Author Archives: Dr. N. S. Babu

Are you suffering from pain, itching, or bleeding during bowel movements? You are not alone. Hemorrhoids, commonly known as piles(Bawasir), affect millions of people, yet many suffer in silence due to embarrassment or the fear of surgery.

The most common question patients ask at Hills Gastro & Onco Care is: “Doctor, can I get rid of piles without an operation?” The good news is that surgery is not always necessary. In fact, nearly 80% to 90% of hemorrhoid cases can be treated with medication, lifestyle changes, and non-invasive office procedures.

Dr. N. Subrahmaneswara Babu, a leading Surgical Gastroenterologist in Hyderabad and Consultant at Apollo Hospital, explains that with early detection, you can effectively shrink hemorrhoids and stop the bleeding. This guide covers the best medicine for hemorrhoids, home remedies, and non-surgical treatments to help you get your life back.

Before discussing how to cure hemorrhoids, it is important to understand what type you have. Hemorrhoids are swollen veins in your lower rectum and anus, similar to varicose veins.

Internal Hemorrhoids

These are located inside the rectum. You usually cannot see or feel them.

• Symptoms: They are often painless but result in bleeding hemorrhoids during bowel movements. You might see bright red blood on the tissue or in the toilet bowl.
• Prolapse: In severe cases, they may push through the anal opening (prolapsed hemorrhoid), causing pain and irritation.

External Hemorrhoids

These are under the skin around your anus.

• Symptoms: These are the most uncomfortable. They cause itching, swelling, and severe pain.
• Complication: If blood pools in an external hemorrhoid and forms a clot (thrombosed hemorrhoid), it causes severe, sudden pain and a hard lump near the anus.

Many patients ask, “Will hemorrhoids go away on their own?”
The answer is yes and no. Small, mild hemorrhoids may clear up on their own within a few days if you stop straining and eat a high fiber diet. However, chronic or large piles rarely disappear without some form of intervention.

If left untreated, they can worsen, leading to excessive bleeding (anemia) or becoming strangulated (cutting off blood supply). Self-treat hemorrhoids early to prevent them from becoming a surgical case.

If you are looking for how to get rid of piles naturally and medically, Dr. N. Subrahmaneswara Babu expert piles specialist in Hyderabad recommends a multi-step approach.

1. Home Treatment for Hemorrhoids

Home remedies for piles are the first line of defense.

• Sitz Baths: Soaking your bottom in warm water for 15 minutes, 2-3 times a day, is the best at-home hemorrhoid remedy. It relaxes the sphincter muscle and boosts blood flow to heal hemorrhoids fast.
• Cold Compresses: Apply ice packs or cold compresses to the anus to reduce hemorrhoid swelling and numb the pain.
• Don’t Scratch: Itching is common, but scratching damages the skin and worsens the problem.

2. Diet Changes That Shrink Hemorrhoids

The root cause of piles is usually constipation. If you fix your digestion, you fix the piles.

• Eat Fiber-Rich Foods: A high fiber diet for hemorrhoids (fruits, vegetables, whole grains) softens the stool.
  Stay Hydrated: Drink at least 3-4 liters of water daily.
• Fiber Supplements: If you can’t get enough from food, psyllium husk for hemorrhoids (Isabgol) is excellent for softening stool so you can poop without straining.

When home remedies aren’t enough, medical intervention helps. Dr. N. S. Babu often prescribes specific hemorrhoid drugs to manage symptoms.

Over-the-Counter (OTC) Hemorrhoid Medications

• Creams and Ointments: Products containing hydrocortisone or lidocaine can temporarily relieve pain and itching. These are effective external hemorrhoid medicine.
• Vasoconstrictors: Medicines that tighten blood vessels can help shrink hemorrhoids and reduce swelling.
• Witch Hazel: Pads containing witch hazel provide immediate itch relief for hemorrhoids.

Prescription Medicines

For stubborn cases, a doctor may prescribe:

• Stronger Steroid Creams: To reduce inflammation rapidly.
• Stool Softeners: To prevent constipation and straining.
• Oral Flavonoids: These tablets improve blood circulation and venous tone, helping to cure internal hemorrhoids from the inside.

