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Piles, also called hemorrhoids, are swollen blood vessels in the rectum or anus. There are two types of piles- internal (inside the rectum) and external (under the skin around the anus). They can be caused by chronic constipation, straining during bowel movements, sitting or standing for too long, obesity, and a low-fiber diet. Pregnant women are also at an increased risk of developing piles.

Treatment for piles can include lifestyle changes, creams, and medical procedures if necessary. To prevent piles, the patients are required to maintain a healthy lifestyle, eat fiber-rich foods, exercise, avoid sitting or standing for long periods, and have good toilet habits.

It is one of the most common anorectal conditions, but people feel ashamed talking about it. Studies show that 1 out of 4 people are diagnosed with piles at some point in their lives. If piles are left untreated, it can lead to various severe complications.

So, if you are also diagnosed with piles or suspect that you may have it, don’t wait. Contact us and schedule your appointment with the best proctologists in Adoor, near you for effective piles treatment.

Best Piles Doctor in Adoor

Dr. Nobby Manirajan

Dr. Nobby Manirajan

MBBS, MS-General Surgery, FMAS, FIAGES

7 Years Experience Overall

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We are number one clinic in the city for treatment –

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Experienced and Expert Doctor

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Paper work from admission to discharge in hospital

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Treatment with state-of-the-art laser equipment

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Benefits of all types of insurance

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Best Piles Clinic in Adoor

Piles Clinic, Pettah

Piles Clinic, Pettah

Pallimukku, Pettah, Thiruvananthapuram

All Days - 10:00 AM to 8:00 PM

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Reviews of treated patients


Bawaseer ki laser surgery se operation ke 3 din baad main acchee tarah se chal paa raha hu aur latrin karne men koi dikkat nahi hoti.



Thank you so much, Mera Bahut acche se upchar hua. thanks to doctor for giving such treatment.



Main piles se 2 saal se pareshan tha, thank you to the team, laser surgery ke 2 din baad main sabhi normal kaam kar paa raha hu. Doctor ne poori dekhbhal ki


Cause :

  • Sitting in one place for a long time
  • Chronic Constipation
  • Spicy Food
  • Less Water
  • Drinking Fiber Deficiency
  • Injury to the Anal Area
  • Rectal Prolapse

Symptom :

  • Itching in the Anal Area
  • Bleeding during Bowel Movements
  • pain in the Anal Region
  • Burning in the Anal Area
  • Pain on Sitting

Eligibility for laser treatment of Piles

If the following symptoms are seen in the patient, then the doctor may recommend laser treatment of piles-

  • If the Piles are in the last stage of grade 2
  • If the patient has grade 3 piles
  • Patient is in early stage of grade 4

Symptoms of Piles

  • Painful lumps around the anus
  • Pain during bowel movement
  • Bleeding
  • Fecal incontinence

Types of Piles Treatment Available in Adoor

  • Rubber Band Ligation
  • Sclerotherapy
  • Infrared Photocoagulation
  • Electrocoagulation
  • Laser Hemorrhoidectomy

Foods to Eat in Piles

  • Berries
  • Sweet potatoes
  • Potatoes
  • Broccoli
  • Tomatoes
  • Citrus fruits

Foods to Avoid in Piles

  • Deep-fried and processed food items
  • Spicy food
  • Alcohol
  • Dairy products.
  • Unripe fruits
  • Refined grains
  • High salted foods

Why Choose Us For Piles Treatment in Adoor?

We are one of the leading surgical treatment providers for anorectal diseases, including piles (hemorrhoids). We are associated with the top hospitals in Adoor to deliver a seamless treatment experience to all patients at affordable prices. We house a team of expert proctologists who are highly experienced and trained in diagnosing and treating anorectal conditions. Here are some more reasons to choose us for your piles treatment:

  • Our proctologists are highly trained and have more than 10 years of hands-on experience in performing surgeries.
  • We offer multiple payment options such as no-cost EMI, cash, cards etc.
  • We provide a dedicated care coordinator to each patient to assist them throughout their treatment journey.
  • We provide FREE cab service to the patient on the day of surgery.
  • Our insurance team provides complete insurance assistance.

If you are also suffering from piles, don’t suffer any longer. Contact us and undergo a safe and effective piles laser surgery in Adoor at affordable prices.

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Diagnosis Available for Piles in Adoor

Diagnosis of Piles

Doctors usually recommend some diagnostic tests before chalking out the suitable piles treatment plan, to assess the severity of the condition and rule out underlying health conditions. Here’s an overview of the standard diagnostic tests performed before the surgery:

Medical History

During the consultation, your doctor will inquire about your symptoms, such as pain, itching, and bleeding. They may also ask about your history of previous occurrences of piles.

Digital Rectal Exam (DRE)

In certain situations, the doctor might recommend a Digital Rectal Examination (DRE), where they insert a lubricated and gloved finger into the rectum to examine for lumps or any other irregularities.

