Piles are swollen blood-filled cushions inside or around the anus. Everyone has these cushions; they become piles when constipation, straining, long toilet sitting, pregnancy or a low-fibre diet make them swell and slip down.
Piles are graded 1 to 4. Grades 1–2 often improve with fibre, water and medicines. Grades 3–4 come out and may not go back — these usually need treatment for lasting relief. Read the early signs of piles.
See a doctor urgently if: heavy bleeding, a very painful hard lump, dark or black stools, weight loss or anaemia — read blood in stool: piles or something serious?
The right treatment depends on the grade and type of your piles. Here is how options compare:
| Option | Best for | Recovery |
|---|---|---|
| Diet, fibre, medicines, sitz bath | Grade 1–2 piles | Ongoing care |
| Laser hemorrhoidoplasty | Most grade 2–3 and selected grade 4 | Desk work in 2–4 days |
| Stapler (MIPH) | Large, circumferential prolapsing piles | About 4–7 days |
| Open hemorrhoidectomy | Large external piles, skin tags | 1–3 weeks |
Many patients have piles together with a fissure or fistula — all can usually be treated in one sitting. Compare in stapler vs laser and laser vs open surgery.
Read more about Dr. Bhupendraa Prrasad.
Procedure and home the same day for most patients.
Mild soreness; first stool with a softener; sitz baths.
Back to desk work for most people.
Full healing; gym and heavy lifting after review.
Every patient is different — your own timeline is explained at consultation.
The cost depends on the grade and number of piles, any combined fissure/fistula treatment, anaesthesia, room category and tests. A clear estimate is given after examination — no hidden extras.
Most health insurance policies cover laser piles surgery after the policy's waiting period (commonly 1–2 years for piles). The hospital desk can guide you on cashless approval. Read what decides the cost and insurance coverage.
Patients come to Bombay Hospital, Vijay Nagar for piles treatment from all parts of Indore — Vijay Nagar, Scheme 54, Nipania, Bhawarkuan, Palasia, Rajwada, Rau — and from nearby towns across Malwa and Nimar.
Call or WhatsApp to book an OPD time at Bombay Hospital, Vijay Nagar, Indore — or send your reports for an opinion.