollen veins in the rectum or anal area. They swell under pressure like during excessive straining during bowel movements—like when you have to pass hard stools. While the body heals easily from occasional strain, frequent pressure can cause these veins to remain permanently swollen. In more advanced stages, they may even protrude out of the anus permanently. At this stage, adopting healthy lifestyle practices like high fibre diet and adequate hydration manage only the symptoms; but they cannot shrink the vein to its original state.
It is natural to think that advanced stage piles can get cured completely just with diet. Many have a fully justified fear of the term surgery or feel awkward to approach a doctor to speak of anal conditions. Rest assured—early consultations with the doctor, and opting for advanced forms of piles removal procedures—will greatly help you to get permanent and easy relief from this very common but painful condition.
This article explains how laser technology is the permanent, easy, and painless answer for your comfort and confidence.
Can piles go away naturally?
Piles can go away naturally, provided they are treated at the starting stages. Early interventions are the key point to curing them naturally.
What makes the early-stage piles go away naturally
Piles begin frequently in the rectum (which is above the anus, and inside the body). The veins in this area swell upon strain and pressure. In this beginning stage, the piles are most often painless, and you know of them only when you notice blood when passing hard stools. You cannot see or feel any bulges in the anus as they are completely internal piles.
At this stage, eating plenty of fibre and drinking adequate water immensely helps to shrink the swollen vein inside. Including more physical movements like walking in your routine will also contribute significantly to reducing the piles. Your stools will be softer, and you would not feel any discomfort or bleeding—that is when you know the piles have gone away naturally.
Can advanced stage piles be cured naturally?
Unhealthy diet, low hydration, sedentary activities and sometimes even picking heavy weights—consuming these habits over a long time can make the stools very hard. This in turn means repeated straining during bowels.
The small swelling inside the rectum slowly starts to bulge out, and you can feel it as small bumps in the anal canal. At this stage the piles can still be cured naturally, but only upon consistent reversal of the unhealthy habits, and can take at least a month to show effects.
Often, many people discontinue the reversal as it takes a lot of time to show results permanently. The straining during bowel movements return, which makes the piles prolapsed-meaning permanently protruding.
Natural remedies for prolapsed piles are quite beneficial, they significantly reduce the intense pain, bleeding, and itching felt at this stage. However, the complete removal of the piles can only be done with the help of advanced procedures at the doctor’s clinic. While many people live with prolapsed piles, it is not advisable as they are very prone to flare ups. They can also form blood clots within them which requires emergency treatments.
Medical interventions with lifestyle habit reversal can only permanently cure advanced piles a 100%.
Is laser surgery good for piles?
The short answer-yes, laser surgery is an effective and easy procedure for piles removal.
There are many options for piles removal. Piles at the 2nd stage—only small bumps in the anus—can be easily removed with traditional techniques like rubber band ligation, sclerotherapy, or haemorrhoidectomy.
Advanced stage piles nowadays can be effectively and easily removed with the laser surgery. Here, intense but focused laser energy is used to cut and seal off the prolapsed piles. The result-there is almost no blood loss, minimal scarring, and less time to complete.
What makes laser surgery the best for piles removal?
Short procedure time
Piles laser surgery has a very short completion of just about 30 minutes. This makes it an outpatient procedure, and the majority who opt for this can go home on the same day itself.
Minimally invasive
Unlike traditional surgery, no open wounds are created as the laser used is extremely thin and precise.
Minimal bleeding and scarring
Because of its nature, the laser procedure open very minimal tissue, which means no bleeding. Almost all surrounding tissue remains intact. Since the “cut” is also so small, there is almost no scarring like what is formed in traditional surgeries which require cutting. The laser is also used to seal all the open blood vessels, which results in significantly less bleeding even after the procedure.
Reduced operative pain
The factor which naturally gets most people afraid is pain during and after the procedure. Since the laser also automatically seals the nerve endings, the sharp pain associated with surgeries also greatly reduces.
Faster recovery
Due to less bleeding, and no open wound to heal, most patients have a very short recovery time. The rest period is often just about 48 hours, and complete recovery in just a week.
Higher success rate
Many studies have reported significantly lower recurrence of piles after their removal with laser surgery as compared to older methods.
Is laser haemorrhoid surgery painful?
There are several studies which report factors which make people naturally fear surgeries. Many factors like fear of postoperative pain, shyness of body exposure, fearing anaesthesia, and fear of the unknown constitute the list. Amongst these, pain is reported as the fear factor for almost 88% of a study group of about 400 individuals.
