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Piles (Haemorrhoids) — Frequently Asked Questions

  • Prof. Dr. Zahid Mahmood
  • August 2, 2026

Piles (Haemorrhoids) — Frequently Asked Questions

Answered by Prof. Dr. Zahid Mahmood — General, Laparoscopic & Laser Surgeon, Lahore.

Are piles dangerous?

Most piles are not dangerous, but they can cause troublesome bleeding, pain, and occasionally anaemia or a trapped, painful pile. Because bleeding can rarely signal something more serious, any bleeding should be checked.

Do piles always need surgery?

No. The great majority are treated with diet, lifestyle changes, and simple clinic procedures such as banding. Only more advanced piles need laser, stapled, or surgical treatment.

Is piles treatment painful?

Clinic procedures such as banding cause little pain. Modern laser treatment is designed to be far less painful than traditional surgery, and even surgery is managed well with modern pain relief.

Is laser treatment for piles better?

For many patients, laser haemorrhoidoplasty means less pain, no open wound, and faster recovery. Whether it is best for you depends on the grade and type of your piles.

Is all rectal bleeding caused by piles?

No. Bleeding is often from piles, but it can also be caused by other conditions, including cancer. Any bleeding from the back passage should be examined to be sure.

Can I treat piles at home?

Early piles often improve with a high-fibre diet, isabgol, plenty of water, avoiding straining, and soothing creams. But bleeding should still be checked, and persistent piles need proper treatment.

Is it normal to feel embarrassed?

Many people do, but there is no need. Piles are extremely common and surgeons treat them every day. Seeking help early is the sensible thing to do.

Will piles come back after treatment?

They can, especially if constipation and straining continue. Keeping the stools soft with fibre and water greatly reduces the chance of recurrence.

Are piles common in pregnancy?

Yes, very. They often improve after delivery and are usually managed with gentle, safe measures during pregnancy.

What is a sitz bath?

Sitting in a few inches of warm water for about ten minutes, two or three times a day. It soothes pain and itching and aids healing — a simple, effective self-care measure.

Is isabgol effective for piles?

Yes. Isabgol (psyllium husk) softens the stool and reduces straining. It is cheap, widely available, and one of the most useful simple measures for treating and preventing piles.

Can piles turn into cancer?

No, piles do not turn into cancer. But because rectal bleeding can occasionally be due to cancer, an examination is important to confirm the diagnosis.

What are those “guaranteed cure” clinics I see advertised?

Be very cautious. Unqualified practitioners using unregulated injections or acids can cause serious harm, including infection, burns, and permanent narrowing. Safe piles treatment belongs only in trained, qualified hands.

When should I seek urgent care?

If you have heavy or continuous bleeding, a sudden very painful swollen lump at the anus, a pile that will not go back in with severe pain, or symptoms of blood loss such as dizziness and marked tiredness.

Is laser piles treatment available in Lahore?

Yes. Laser and other modern, minimally invasive treatments for piles are available, and I offer them along with the full range of options.

How do I book a consultation?

Call Prof. Dr. Zahid Mahmood on 0300 413 0159, or visit professorzahid.com.

This page is for general awareness and does not replace a personal medical consultation.

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