Anoscopy or Proctoscopy

These procedures involve utilizing a small, illuminated tube (anoscope or proctoscope) to examine the anal canal and rectum closely. This examination helps determine the location, size, and severity of piles, assisting in formulating the appropriate treatment plan.


In this procedure, the doctors use a sigmoidoscope, a lighted tube with a camera, to view the lower colon and rectum. It aids in identifying conditions such as piles and comes in flexible and rigid variations.


A colonoscopy examines the large intestine for abnormalities, including rectal bleeding from piles or other causes. It helps exclude serious issues and assists the doctor in suggesting the appropriate treatment for piles.

Surgery for Piles

Rubber Band Ligation

Rubber band ligation is a procedure used to treat hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid, which cuts off its blood supply. Over time, the hemorrhoid shrinks and falls off. This procedure can be performed in a doctor’s office. It is effective for treating internal hemorrhoids that do not respond to other treatments. However, like any medical procedure, there can be risks and complications, so it is important to consult with an experienced proctologist before undergoing rubber band ligation.


Sclerotherapy Sclerotherapy is a non-surgical method to reduce piles. In this procedure, the surgeon injects a solution (sclerosant) into the hemorrhoid, which causes it to eventually shrink or shrivel off. This procedure is usually performed for internal piles. As this is a non-surgical procedure, it offers faster recovery than any other surgical procedure.

Infrared Photocoagulation

Infrared Photocoagulation: Infrared photocoagulation is a medical procedure used to treat hemorrhoids. This procedure involves the application of infrared light to produce heat and shrink piles lumps. This is a less invasive procedure and offers quick recovery.


In this procedure, the surgeon uses an electric current to destroy the piles. It involves the use of a proctoscope to locate the piles and a probe to deliver the current to the piles and help them shrink. The purpose of this procedure is to thicken the blood and cauterize at its base. Recovery time after this procedure may vary for each individual, depending on the severity of the condition.

Laser Hemorrhoidectomy

Laser hemorrhoidectomy is a surgical procedure used to treat hemorrhoids. It involves the use of a laser beam to remove or shrink the hemorrhoidal tissue. This minimally invasive technique provides precise and targeted treatment, resulting in reduced pain and faster recovery compared to traditional hemorrhoidectomy methods.

What is the Difference Between Open, Laser and Stapler Surgery for Piles?

Here’s a comparison table showing the difference between Open, laser and stapler surgery.


Open surgery

Laser surgery

Stapler surgery


General anesthesia

Local anesthesia

General anesthesia


One or more incisions

No incisions

Minimal incisions


Excises surgically

Vaporized using laser energy.

Removed using stapler device

Recovery period

Longer recovery period

Faster recovery

Faster recovery

Post-operative complications

High chances of bleeding, infection, pain, wound etc

Minimal chances of complications

Less chances of complications than open surgery.


Range from INR 35,000 to Rs. INR 95,000

Range from INR 45,000 to INR 55,000

Range from INR 60,000 to INR 1.15,000

Grades of Piles and Eligibility for Laser Treatment

Home remedies can alleviate piles symptoms but can’t provide permanent relief. Surgery is the most effective option to cure piles. Doctors will suggest the best suitable option based on the severity of the condition and the individual’s overall health.

Below mentioned are the grades of piles and their treatment options. Piles is classified into four grades depending on the severity of the condition.

Grade I: Grade I piles is the initial stage of the piles developed inside the lining of the anus. It can be managed by medications and home remedies.

Grade II: Grade II piles are internal piles. It can protrude through the anus during constipation or straining but do not prolapse permanently. Doctors may recommend medications to manage the condition but laser piles surgery is the best option to treat grade II piles.

Grade III: This grade refers to piles that are permanently prolapsed and cannot be put back into position. Medicines or conservations methods is not a recommendable option for 3rd grade piles. Doctors may recommend either laser or open surgery depending on the severity of the condition and individual’s health condition.

Grade IV: Grade IV piles is the most severe condition of the piles. Grade IV piles remain outside the anus and cause pain, discomfort and bleeding.

Grade of Piles


Grade I

Home remedies, medicines and lifestyle changes

Grade II

Medicines and laser surgery

Grade III

Either laser or open surgery (suggested by the doctor)

Grade IV

Open piles surgery

Tips to Prepare for the Surgery

Before undergoing any surgery, you must be well aware of the procedure, its benefits, recovery tips etc. Some preparation tips mentioned below may help you prepare for the piles laser surgery:

  • Have a proper discussion with the surgeon before the surgery to know everything about the procedure, its benefits etc. You must be well aware of the risks and complications associated with the procedure.
  • If you have any kind of allergy, make sure that your doctor is aware of it before proceeding with the procedure.
  • Take all the medicines on time as prescribed by your doctor.
  • Your doctor may give you instructions regarding fasting the night before the surgery. Make sure you don’t eat anything for 7 to 8 hours before the procedure.
  • Quit smoking and alcohol intake for up to a week prior to the surgery. It may cause complications during and after the procedure.
  • Wear loose-fitting and comfortable clothes which are easy to carry on the day of the surgery.

