Best General Physician For piles in Kathmandu

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Also known as Haemorrhoids


Haemorrhoids are enlarged/dilated veins around the rectum. They are of two kinds, internal and external. Internal haemorrhoids occur in the veins just inside the rectum. They are usually not painful, but may bleed and protrude outside. External haemorrhoids involve the veins outside the anus and can be felt as a painful swelling or hard lump near the anus. They are often itchy and may crack and bleed. Sometimes clots will form in the veins making them swollen and painful, called as thrombosed haemorrhoids.



  • Rectal bleeding, usually bright red, at the time of bowel movement.
  • Anal pain, especially during bowel movements.
  • Anal itching or burning.
  • One or more hard tender lumps near the anus.


Various factors can lead to the development of haemorrhoid problems:
- Pregnancy- this increases the pressure in the haemorrhoidal veins.
- Constipation/ Straining to have a bowel movement.
- Obesity.
- Anal infections.
- Sitting for long periods of time.


- Physical examination
- Sigmoidoscopy
- Anoscopy
- Colonoscopy


Treatments for haemorrhoids include:

- Medicated creams and suppositories
- Stool softeners
- Sitz bath

In severe cases a surgical intervention might be required
The techniques include-
- Banding
- Sclerotherapy
- Coagulation (Infrared/Laser)
- Haemorrhoidectomy
- Stapler Haemorrhoidectomy
- HAL with RAR (Haemorrhoidal artery ligation with Recto anal repair)

You may also like to learn about:

Anal fissure
Fistula in ano
Ulcerative colitis
Crohns disease
Irritable bowel syndrome

Best Doctors from GENERAL MEDICINE DEPARTMENT in  Kathmandu
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What therapy or treatment should I go for piles?
I have internal n external piles I m having excessive bleeding whenever I go ...
Male 21 , Jaipur
06 26 Mins Ago
Need good doctors For Internal and External Piles in Mumbai.
For Internal and External Piles..Pls tell which surgery is good.if then how man...
Male 28 , Coimbatore
23 1 Day Ago
I am in maharashtra suffering from piles, suggest best laser surgery centre in mumbai or pune
I am in maharashtra suffering form internal bleedin piles since 12 years so adv...
Male 36 , Miraj
28 1 Day Ago
I am 31 year old male, suffering from piles. pl suggest best option
I am 31 year old male, suffering from grade 2-3 internal Piles, it bleeds inter...
Male 31 , Pune
28 1 Day Ago
My friend suffering from piles. Pl suggest operation charges and time required
My friend suffering from piles proble and in 2nd stage. please shuggest the ope...
Male 26 , Gurgaon
47 2 Day Ago