Which Guidelines do doctors usually refer to for the treatment of Hemorrhoids? - Dr Kushankur Guha

Piles, also known as hemorrhoids, is a condition which involves swollen and inflamed veins in the rectal and anal area, causing discomfort, pain, itching, and bleeding during bowel movements. Factors like increased pressure in the rectal region due to chronic constipation, prolonged sitting, obesity, or pregnancy contribute to its development.

Doctors must follow guidelines for a graded treatment plan for piles based on severity. In Grade I, lifestyle adjustments like dietary changes and topical treatments suffice for mild symptoms. As piles progress to Grade II, procedures like rubber band ligation or sclerotherapy may be recommended to shrink hemorrhoids. For Grade III, surgical interventions like hemorrhoidectomy or advanced procedures become necessary for severe or prolapsed hemorrhoids. In the most severe Grade IV cases causing extreme discomfort or thrombosis, surgical removal becomes the primary option. This graded approach ensures tailored management, starting with less invasive measures and progressing to more aggressive interventions as needed, aiming to alleviate symptoms and improve the patient's quality of life while minimizing complications.

In this video, Dr Kushankur Guha, Assistant Professor in Dept of General Surgery, KPC Medical College, Kolkata, provides valuable insights about the guidelines which are referred by doctors for the treatment of piles.