Tips to Recover After Piles Laser Surgery

Usually, the doctors advise patients to rest for 2 to 3 days after their piles surgery and they can then return to their normal routine within a week. There are several things one can do to speed up recovery after their piles surgery. Here are some tips you should follow to speed up your recovery post piles treatment:

  • Take prescribed pain medications as directed to manage discomfort.
  • Use ice packs or cold compresses to reduce swelling and relieve pain.
  • Maintain good hygiene by gently cleaning the surgical area with warm water after bowel movements.
  • Avoid straining during bowel movements by consuming a high-fiber diet and staying hydrated.
  • Take short walks regularly to promote blood circulation and prevent constipation.
  • Use over-the-counter hemorrhoid creams or ointments to soothe itching and irritation.
  • Avoid sitting or standing for prolonged periods, and use a cushion or donut-shaped pillow for added comfort.
  • Limit heavy lifting and strenuous activities to prevent additional strain on the surgical area.
  • Follow the post-operative care instructions provided by your surgeon to ensure proper healing.
  • Attend all scheduled follow-up appointments to monitor your progress and address any concerns.

Ways to Prevent Piles

Piles can affect anyone at any given point in time. However, there are several things one can do to prevent this condition from occuring in the first place:

  • Maintain a healthy weight through regular exercise and eating a balanced diet. Add legumes, split beans, whole grains, barley, fresh fruits and vegetables to your diet and avoid spicy and fatty foods.
  • The best way to prevent sitting or standing for prolonged periods of time is to take breaks and move around during this time.
  • Stay hydrated by drinking plenty of water throughout the day. Try to drink 7-8 glasses of water each day, this will not only prevent piles but keep your entire body fit.
  • In order to reduce unnecessary strain on the veins in your lower abdomen, you should maintain a good posture.
  • Avoid lifting heavy objects or straining your abdomen. Instead, try mild exercises on a daily basis.
  • Incorporate regular exercise that promotes blood flow, such as walking or swimming.
  • Do not ignore the urge to have a bowel movement. When you have to go, just go.
  • Sit on a cushion or a soft surface to reduce pressure on the area around the pelvis in order to maintain good health.
  • Avoid excessive consumption of alcohol and tobacco, as they can contribute to piles.

Benefits of Piles Laser Surgery

Piles laser surgery offers various benefits over traditional surgeries. Here are some common benefits of piles laser surgery:

  • Minimally invasive procedure: It is a minimally invasive procedure that involves small incisions to treat hemorrhoids, causes less pain, and ensures faster recovery.
  • Reduced postoperative pain: This is a minimally invasive procedure that causes less trauma to the body and inflicts less pain and discomfort compared to traditional surgical methods.
  • Faster recovery: Piles laser surgery performed through small incisions, which offers faster and safe recovery as compared to other traditional methods.
  • Reduced risks of infection: Piles laser surgery is performed with using a laser, which causes less damage to the surrounding tissue and reduces the risk of infection and bleeding after the procedure.
  • Precise treatment: Precise targeting of the laser allows for more effective removal of hemorrhoids.
  • Less scarring: Minimal scarring, as the laser seals blood vessels during the procedure.
  • Short hospital stay: Piles laser surgery is an outpatient procedure that doesn’t generally request with most patients able to return home the same day.
  • Less recurrence rate: In comparison to other treatment options, piles laser surgery is precise and results in low recurrence rates.
  • Improved quality of life: Patients experience relief from symptoms such as itching, bleeding, and pain after the surgery.
  • Safe and effective option: It is the best option for patients who are not suitable candidates for traditional surgery.

Frequently Asked Questions

Which doctor to consult for piles surgery in Adoor?

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You should consult an experienced proctologist in Adoor for anorectal issues.

What can happen if piles is left untreated?

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If piles is left untreated, it can cause various complications. Hemorrhoids can become larger and more painful, leading to discomfort and difficulty in daily activities. In severe cases, untreated piles can result in bleeding, infection, and even thrombosis. It is important to seek medical attention to prevent these potential consequences.

Which is the best treatment for piles?

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Laser piles surgery (hemorrhoidectomy) is presently considered the best treatment for piles.

Is there any other treatment option for piles than surgery?

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No, lifestyle changes or medicines can relieve pain and discomfort associated with piles but can not permanently cure the problem. Surgery is the only way to treat piles.

How much time will it take to recover from laser surgery?

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You will take only 2-3 days to recover after the laser piles surgery. You can return to your normal activities within a week after the procedure.

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