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Ask Doctors - Get Video Answers in HINDI Subscribe to - / @doctorscirclehindi for HINDI videos Piles or haemorrhoids are bunches of blood vessels inside the anal canal, three groups of blood vessels will be there, which will be normal structures in regulating the continence, that is to prevent the leakage of leakage of fluids and gas from the rectum so they are normal structures, they are called as anal cushions. Then they get enlarged due to different reasons, then we call them as piles or haemorrhoids, in that there are different stages depending on the piles or haemorrhoids. All the piles do not require surgery, that everybody must know. Initial stages of piles, even if patient wants surgery we will not be doing surgery because they are medically treatable and we can prevent the progress using some lifestyle stages. Whereas later stages of piles where there are quite big and they are coming out and they have to be pushed back, they require surgical procedures seen in surgery there are different varieties of procedures. Some are very minimal procedures, where it can be done in 5 to 10 minutes under local anaesthesia and patient can go back to his work the very next day. Unless they are too big, even if we use high end gadgets like laser, doppler, that sort of procedures. Again it will not be very severe type of pain post operatively and they are quite comfortable and will be able to go back to the work as early as possible. So one needn’t be worried about surgery for piles if they are going to a proper place and getting proper procedures done. They can get rid of the disease, it is not that they will get it again. A proper procedure, whether it is medical or whether it is procedural or surgery has to be decided depending on the severity of the piles.