Hemorrhoids Treatment in Mumbai – Dr. Chintamani Godbole
Hemorrhoids, commonly known as piles, are swollen and enlarged blood vessels and supporting tissue around the anus and lower rectum. They can cause symptoms such as bleeding, itching, discomfort, swelling and, in some cases, a mass that protrudes through the anus. While mild hemorrhoids may improve with changes in bowel habits and medical treatment, persistent or advanced piles may require a specialist evaluation. Patients looking for hemorrhoids treatment in mumbai can consult Dr. Chintamani Godbole, a specialist in colorectal surgery, at Gadre Hospital in Dadar East.
What Are Hemorrhoids?
Hemorrhoids are vascular cushions containing blood vessels and supporting tissue located in and around the anal canal. They are broadly classified as internal hemorrhoids and external hemorrhoids.
Internal hemorrhoids develop inside the anal canal, while external hemorrhoids occur beneath the skin around the anus. Their symptoms and treatment can differ depending on their location, size and severity.
Hemorrhoids are common and can develop due to factors such as constipation, prolonged straining during bowel movements, pregnancy, prolonged sitting and changes in bowel habits. Not every case of anal bleeding is caused by piles, however, which is why persistent or unexplained bleeding should be medically evaluated.
Symptoms of Hemorrhoids
The symptoms of piles can vary depending on whether the hemorrhoids are internal or external.
Symptoms of Internal Hemorrhoids
Internal hemorrhoids may cause:
Painless bright-red bleeding during or after bowel movements
Itching or irritation around the anus
Discomfort associated with prolapse
A sensation of tissue coming out during defecation
Pain when an internal hemorrhoid becomes prolapsed or develops a complication
The clinic’s published information notes that internal hemorrhoids are among the most common forms of piles.
Symptoms of External Hemorrhoids
External hemorrhoids can cause:
Painful swelling around the anus
Redness and tenderness
Bright-red bleeding
A painful lump or mass
Thrombosis in some cases
Skin tags after previous hemorrhoidal swelling
Sudden severe pain and swelling may indicate a thrombosed external hemorrhoid and should be evaluated by a medical professional.
What Are the Different Grades of Hemorrhoids?
Internal hemorrhoids are commonly classified into four grades based on whether they prolapse and whether they can return to their normal position.
Grade 1: These hemorrhoids remain inside the anal canal and generally do not protrude outside.
Grade 2: They may protrude during bowel movements but usually return inside spontaneously.
Grade 3: These are prolapsing hemorrhoids that come outside during bowel movements and may need to be pushed back manually.
Grade 4: These hemorrhoids remain outside and cannot be pushed back into the anal canal. The clinic’s published information notes that Grade 4 hemorrhoids generally require medical treatment and may require surgery.
The grade alone does not determine every treatment decision. A colorectal surgeon considers symptoms, examination findings, bleeding, prolapse and the patient’s overall condition before recommending treatment.
What Causes Piles?
Several factors can contribute to the development or worsening of hemorrhoids.
Constipation and Straining
Repeated straining during bowel movements can increase pressure around the anal and rectal veins. Chronic constipation is therefore an important factor to address in patients with recurrent piles.
Prolonged Sitting
Spending long periods sitting, particularly on the toilet, may contribute to increased pressure around the anal region.
Pregnancy
Pregnancy can increase pressure on pelvic and rectal veins and may contribute to hemorrhoids in some women.
Low-Fibre Diet
Insufficient dietary fibre can contribute to hard stools and constipation. Increasing fibre intake and maintaining adequate hydration may help support softer bowel movements in appropriate patients.
Heavy Physical Straining
Physical strain can sometimes contribute to symptoms, particularly in individuals who already have hemorrhoids. The clinic’s published information also notes physical strain and exercise in connection with thrombosed external hemorrhoids.
How Are Hemorrhoids Diagnosed?
A proper diagnosis is important because rectal bleeding can have several causes. A colorectal surgeon may begin with a medical history and examination of the anal and rectal region.
Depending on the symptoms, investigations may include:
Digital rectal examination
Anoscopy
Proctoscopy
Proctosigmoidoscopy
Flexible sigmoidoscopy
Blood tests such as a complete blood count
Colonoscopy in selected cases
The clinic’s published guidance notes that anoscopy can help examine hemorrhoids, while flexible sigmoidoscopy or colonoscopy may be used when the doctor needs to rule out other conditions higher in the bowel.
Hemorrhoids Treatment Options
Treatment depends on the grade of hemorrhoids, symptoms and individual clinical findings. Mild cases may respond to measures that improve bowel habits, while persistent or advanced hemorrhoids may require procedural or surgical treatment.
Conservative Management
For appropriate patients, initial management may include increasing dietary fibre, maintaining adequate fluid intake, avoiding unnecessary straining and addressing constipation. A doctor may also prescribe medicines or topical treatments to relieve symptoms.
These measures are particularly relevant when hemorrhoids are small and symptoms are mild.
Banding
Rubber-band ligation is an outpatient procedure commonly used for selected internal hemorrhoids, particularly when they prolapse or bleed. The clinic’s published information lists banding among the outpatient treatment options for second-degree hemorrhoids.