Note: Always consult a specialist doctor for hemorrhoids before using steroid creams for more than a week, as they can thin the skin.

Seeing blood in the toilet can be scary. To treat bleeding hemorrhoids:

• Avoid Straining: This is the #1 rule. Straining forces the swollen veins to burst.
• Keep the Area Clean: Gently pat the area with moist wipes or use a sitz bath. Avoid dry, rough toilet paper.
• Topical Creams: Use creams specifically designed to coat the area and protect it during bowel movements.
• Visit the Doctor: If bleeding continues for more than a couple of days, visit Hills Gastro & Onco Care. We need to rule out other causes like fissures or polyps.

External hemorrhoids can be very painful. To treat them:

• Keep it dry: Moisture can irritate. After washing, gently pat the area dry.
• Wear loose clothing: Tight underwear traps sweat and irritates the swelling.
• Topical Analgesics: Use creams to numb the area before a bowel movement.
• Thrombosis Management: If a painful clot forms, see a doctor immediately. While this sometimes requires a minor cut to drain the blood, it is a simple bedside procedure, not major surgery.

Since internal piles are inside, creams might not reach them effectively.

• Suppositories: These are solid medicines inserted into the rectum. They melt and deliver medication directly to the internal hemorrhoid cure site.
• Don’t Delay Pooping: When you feel the urge, go immediately. Holding it in makes the stool hard and the piles worse.
• Squatty Potty: Using a stool to raise your legs while on the toilet changes the angle of the rectum, allowing for easier passage of stool without straining.

Patients often ask, “How to shrink hemorrhoids fast?” because the discomfort is unbearable.

• Alternating Heat and Cold: Use a sitz bath followed by an ice pack.
• Rest: Lie down with your hips elevated on a pillow to reduce pressure on the anal veins.
• Anti-inflammatories: Taking NSAIDs (like Ibuprofen) can help reduce pain and swelling (consult your doctor first if you have bleeding).

Treating them is one thing; preventing recurrence is another.

• Weight Loss: Excess weight puts pressure on the pelvic veins.
• Exercise: Regular walking helps keep bowels moving. Avoid heavy weightlifting (squats) if you have active piles.
• Limit Time on Toilet: Do not read or scroll on your phone on the toilet. Sitting too long increases pressure on the anus.

If medicines and diet don’t work, Dr. N. Subrahmaneswara Babu offers non-surgical treatments for hemorrhoids at Hills Gastro & Onco Care. These are outpatient procedures (no hospital stay required).

1. Rubber Band Ligation (RBL): The doctor places a small rubber band around the base of the internal hemorrhoid to cut off its circulation. The hemorrhoid withers and falls off within a week. This is the most effective non-surgical treatment.
2. Sclerotherapy (Injection): A chemical solution is injected into the hemorrhoid tissue to shrink it. Best for smaller, bleeding piles.
3. Infrared Coagulation (IRC): Uses heat to create scar tissue, cutting off the blood supply to the hemorrhoid.

While we strive to eliminate hemorrhoids without surgery, an operation might be needed if:

• You have Grade 3 or Grade 4 prolapsed hemorrhoids that cannot be pushed back in.
• You have persistent, heavy bleeding leading to anemia.
• Strangulated hemorrhoids (emergency condition).

In such cases, advanced options like Stapled Hemorrhoidopexy or Laser Hemorrhoid Surgery are available in Hyderabad, which are minimally invasive and offer quick recovery.

No. Most patients can cure hemorrhoids treatment effectively with early medical intervention and lifestyle changes. You do not have to live with the pain.

At Hills Gastro & Onco Care, Dr. N. Subrahmaneswara Babu Gastroenterolgist in Hyderabad specializes in diagnosing and treating piles with the least invasive methods possible. His goal is to get you pain-free without the need for major surgery whenever possible.

Don’t wait for the pain to get worse. Book an Appointment Today with the best piles specialist near you at Hills Gastro & Onco Care.