Piles surgery is the surgical removal or shrinking of piles. Hemorrhoids or piles are swollen tissues in the anus and rectum which cause difficulty in passing stool and significant discomfort. Typically piles surgery is not the first option for treatment. Lifestyle changes combined with medication are suggested, and surgery is considered a viable option if the condition becomes severe. Internal piles are in the anal canal and the rectum and generally go away independently. You cannot see or feel them as they’re inside the anus. When internal hemorrhoids swell up and become long lumps, they’re called protruding hemorrhoids. Protruding hemorrhoids have 4 grades which we will discuss later. Piles surgery is necessary in cases where the tissues are severely protruded, thrombosed, or have stopped responding to other treatments. Hemorrhoids can make daily activities, such as biking, exercising, or even sitting for long periods of time very uncomfortable and difficult. Moreover, chronic blood loss that occurs due to bleeding piles may also lead to anemia in a patient
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