Sclerotherapy
Sclerotherapy involves injecting a solution into the hemorrhoidal tissue to help reduce the hemorrhoid. It may be considered for selected internal hemorrhoids.
Hemorrhoidectomy
An open hemorrhoidectomy is a well-established surgical approach for removing hemorrhoidal tissue. The clinic notes that postoperative pain can be a concern and that recovery varies between individuals.
Stapled Hemorrhoidopexy
Stapled hemorrhoidopexy is a procedure used in selected patients with prolapsing hemorrhoids. Compared with conventional open hemorrhoidectomy, it is designed to reduce postoperative discomfort in appropriate cases. It may be performed alone or together with mucopexy depending on the clinical situation.
Laser Treatment
Laser procedures are another option discussed by the clinic for selected hemorrhoid cases. The published information describes a laser approach that can be combined with hemorrhoidal artery ligation. Whether laser treatment is appropriate depends on the patient’s hemorrhoid type, grade and clinical assessment.
Why Advanced Hemorrhoids Need Specialist Evaluation
Hemorrhoids that repeatedly bleed, prolapse, become painful or interfere with daily activities should not simply be treated with over-the-counter remedies indefinitely.
Advanced hemorrhoids may require a procedural or surgical approach. A specialist can determine whether the symptoms are actually caused by hemorrhoids and whether another anorectal condition is present.
For patients searching for a Colorectal Surgeon in Mumbai, specialist evaluation is particularly useful when symptoms are recurrent, severe or associated with prolapse.
Meet Dr. Chintamani Godbole
Dr. Chintamani Godbole is a dedicated colorectal surgeon with a special interest in colorectal surgery and peritoneal surface oncology. His official profile lists MBBS and MS in General Surgery, followed by DNB in Surgical Gastroenterology. He also holds MRCS and FRCS from the Royal College of Surgeons of Edinburgh.
He completed further colorectal surgical training in the United Kingdom, including fellowships in minimally invasive colorectal surgery, laparoscopic and robotic surgery, colorectal cancer surgery, peritoneal cytoreductive surgery and HIPEC. He also trained at the Basingstoke Peritoneal Malignancy Institute and worked as a General and Colorectal Surgical Consultant at University Hospitals Coventry in the UK.
His areas of expertise include robotic and laparoscopic colorectal surgery, sphincter-preserving colorectal procedures, inflammatory bowel disease surgery, pelvic floor problems and complex fistula-in-ano. His official profile reports experience with more than 200 minimally invasive colorectal surgeries and more than 50 cytoreductive surgeries and HIPEC procedures.
Clinic Environment at Gadre Hospital
Dr. Godbole consults at Gadre Hospital near Hindmata Cinema in Dadar East, Mumbai. His practice focuses on specialist gastrointestinal and colorectal surgical care, including benign anorectal conditions, colorectal cancer, pelvic floor disorders, inflammatory bowel disease and minimally invasive colorectal procedures.
His professional profile also emphasises personalised communication with patients and relatives and an organ-specific approach to colorectal conditions.
Patients looking for a Best Doctor for Gastroenterology in Mumbai can consider a specialist consultation when symptoms involve the anus, rectum or lower digestive tract.
When Should You See a Colorectal Surgeon?
Consult a specialist if you experience:
Recurrent bleeding during bowel movements
Persistent anal pain or swelling
A lump around the anus
Tissue protruding during bowel movements
Hemorrhoids that repeatedly return
Symptoms that do not improve with basic measures
Significant changes in bowel habits
Persistent itching or irritation
Rectal bleeding should not automatically be assumed to be caused by piles. A proper examination can help identify the cause and determine the appropriate treatment.
Schedule a Consultation with Dr. Chintamani Godbole
If hemorrhoids are causing recurrent bleeding, pain, swelling or prolapse, professional evaluation can help you understand the severity of the condition and the treatment options available.
Call: 81087 91470
Book a consultation with Dr. Chintamani Godbole for a detailed assessment of hemorrhoids, anal symptoms and other colorectal conditions. Based on your examination and diagnosis, he can explain suitable medical, minimally invasive or surgical treatment options.
Frequently Asked Questions
1. What is the best treatment for hemorrhoids?
There is no single treatment that is appropriate for every patient. Mild hemorrhoids may respond to bowel-habit and dietary measures, while selected internal hemorrhoids may be treated with banding or sclerotherapy. More advanced prolapsing hemorrhoids may require surgery.
2. Are hemorrhoids always painful?
No. Internal hemorrhoids may cause painless bleeding, particularly during bowel movements. Pain is more commonly associated with prolapse, thrombosis or external hemorrhoids.
3. When do hemorrhoids require surgery?
Surgery may be considered for advanced or prolapsing hemorrhoids, particularly Grade 3 or Grade 4 disease, recurrent symptoms or cases that do not respond adequately to other treatments. The appropriate procedure depends on the individual diagnosis.
4. Can hemorrhoids come back after treatment?
Yes. Treatment addresses existing hemorrhoidal disease, but factors such as chronic constipation, straining and bowel-habit problems can contribute to recurrence. Maintaining healthy bowel habits and following postoperative or medical advice can help support long-term management.
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