There are several pharmacological treatments available to help a person with piles control their symptoms.
Corticosteroids– These can help with pain and inflammation.
OTC– OTC (over-the-counter) drugs are those that can be purchased over-the-counter or online. Pain relievers, ointments, lotions, and pads are among the medications that can help relieve redness and swelling around the anus.
Although over-the-counter medicines do not cure piles, they can help with the symptoms. They should not be used for more than 7 days in a row because they can irritate the area and cause skin thinning. If a medical practitioner recommends it, do not take two or more medications at the same time.
Laxatives– If a person with piles experiences constipation, the doctor may prescribe laxatives. These can make it easier to pass faeces and relieve pressure on the lower colon.
Approximately one out of every ten persons with piles will require surgery.
Sclerotherapy– It is a treatment that involves injecting medicine into the hemorrhoid to get it to shrink. The hemorrhoid shrinks over time. This is a good option for banding for haemorrhoids in grades II and III.
Hemorrhoidectomy– Surgical removal of the extra tissue that is causing the bleeding. This can be accomplished in a variety of methods, including using a local anaesthetic with sedation, a spinal anaesthetic, or a general anaesthetic. This procedure is the most successful for entirely eradicating piles, but it comes with a risk of problems such as bowel obstruction and urinary tract infections.
Banding– The doctor wraps an elastic band around the pile’s base, cutting off its blood supply. The hemorrhoid will go out within a few days. This treatment is beneficial for all haemorrhoids that aren’t grade IV.
Hemorrhoid stapling– Blood flow to the hemorrhoid tissue is restricted by hemorrhoid stapling. Hemorrhoidectomy is frequently more unpleasant than this operation. However, this surgery increases the risk of hemorrhoid recurrence and rectal prolapse, which occurs when part of the rectum pushes through the anus.
Infrared coagulation– It is often known as infrared laser coagulation, is a procedure that involves burning hemorrhoid tissue using a device. Hemorrhoids in grades I and II are treated with this method.
While piles can be unpleasant and debilitating, they rarely offer a long-term health risk and can usually be self-managed up to grade III or IV. If a problem arises, such as a fistula, the situation might quickly deteriorate.