Personalized, minimally invasive care for hemorrhoids — from conservative management to advanced surgical treatment. 2000+ successful procedures performed.
Piles, medically known as hemorrhoids, are swollen blood vessels in and around the anus and lower rectum. They are one of the most common colorectal conditions, affecting people of all ages — particularly those with constipation, prolonged sitting, pregnancy, or a family history of the condition.
There are two main types: internal hemorrhoids (inside the rectum, often painless but may bleed) and external hemorrhoids (under the skin around the anus, which can be painful and itchy). Hemorrhoids are graded 1 through 4 based on severity, which guides the most appropriate treatment approach.
Bright red blood during or after bowel movements
Itching, irritation, or pain around the anus
Visible lumps or swelling near the anal opening
Internal hemorrhoids protruding outside the anus
When to see a surgeon: Persistent bleeding, pain that doesn't improve with home care, or prolapsed hemorrhoids that don't retract on their own warrant a professional evaluation.
For Grade 1 and many Grade 2 hemorrhoids, conservative treatment is often effective:
When conservative care isn't enough, Dr. Asad offers several minimally invasive and surgical options tailored to hemorrhoid grade and patient preference:
Laser hemorrhoidoplasty is one of Dr. Asad's most requested procedures — it offers a shorter procedure time, minimal post-operative pain, no cuts or stitches, and a faster return to normal activity compared to conventional hemorrhoidectomy.
Every patient receives a thorough evaluation and a clear explanation of all appropriate options — surgical and non-surgical. Treatment recommendations balance symptom severity, hemorrhoid grade, and each patient's own preferences, with a strong focus on minimally invasive techniques that minimize pain and downtime.
Mild discomfort and swelling managed with prescribed pain relief. Light activity encouraged.
Gradual return to normal activity and diet. Most patients resume work within this period.
Full recovery with long-term symptom resolution for the majority of patients.
Yes, many cases of piles — especially Grade 1 and 2 — can be managed without surgery through dietary fiber, hydration, topical treatments, and lifestyle changes. Grade 3–4 or persistent cases often require a procedural or surgical solution for lasting relief.
Most hemorrhoid procedures, including rubber band ligation or hemorrhoidectomy, take between 20 to 45 minutes depending on severity and technique used.
Modern minimally invasive techniques significantly reduce post-operative pain compared to traditional surgery. Dr. Asad uses pain-management protocols to keep recovery as comfortable as possible.
Most patients return to light activity within 3-7 days and full recovery within 2-4 weeks, depending on the procedure performed.
Recurrence is uncommon with proper surgical treatment, though lifestyle factors (diet, straining, prolonged sitting) can contribute to new hemorrhoids forming over time.
Book a consultation with Dr. Asad to discuss your symptoms and treatment options.