The laser haemorrhoid surgery by its nature removes the pain factor altogether. Lasers used in haemorrhoid removal are extremely thin, sharply focused, and extremely precise. This means no harm to surrounding healthy tissues. Pain is felt when there are open nerve endings—this too is taken care of, the laser seals the nerve endings which significantly reduces post-operative pain. These factors together result significantly less—to almost no-pain. It is positively conclusive from these points, that the laser haemorrhoid surgery is not painful compared to traditional piles removal procedures.
What is the recovery time for piles surgery?
There are different piles surgery procedures with varying recovery times. Below is a comprehensive table comparing the piles surgery to the procedure time, and full recovery time.
| Procedure | How it is done | Post-operative stay | Return to Work | Full Healing | Recurrence rate after surgery |
| Laser Surgery (LHP) | Focused laser shrinks & seals veins. | Outpatient procedure | 1–3 days | 1–2 weeks | ~8% |
| Rubber Band Ligation | Band cuts off blood supply. | In-clinic procedure | Same-day or next day | 1 week (piles fall off) | ~10-15% |
| Sclerotherapy | Chemical injection shrinks tissue. | In-clinic procedure | Same-day | 1 week | ~15-30% |
| Stapled Surgery | Stapling device repositions tissue. | 1 day | 7–10 days | 2–3 weeks | ~12% |
| Traditional Surgery | Surgical removal (scalpel/cutting). | 2–3 days | 2–3 weeks | 4–6 weeks | ~5% |
As can be seen from the table, laser surgery has the shortest recovery time compared to other procedures. This advantage, along with its low recurrence rate, makes it a favourable advanced option which provides a long-term but easy solution for piles removal.
How much does haemorrhoid surgery cost?
Haemorrhoid surgery cost depends majorly on the type of procedure being opted for. Traditional surgeries may look more affordable when you see just the total numbers, this is mainly because they do not use specialised equipment like staples (stapler surgery) and laser equipment (laser piles removal). It also depends on where you choose to get the procedure done—in premium multi-speciality hospitals or specialised gastroenterology centres. Below is a table with approximation of the cost of each surgery.
| Procedure | Estimated Cost | Recovery time | Recurrence Rate |
| Laser Surgery (LHP) | ₹45,000 – ₹90,000 | 1–2 Days | ~8% |
| Rubber Banding | ₹25,000 – ₹65,000 | Same Day | ~15% |
| Sclerotherapy | ₹25,000 – ₹70,000 | Same Day | ~15% – 30% |
| Stapled Surgery | ₹45,000 – ₹85,000 | 7–10 Days | ~12% |
| Traditional Surgery | ₹35,000 – ₹80,000 | 2–3 Weeks | ~5% |
- However, it is important to see beyond just the total cost of the surgery and consider other factors like recovery- and recurrence rates.
- It is also time worthy to note how the price varies across treatment centres. Multi- speciality hospitals in Bangalore charge at least ~₹30,000 more for the same laser treatment as compared to specialise colorectal or gastroenterology centres.
- However, most hospitals and speciality clinics nowadays accept health insurance. Most health insurances also cover piles removal procedures too—even the laser surgery which is a day-care procedure. This significantly reduces the financial worry, allowing you to choose for a healthier and pain free life.
It is completely natural to feel awkward about seeking out help while experiencing piles repeatedly. However, bearing with the pain it brings can significantly affect your quality of life overtime. Putting off thinking about the treatment can also make the piles progress and make it worse. There is an innate worry about the pain, time involved, and cost of treatments too. But worry not, medical advancements have replaced the fear of long recoveries with the efficiency of laser technology, ensuring you do not have to put your life on hold for relief.
Smiles Gastroenterology Centres are specialized in these advanced, minimally invasive laser procedures. These specialised centres are built for prioritizing both your outcome and your personal comfort. Doctors here understand the sensitivity of these conditions thus; they focus on privacy and ensure your comfort for recovery. By choosing Smiles Gastroenterology Centres, you are opting for personalized treatment that targets the root of the problem with faster recovery. So, do not let hesitation stand in the way of your well-being—take the first step toward a pain-free life today.
Dr. Parameshwara CM is a global authority in Coloproctology and the visionary founder of SMILES Hospitals, with an extraordinary track record of over 50,000 successful surgeries. A true pioneer in the field, he was the first to introduce Advanced Laser Piles Treatment and sophisticated procedures like LIFT, VAAFT, and STARR to Karnataka, revolutionizing the way digestive disorders are treated. He combines surgical precision with state-of-the-art laser technology to offer bloodless, minimally invasive solutions. Call us: +9108099008800 for further help.
- Dr Parameshwara CM
- Dr Parameshwara CM
- Dr Parameshwara CM
- Dr Parameshwara CM
