It is loss of elasticity of veins in the anal canal & lowermost part of rectum. It in seen in both the sexes. The chances of occurance increase with the age. Piles are classified as
1) Internal piles ( arising in the upper two-thirds of anal canal )
2) External piles ( it is skin covered lower one-third of the canal or at anal opening)
Intenal piles occurs due to obstruction in venous return from that part.
Causes can be Hereditary, anatomical , physiological factors,constipation, diarrhea straining at stool, Inadequate fibre diet etc. 3) Both.

Following are the 4 grades of internal piles:

Complications:
1)Strangulation
2) Thrombosis
3) Gangrene
4) Severe Hemorrhage

Treatment:
Treatment depends on grades of piles.
1) Injection Sclerotherapy: Injecting sclerosing agent in the pile mass.
2) Cryosurgery : piles can be necrosed by freezing with a cryoprobe, using CO2 or N2O.
3) IRC (Infra-red coagulation).
4) Rubber band ligation.
5) Doppler guided ligation of haemorroidal vessels.
These are called as Office procedure & usually done in OPD basis without anaesthesia,blood Loss & hospital stay also safe for Diabetics & pregnant woman. Patient can go to Piles clinic on any working day, no need to go with empty stomach & after Rx patient can go back home & do the routine work on same day.
6) Stappler Haemorrhoidectomy: It is used in treatment of 3rd and 4th degree pile. Blood loss is minimal.
7) Haemorrhoidectomy:
i) Open
ii) Closed.

The above mentioned procedures are routinely carried done in Abhishek Day Care Centre. Patients can go home on the same day & must follow the instructions given by surgeon at the time of discharge.
After operation patient is advised to take Antibiotics, high fibre diet, analgesics & laxatives. Patient should sit in luke warm water after passing motion.