The Warning Signs That Indicate You May Need Piles Surgery

What Are Piles?

Piles, also called hemorrhoids, are swollen veins in the lower part of the rectum or anus. They can cause pain, itching, and bleeding. While many people have piles, not everyone needs piles surgery. Most cases improve with simple care. However, some signs may mean you need more help.

Common Symptoms of Piles

Piles can cause different symptoms. Some people may have mild discomfort, while others feel more pain. Common piles symptoms include:

Itching or irritation around the anus

Pain or discomfort, especially when sitting

Swelling or a lump near the anus

Bleeding during bowel movements

Mucus discharge after passing stool

Although these symptoms can be mild, they may get worse over time. For this reason, it is important to watch for changes.

When Is Surgery Needed for Piles?

Most piles improve with home care or medicine. But sometimes, piles surgery is the best option. You may need surgery if:

Symptoms do not improve with other treatments

Piles keep coming back

You have severe pain or bleeding

Piles are large or stick out from the anus

In many cases, your doctor will suggest surgery only after trying other methods first. Still, some people need surgery sooner due to serious symptoms.

Warning Signs You Should Not Ignore

Some signs mean you should see a doctor right away. These warning signs may show you need piles surgery or urgent care:

Heavy bleeding that does not stop

Severe pain or swelling

Signs of infection, such as fever or pus

Sudden changes in bowel habits

Piles that cannot be pushed back inside

If you notice these signs, do not wait. Instead, seek medical help as soon as possible.

Diagnosis: How Doctors Decide on Surgery

Doctors use a few steps to decide if you need piles surgery. First, they ask about your symptoms and medical history. Next, they may do a simple exam of the area. Sometimes, they use special tools to look inside the rectum. In addition, your doctor may order tests to rule out other problems. Based on these findings, they will suggest the best treatment for you.

Treatment Options: Surgical vs. Non-Surgical

There are many ways to treat piles. Non-surgical options include:

Eating more fiber and drinking water

Using creams or ointments

Taking warm baths

Using rubber band ligation (a small band to cut off blood supply)

However, if these do not work, piles surgery may be needed. Surgical options include:

Hemorrhoidectomy (removal of piles)

Stapled hemorrhoidopexy (stapling the piles back inside)

Laser or other advanced methods

Your doctor will explain which method is best for your case. According to the CDC, surgery is safe and effective for most people with severe piles.

Preparing for Piles Surgery

Before piles surgery, your doctor will give you clear instructions. Usually, you may need to:

Stop eating or drinking for a few hours before surgery

Arrange for someone to take you home

Tell your doctor about any medicines you take

Follow any special cleaning steps for the area

By following these steps, you can help make the surgery safer and smoother.

Recovery and Aftercare Tips

After piles surgery, most people recover within a few weeks. To help your healing, you can:

Take pain medicine as advised

Keep the area clean and dry

Eat soft, high-fiber foods

Drink plenty of water

Avoid heavy lifting or straining

In addition, follow all your doctor’s advice. If you notice heavy bleeding, fever, or severe pain, contact your doctor right away.

Prevention and Lifestyle Guidance

Even after piles surgery, you can lower your risk of piles coming back. Try these tips:

Eat more fruits, vegetables, and whole grains

Drink enough water every day

Exercise regularly

Avoid sitting for long periods

Do not strain during bowel movements

With these simple steps, you can help keep your digestive system healthy.

If you notice these signs, consult a general or transplant surgeon for personalized advice on piles surgery.