Piles Doctor in Kolkata- Laser Surgery for Piles

What are Piles?

As explained by the piles doctor, piles or haemorrhoids are a swollen collection of veins and tissues in your anus and lower rectum. Piles vary in size and can be located inside or outside the anus. Piles situated at 2 and 4 centimeters above the anal opening are known as Internal Hemorrhoids. The ones found on the outside edge of the anus are known as External Haemorrhoids.

Haemorrhoids Grades

Piles or Haemorrhoids can be classified into four grades – as discussed by the best piles doctor

  • Grade 1: Small inflammations, usually inside the lining of the anus.
  • Grade 2: These are larger than grade one piles. They remain inside the anus; however, they may get pushed out during defecation. They return unaided.
  • Grade 3: These appear outside the anus and are known as prolapsed haemorrhoids. An individual with grade three piles may feel them hanging from the rectum; however, they can be easily re-inserted.
  • Grade 4: Grade four piles grow large and remain outside of the anus. These cannot be pushed back in and require treatment. External piles develop small lumps outside on the edge of the anus. They feel itchy and can turn painful if a blood clot forms and blocks the flow of blood. Clotted external piles require immediate medical attention.

How to tell that you have piles?

According to Dr. Purnendu Bhowmik, considered to be the best piles Surgeon in Kolkata, you are likely to have piles, if you experience

Itching or irritation in your anal region

Pain or discomfort

Swelling around your anus

Bleeding per rectum

Symptoms of Piles

Dr Purnendu Bhowmik, the best piles doctor in Kolkata, lists the symptoms an individual with piles may experience. Typically, piles symptoms are not a cause of concern. The issue usually resolves on its own within a few days.

  • A hard, painful lump around the anus.
  • The bowel may feel full even after defecation.
  • Discharge of bright red blood with stool.
  • The area surrounding the anus feels itchy and sore
  • Pain during defecation.

These symptoms can, however, turn severe and cause significant health issues. The severe symptoms include –

  • Excessive anal bleeding, causing anaemia.
  • Infection or a blood clot due to strangulated haemorrhoid
  • Faecal Incontinence (inability to control bowel movements)
  • Anal Fistula

When to see a doctor?

If you have bleeding during passage of stool or you have piles that does not improve even after a week of home care, talk to the best piles doctor in Kolkata.
(Do not assume every per rectal bleeding to be due to hemorrhoids, especially if it is associated with change in bowel habit and or change of stool color and/or consistency. Bleeding in your rectum may occur with other conditions, including colorectal cancer and anal cancer.)

How to prevent piles?

The best way you can prevent piles is by avoiding constipation and by keeping your stool soft. You can follow these tips:

Eat high-fiber foods

Drink plenty of fluids

Consider fiber supplements

Go as soon as you feel the urge

Don’t strain


Avoid long periods of sitting

Popular Questions Regarding Piles

Dr Purnendu Bhowmik answers the six most popular questions regarding piles.

1. Do haemorrhoids ever resolve spontaneously?

Small haemorrhoids can disappear without any treatment within a few days. However, larger piles require medical or surgical treatment to cure. If you experience symptoms which refuse to improve with home remedies within a few days, it is best to consult a doctor for piles treatment in Kolkata.

2. What happens if you leave a hemorrhoid untreated?

If left untreated, piles can increase in size, and protrude out of the anus. It can cause irritation, severe bleeding and other severe health complications.

3. Is piles curable or not?

Piles are treatable and curable if managed properly.

4. Is laser piles treatment in Kolkata safe?

Absolutely. Laser procedure for piles is absolutely safe in the hand of a qualified & well-trained laser surgeon.

5. Can laser piles surgery remove/cure hemorrhoids?

Hemorrhoid laser procedure (LHP) is a new technique in which haemorrhoidal arterial flow feeding the haemorrhoidal venous plexus is stopped by laser coagulation. Laser piles surgery, when applicable, is preferable over other form of treatment as it is a bloodless & painless procedure with fast recovery time.

