Laser Piles Treatment in Gopalganj: Laser and MIPH Stapler Surgery

Yes, in many cases. Grade 1 and most grade 2 piles usually settle with a high-fibre diet, plenty of water, stool softeners, warm sitz baths and the medicines we prescribe. Avoid straining and do not sit on the toilet for long. We usually advise a procedure when piles keep coming out and have to be pushed back (grade 3 or 4), or when bleeding continues despite proper treatment.

After a private examination and routine tests, we give you anaesthesia, usually spinal, so the lower body is numb. A thin laser fibre is passed into each pile through a tiny opening, and controlled laser energy shrinks the pile from inside. There is no large cut outside the anus. For big prolapsing piles, we may choose MIPH stapler surgery instead. Dr. Thakur explains which method suits your grade before the day of surgery.

The procedure usually takes 20 to 45 minutes. Most patients stay with us about 1 day, and some go home the same day. You can walk the same day. Some swelling, fullness or a little bleeding for a few days is common. Most people return to light work in about a week and avoid heavy lifting for 2 to 3 weeks. Full healing takes a few weeks, and our surgeon guides you based on your condition.

No procedure is completely painless, but most of our patients feel less pain after laser or MIPH than after conventional piles surgery, because no large wound is made on the sensitive skin outside the anus. We give pain medicines after surgery. Some swelling, fullness or discomfort for a few days is common and usually settles. Our surgeon will explain what to expect in your case.

It depends on the grade and size of your piles. Laser often suits grade 2 and grade 3 piles, especially when bleeding is the main problem. MIPH suits many grade 3 and some grade 4 piles that come out and need pushing back. Very large external piles or big skin tags may need conventional surgery. No single method suits everyone, so our surgeon decides after examining you.

Home care does help early piles: fibre, isabgol, plenty of water, warm sitz baths and not straining. Medicines prescribed by a doctor can control bleeding and swelling. But no cream, powder or desi nuskha can remove grade 3 or 4 piles that keep coming out. Please be careful of anyone who promises a guaranteed permanent cure without a proper examination or a medical degree. Bleeding can also come from other problems, so get checked by a qualified surgeon.

The cost depends on the method (laser, MIPH stapler or conventional surgery), the tests needed, the type of anaesthesia, the number of days in hospital, the room you choose and the medicines after discharge. We do not quote a figure without examining you. After the consultation and reports, we give you a clear written estimate before admission. You can send your reports on WhatsApp to +91 72739 94786 to begin.

We are empanelled under Ayushman Bharat PM-JAY for general surgery and laparoscopic surgery packages. Whether your piles treatment and the chosen method are covered depends on the scheme's package list and your eligibility. Please bring your Ayushman card and Aadhaar card, and ask our Ayushman help desk to check before admission. For other patients, we explain the expected cost clearly before admission, so there are no surprises.

Eat soft, home-cooked food with plenty of fibre: dal, roti, green vegetables, fruits such as papaya and banana, and salad. We may advise isabgol to keep the stool soft. Drink enough water through the day. For the first few weeks, avoid very spicy and fried food, maida items and alcohol, and do not strain on the toilet. Keeping these habits for life lowers the chance of piles coming back.

Yes, piles can come back in some patients after any method, and a little more often after laser or MIPH than after conventional haemorrhoidectomy. The chance is lower if you prevent constipation for life: eat fibre, fruits and green vegetables, drink enough water, stay active, and do not strain or sit long on the toilet. Regular follow-up with us helps catch any problem early.

We advise choosing a qualified surgeon who examines you properly and can offer every option, from medicines to laser, MIPH and conventional surgery, so that the method fits your piles. Dr. R.K. Thakur, our founder and chief surgeon, MS (General Surgery), is a laparoscopic, laser, urology and general surgeon with 16+ years of surgical experience and 10,000+ surgeries, including experience at IGIMS Patna and Lady Hardinge Medical College, New Delhi. You can read our patients' reviews on Google.

Yes. Our hospital is in Gopalganj, on Kamla Rai College Road, Arar, a short journey from Siwan, and patients regularly come to us from Siwan, Chhapra, Motihari, Bettiah, Kushinagar and Deoria. We perform laser, MIPH stapler and conventional piles surgery here. Please send your reports on WhatsApp to +91 72739 94786, then visit our OPD, Monday to Friday, 10 am to 7 pm. Many patients go home the same day or the next day.