Can Piles Be Cured Without Surgery?

Managing Piles Without Surgery

Yes, piles (also known as haemorrhoids) can often be treated without surgery. However, the right approach depends on the severity of the condition. Before exploring non-surgical treatment options, it is important to understand piles and confirm the diagnosis.

How to Identify Piles?

Since piles share symptoms with conditions like anal fissures and fistulas, it is crucial to get a proper medical diagnosis. A doctor will confirm the condition through a physical examination and medical history.

Common Causes of Piles

Piles usually develop due to excessive strain during bowel movements. The most common causes include:

1. Low-fibre diet – Eating too many refined foods like white rice and processed snacks can lead to constipation.

2. Dehydration – Not drinking enough water results in hard stools, making bowel movements difficult.

3. Obesity – Excess body weight puts pressure on the rectal veins, increasing the risk of piles.

4. Prolonged sitting – Sitting for long hours, especially on the toilet, can worsen the condition.

5. Chronic constipation or diarrhoea – Both conditions can irritate the anal area and lead to swelling of veins.

Lifestyle Changes to Manage Piles

Making small lifestyle adjustments can help reduce symptoms and even prevent piles from worsening.

1. Improve Your Diet

A diet rich in fibre helps soften stools, making them easier to pass. Good fibre sources include:

• Whole grains (oats, brown rice, and whole wheat bread)
• Fresh fruits and vegetables (bananas, apples, spinach, and carrots)
• Nuts and seeds (almonds, flaxseeds, and chia seeds)
• Increasing fibre intake gradually prevents bloating and gas. Drinking at least 8-10 glasses of water daily also helps maintain smooth digestion.

2. Maintain a Healthy Weight

Excess weight can put pressure on the veins around the rectum, increasing the risk of piles. Regular physical activity, such as walking, yoga, or swimming, can help manage weight and improve bowel movements.

3. Avoid Straining During Bowel Movements

Straining can cause haemorrhoids to swell and become painful. Avoid spending too much time on the toilet, and respond to nature's call without delay to prevent hard stools.

4. Exercise Regularly

Physical activity stimulates bowel movements and reduces constipation. Light exercises like jogging, stretching, or even brisk walking can help improve digestion.

Home Remedies for Piles

If the symptoms are mild, home remedies can provide relief and speed up healing.

● Warm Sitz Baths

Sitting in warm water for 10–15 minutes, two or three times a day, can reduce pain and swelling. Adding Epsom salt enhances the soothing effect.

● Cold Compress

Applying an ice pack to the affected area for 10 minutes can help reduce swelling and numb pain. Wrap the ice in a cloth before applying it to avoid irritation.

● Use Natural Soothing Agents

    1. Aloe Vera Gel: Has anti-inflammatory properties that relieve itching and discomfort.

    2. Coconut Oil: Helps moisturise the area and reduce irritation.

    3. Witch Hazel: Works as a natural astringent, reducing swelling and soothing the skin.

Over-the-counter (OTC) Medications

If home remedies are not enough, OTC treatments can help manage symptoms.

• Haemorrhoid Creams and Ointments contain ingredients like hydrocortisone or lidocaine to relieve itching and swelling.
• Pain Relievers – Medications like ibuprofen or acetaminophen help reduce discomfort.
• Stool Softeners – Fiber supplements or laxatives can make bowel movements easier and prevent straining.

These treatments do not cure piles but help manage the symptoms. They should only be used for a short duration to avoid side effects like skin thinning.

Medical Treatments That Don't Require Surgery

If piles persist despite lifestyle changes and home remedies, a doctor may suggest minimally invasive treatments.

1. Rubber Band Ligation: A small rubber band is placed around the haemorrhoid to cut off the blood supply. The haemorrhoid shrinks and falls off in a few days.
2. Sclerotherapy: A chemical solution is injected into the haemorrhoid, causing it to shrink. This is commonly used for smaller internal piles.
3. Infrared Coagulation (IRC): Infrared light is used to shrink the haemorrhoid by cutting off its blood supply.
4. Cryotherapy: This method freezes the haemorrhoid with liquid nitrogen, which eventually causes it to shrink and fall off.

When to See a Doctor?

While mild cases of piles often improve with home care, you should consult a doctor if:

1. Symptoms persist for more than a week.

2. There is excessive bleeding during bowel movements.

3. You experience severe pain or swelling.

4. You notice a lump that does not go away.

In most cases, you can relieve piles with lifestyle changes and medication. Home remedies and OTC medications can provide significant relief. Moreover, non-surgical medical treatments are available if needed. However, if the condition worsens, it is best to seek medical advice for appropriate treatment.