6. How painful is laser haemorrhoid surgery?

Laser haemorrhoid surgery, is painless or in some cases, minimally painful.

What are the advantages of laser piles surgery over conventional surgical procedures?


Why choose Laser Piles Surgery?

Dr Purnendu Bhowmik, the best laser surgeon in Kolkata, lists why you should choose laser piles surgery.

  • Minimal Blood Loss
  • Minimal Pain
  • 30-minute procedure
  • Quick Recovery
  • Low chance of damaging other tissues
  • Precise Treatment
  • Minimal recurrence, high success rate
  • No need for prolonged medication
  • No anal stenosis, no constipation

What our patients say

Causes of Piles

Pressure in the lower rectum is the leading cause of Piles. Dr Purnendu Bhowmik, a piles specialist in Kolkata, explains that when the blood vessels in the rectum and around the anus expand under pressure, it swells and bulges, forming piles.

Conditions which facilitate the development of Piles are –

  • chronic constipation
  • chronic diarrhoea
  • heavy weight lifting
  • pregnancy
  • straining while defecating
  • family history of piles


A piles doctor will usually ask these five questions to evaluate whether a person may have piles –

  1. Do any of your close relatives have piles?
  2. Have you noticed any blood or mucus in the stools?
  3. Did you go through a recent weight loss?
  4. Have your bowel movements changed recently?
  5. What colour are your stools?

Upon asking these questions, if the doctor suspects piles, a physical examination will be carried out.

  • Digital Rectal Examination (DRE) – During a DRE, a doctor will gently insert a lubricated, gloved finger inside the anus and feel for any abnormalities.
  • Proctoscope – A proctoscope is a hollow tube with a light at the end. It lets the doctor examine the anal canal up close.
  • Colonoscopy – A doctor might recommend a colonoscopy if you have piles and present signs and symptoms suggesting another digestive system disease or colorectal cancer.


There are many treatment options for piles, says Dr Purnendu Bhowmik, the best piles surgeon in Kolkata.

Lifestyle Changes

Upon piles diagnosis, a doctor will initially recommend some lifestyle changes to manage the symptoms.

Diet: Constipation is one of the primary causes of piles. Therefore, a change in diet will keep stools soft and facilitate bowel movement. This involves eating more fibre such as fruits and vegetables, or primarily eating bran-based breakfast cereals.

Water consumption should also be increased and it is best to avoid caffeine.

Bodyweight: Losing weight helps reduce the severity of piles. Doctors, therefore, recommend exercising as one of the leading therapies for piles.


Over the counter medications like painkillers, ointments, creams, and pads can help manage piles symptoms. If a person suffers from constipation, laxatives will also be prescribed by the doctor.

Surgical Options

  • Banding: An elastic band is attached at the base of the haemorrhoid to cut off its blood supply. The haemorrhoid falls off on its own after a few days. The procedure is effective for treating all haemorrhoids that are less than grade four.
  • Sclerotherapy: The procedure is an alternative to banding and is effective for grade two and three haemorrhoids. The methods include the injection of a medicine into the haemorrhoid to make it shrink.
  • Haemorrhoidectomy: In this procedure, the excess tissue causing the bleeding is surgically removed. The surgery is done through a combination of a local anaesthetic, a spinal anaesthetic, or a general anaesthetic. This procedure is the most effective for completely removing piles. However, there are risks of complications involved like difficulty with passing stools and urinary tract infections.
  • Haemorrhoid stapling: The method aims to cut off blood flow to the haemorrhoid tissue. Compared to haemorrhoidectomy, this procedure is usually less painful. However, it increases the risk of piles recurrence and rectal prolapse (part of the rectum pushes out of the anus).
  • Laser piles surgery: This method involves the use of a device to burn and shrink the haemorrhoid tissue. Laser Piles Surgery is used to treat grade one and two haemorrhoids.

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