Internal piles, medically known as hemorrhoids, are a common anorectal condition that affects thousands of people in Ahmedabad and surrounding areas, including Sabarmati, Motera, Chandkheda, Ranip, and Vadaj. Despite their prevalence, many individuals hesitate to seek medical help due to embarrassment or lack of awareness.
Shah Piles Hospital is one of Ahmedabad’s leading centers for the treatment of internal piles, offering modern, painless, and highly effective solutions under the guidance of Dr. Niket Shah and Dr. Devendra Shah. This blog provides a comprehensive guide to understanding internal piles, symptoms, causes, modern treatment options, and the advantages of laser surgery.
Internal piles are swollen veins located inside the rectum. Unlike external piles, they are often painless and may go unnoticed until bleeding occurs. They can gradually enlarge and prolapse outside the anal opening if left untreated.
Internal piles are classified into four grades:
Grade 1:
Small internal hemorrhoids with no prolapse.
Grade 2:
Prolapse during bowel movements but retract automatically.
Grade 3:
Prolapse that requires manual repositioning.
Grade 4:
Prolapsed and cannot be pushed back; usually requires surgical intervention.
Understanding the grade is critical to selecting the appropriate treatment.
While internal piles are often painless, they can cause significant discomfort and complications if ignored. Common symptoms include:
Bleeding during stools – bright red blood on toilet paper or in the bowl
Protruding mass – piles may appear outside anus during bowel movements
Mucus discharge – sticky discharge causing irritation
Feeling of incomplete evacuation – sensation of incomplete bowel emptying
Mild itching or irritation – sometimes associated with prolapsed hemorrhoids
If you notice any of these symptoms, it’s essential to consult an experienced piles specialist like Dr. Niket Shah or Dr. Devendra Shah at Shah Piles Hospital.
Internal piles develop due to increased pressure in the lower rectum. Common contributing factors include:
Chronic constipation or diarrhea
Straining during bowel movements
Sedentary lifestyle and prolonged sitting
Low-fiber diet
Pregnancy
Obesity
Heavy lifting
Aging and weakening of anal tissues
In Ahmedabad, fast-paced urban lifestyles, low water intake, and dietary habits increase the prevalence of internal piles, especially in areas like Sabarmati, Motera, and Chandkheda.
Ignoring internal piles can lead to complications such as:
Anemia due to chronic bleeding
Painful thrombosed piles
Prolapse of hemorrhoidal tissue
Infection or ulceration
Impact on daily routine and quality of life
Early consultation ensures effective management with minimal discomfort and faster recovery.
Accurate diagnosis is essential to determine the grade of internal piles and the appropriate treatment. At Shah Piles Hospital, the process includes:
Medical history assessment – understanding symptoms, bowel habits, and lifestyle
Physical examination – visual inspection and palpation
Digital rectal examination – a safe and painless procedure
Proctoscopy – allows internal visualization of piles
Grade determination – ensures the right treatment plan is chosen
Both Dr. Niket Shah and Dr. Devendra Shah emphasize thorough evaluation to deliver personalized and effective care.
Treatment depends on the severity of piles. Shah Piles Hospital offers both conservative and advanced options:
1. Conservative Management
Effective for Grade 1 and early Grade 2 internal piles.
Lifestyle and Dietary Modifications
Increase fiber intake (fruits, vegetables, whole grains)
Drink 2–3 liters of water daily
Avoid straining during bowel movements
Regular walking or light exercise
Medications
These measures often reduce bleeding, swelling, and discomfort in early-stage piles.
2. Minimally Invasive Procedures
For Grade 2 and Grade 3 internal piles, minimally invasive techniques are highly effective:
Rubber Band Ligation (RBL)
A small rubber band is placed at the base of the hemorrhoid to cut off blood supply, causing it to shrink and fall off.
Quick procedure
Minimal discomfort
High success rate
Sclerotherapy
A chemical solution is injected into the hemorrhoid to shrink the blood vessels.
3. Laser Hemorrhoidoplasty – The Most Advanced Treatment
Laser treatment is now the preferred choice for Grade 2, 3, and 4 internal piles due to its safety, precision, and painless approach.
Benefits of Laser Surgery
Residents from Ahmedabad areas including Sabarmati, Motera, Chandkheda, and Ranip trust Shah Piles Hospital for laser piles treatment due to the combination of modern technology and expertise of Dr. Niket Shah & Dr. Devendra Shah.
4. Stapler Surgery for Advanced Piles
Stapler surgery, also known as MIPH (Modified Internal Pile Hemorrhoidectomy), is suitable for large prolapsed internal piles.
Advantages
5. Conventional Hemorrhoidectomy
Reserved for complex or recurrent cases, conventional surgery may be required when other methods are not effective.
Recovery varies based on treatment type. Shah Piles Hospital provides complete guidance for all stages.
Post-Treatment Care
High-fiber diet and hydration
Avoid straining during bowel movements
Light walking to improve circulation
Proper anal hygiene
Follow-up appointments with doctors
Most patients undergoing laser treatment return to normal activities within 24–48 hours, while conventional surgery may take 1–2 weeks for complete recovery.
Internal piles are prone to recurrence without lifestyle adjustments. Recommended measures include:
Regular intake of fiber-rich foods
Drinking plenty of water
Avoiding prolonged sitting
Regular exercise
Timely response to nature’s call
Avoiding straining during bowel movements
Following these measures reduces recurrence and promotes long-term anal health.
Pregnancy, hormonal changes, and childbirth can increase the risk of internal piles in women. Shah Piles Hospital offers specialized care for women:
Safe conservative management during pregnancy
Laser treatment post-delivery
Diet and lifestyle guidance
Minimal downtime
Women in Ahmedabad trust Dr. Niket Shah & Dr. Devendra Shah for compassionate and effective internal piles care.
Ahmedabad residents face unique lifestyle challenges:
High prevalence of fast-food consumption
Sedentary jobs in offices and IT sectors
Low awareness about preventive care
Long working hours contributing to constipation
Shah Piles Hospital emphasizes education, prevention, and early intervention to address these local factors.
1. Experienced Specialists
2. Advanced Laser Technology
3. High Success Rate
4. Personalized Care
5. Convenient for Residents Across Ahmedabad
Easy access from Sabarmati, Motera, Chandkheda, Ranip, and Vadaj
6. Hygienic & Modern Facilities
Seek consultation if you notice:
Bleeding during stools
Persistent pain or burning
Swelling or lumps near anus
Mucus discharge
Prolapse or tissue coming out
Failure of home remedies
Early intervention ensures effective treatment and faster recovery.
Myth 1: Piles always require surgery
Fact: Early internal piles can be managed with diet, lifestyle, and minimally invasive procedures.
Myth 2: Ointments can permanently cure piles
Fact: They only provide temporary relief.
Myth 3: Laser surgery is risky
Fact: Laser is safe, bloodless, and virtually painless.
Myth 4: Only older people develop piles
Fact: Young adults are increasingly affected due to lifestyle and dietary changes.
- Over 44+ years of combined expertise in treating piles, fistula, and fissure & Pilonidal Sinus.
- Thousands of successful treatments with high patient satisfaction.
- Integration of modern techniques for holistic healing.
- Affordable and transparent pricing for all procedures.
- Trusted by patients not only in Ahmedabad but also from across Gujarat.
At Shah Piles Fistula Hospital, we believe that successful treatment is not just about expertise, but also about advanced facilities, modern technology, and patient comfort. Located in Nava Wadaj (380013) and Paldi (380006), Ahmedabad, Gujarat, our hospital is equipped with the latest medical innovations for the treatment of Piles (Hemorrhoids), Fistula, and Fissure & Pilonidal Sinus.
Led by Dr. Niket Shah and Dr. Devendra Shah, both highly experienced specialists in Anorectal Disorders, we combine heritage (Kshar Sutra Therapy) with modern minimally invasive technology (Laser, Stapler, Radio Frequency, and IRC) to deliver the best outcomes.
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Ultra-modern operation theatres designed for precision and infection control.
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Advanced diagnostic tools for accurate assessment of piles, fistula, and fissures & Pilonidal Sinus.
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Cutting-edge surgical techniques like Laser Hemorrhoidoplasty, VAAFT, LIFT, and DGHAL.
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Specialized Kshar Sutra Therapy unit for natural, non-surgical healing.
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Comfortable recovery rooms for patient relaxation and faster healing.
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Hygiene & safety protocols at par with international standards.
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Dedicated Anorectal OPD for quick consultations.
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Day-care Surgery Units (walk-in, walk-out same day).
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Private Recovery Rooms with all comforts.
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Pharmacy for authentic medicines.
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24×7 Emergency Care for sudden complications.
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Counseling & Dietary Guidance for lifestyle management.
We provide Internal piles treatment in Ahmedabad for patients from:
Nava Wadaj
Paldi
CG Road
Navrangpura
Ellis Bridge
Ashram Road
Vastrapur
Satellite
Chandkheda
Maninagar
Sabarmati
SG Highway
Sarkhej
Naranpura
Bopal
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Internal piles can significantly affect quality of life, but with timely medical intervention, patients can achieve quick, painless, and long-lasting relief. Shah Piles Hospital offers a complete range of treatments—from conservative management to advanced laser surgery—ensuring every patient receives personalized care.
If you are experiencing internal piles in Ahmedabad or surrounding areas, consulting specialists like Dr. Niket Shah & Dr. Devendra Shah ensures:
Shah Piles Hospital is the trusted choice for residents seeking effective and safe internal piles treatment in Ahmedabad.
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