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Dr. Ankit Anand – Best Gastroenterologist in Jalandhar

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Haemorrhoids · Non-Surgical

Piles Treatment in Jalandhar — Without Surgery

80 to 90% of piles patients here are treated without an operation. Rubber band ligation takes minutes, needs no anaesthesia and no hospital stay.

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Quick answer

Most piles do not need surgery. Grade 1 and 2 respond to diet and medical management; Grade 2 and 3 are treated with rubber band ligation — no cuts, no stitches, no admission. Surgery is reserved for Grade 4. But rectal bleeding is never assumed to be piles: if you are over 40 or have been bleeding over a month, a colonoscopy rules out anything else first.

80–90%Treated without surgery
1–2Days of recovery after banding
10+Years in practice
#1AIG Hyderabad trained
Condition Overview

Internal, External, or Both

Where the haemorrhoid sits determines what you feel and what treatment suits it.

Internal haemorrhoids piles treatment in Jalandhar

Internal Haemorrhoids

Inside the rectal lining, above the pain line
  • Painless bleeding is often the only symptom
  • May prolapse during straining
  • Graded 1 to 4 by how far they prolapse
  • Ideal for rubber band ligation at Grade 2 and 3
External haemorrhoids and mixed piles treatment in Jalandhar

External & Mixed

At the anal verge, where the nerves are
  • Genuinely painful, unlike internal piles
  • Can thrombose and swell suddenly
  • Itching and irritation are common
  • Mixed cases have both components together
Find Your Grade

Piles Grade 1 to 4 — and What Each One Needs

The grade is decided by how far the haemorrhoid prolapses and whether it goes back on its own. It is the single thing that decides your treatment.

Grade What it looks like Prolapse Treatment
Grade 1Small swellings inside the rectal liningNoneHigh-fibre diet and medical management
Grade 2Larger, prolapse on straining but retract on their ownReduces spontaneouslyRubber band ligation — ideal candidate
Grade 3Prolapse on straining, must be pushed back by handManual reduction neededRubber band ligation or sclerotherapy
Grade 4Permanently prolapsed, cannot be pushed backPermanentSurgical referral — haemorrhoidectomy

Banding or injection? Rubber band ligation suits Grade 2 and 3, is 80 to 90% effective, and has the lower recurrence rate — it is the first choice here. Sclerotherapy suits Grade 1 and 2, is nearly painless and 70 to 80% effective, but may need repeat injections. Neither requires anaesthesia or a hospital stay.

Treatment Protocol

How Piles Are Treated Here

Diagnosis and grading first, then the least invasive option that will actually hold.

1

Examine and grade

Clinical examination and proctoscopy to confirm piles and assign the grade, because the grade decides everything that follows.

First visit
2

Rule out the rest

Colonoscopy where you are over 40, have a family history of colon cancer, or have been bleeding over a month. Rectal bleeding is never assumed to be piles.

Safety first
3

Grade 1 to 2 — medical

High-fibre diet, stool softeners, adequate water and topical treatment. Many patients need nothing more than this.

No procedure
4

Grade 2 to 3 — banding

Rubber band ligation cuts off the blood supply and the haemorrhoid falls off in 7 to 10 days. No anaesthesia, no admission, back to normal in a day or two.

80 to 90% effective
5

Fix the cause

Fibre, water and toilet habits are what stop recurrence. The procedure treats the symptom; the diet is what prevents the next one.

Prevents recurrence
Why Dr. Ankit Anand

A Gastroenterologist Checks What Else Could Be Bleeding

The risk with piles is not the piles. It is assuming that is all it is.

Colonoscopy first when indicatedSerious findings turn up regularly in patients who were certain it was "just piles". Every case of rectal bleeding is properly evaluated.
No cuts, no stitchesRubber band ligation and sclerotherapy are done in the clinic, without anaesthesia, and you go home the same day.
Grade-matched treatmentBanding for Grade 2 and 3, injection for Grade 1 and 2, surgical referral only at Grade 4 — not one procedure applied to everyone.
Diet that prevents the next oneRecurrence comes from constipation and straining. A high-fibre plan built around Punjabi food is part of the treatment, not an afterthought.
Our Locations

Where to See Dr. Ankit Anand

Consultations and diagnostics at GastroNova Clinic. Procedures and Gastro ICU care at Innocent Hearts Hospital.

Centre 01 · OPD & diagnostics

GastroNova Clinic

448, GTB Nagar, opposite Prithvi Planet, Jalandhar 144003
  • Mon–Sat5:00 pm – 8:00 pm
  • Sunday9:00 am – 11:00 am
OPD consultationProctoscopyRubber band ligationDiet counselling
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Centre 02 · Procedures & ICU

Innocent Hearts Hospital

Near Wadala Chowk, Nakodar Road, Jalandhar 144003
  • Mon–Sat10:00 am – 5:00 pm
  • Gastro ICU24 / 7
ColonoscopyPolypectomyEmergency careGastro ICU
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Why the diet advice here is not filler

For piles, the diet is the treatment — and that is meant literally

Banding removes the haemorrhoid you have. Fibre, water and toilet habits are what stop the next one forming, which is why the dietary plan gets as much consultation time as the procedure. That same seriousness about diet, in a different part of the practice, is what led Dr. Ankit to formulate Hepatolean Advance Liver Pro+ for his fatty liver patients — a liver product, with no role in piles. It is mentioned here only because patients ask what else he has made.

About Hepatolean
Patient FAQs

Piles — Frequently Asked Questions

Can piles be treated without surgery?
In most cases, yes. Grade 1 and 2 respond to diet change and medical treatment. Grade 2 and 3 are treated with rubber band ligation — no cuts, no stitches, no hospital stay. Surgery is needed only for Grade 4 or complicated cases. Around 80 to 90% of patients here are treated without an operation.
Is the treatment painful?
Rubber band ligation may cause mild discomfort or a feeling of fullness for 24 to 48 hours, which is not the same as pain. Sclerotherapy is essentially painless. Medical management causes no discomfort at all. The least invasive option that will work is always the one chosen.
Should I have a colonoscopy for rectal bleeding?
Yes, if you are over 40, have a family history of colon cancer, or have been bleeding for more than a month. Colonoscopy is the gold standard for ruling out polyps, colorectal cancer and IBD before treating piles. Serious conditions are found regularly in people who assumed it was just piles.
How long does recovery take after banding?
The banded haemorrhoid falls off naturally within 7 to 10 days, and a small amount of blood during that time is normal. Full resolution — no bleeding, no prolapse — takes 4 to 6 weeks. Most patients resume normal activity the same day or the next.
Can piles come back?
Yes, if the underlying causes are not addressed — chronic constipation, a low-fibre diet, straining, obesity. This is why detailed dietary guidance follows every procedure. Patients who keep to the high-fibre plan have significantly lower recurrence.
What is the difference between piles and an anal fissure?
Piles are swollen vessels and typically bleed without much pain, particularly the internal kind. A fissure is a tear in the anal lining and is characteristically very painful during and after passing stool. They are treated differently, which is why the examination matters.
Is spicy food safe with piles?
Spice does not cause piles, but it can aggravate irritation and discomfort during a flare. The bigger issue is low fibre and inadequate water, which cause the constipation and straining that create haemorrhoids in the first place.
Book a consultation

Get It Looked At — It Is Usually Simpler Than You Think

Book an OPD consultation at GastroNova Clinic, GTB Nagar. Most patients leave with a plan that does not involve surgery. No referral is needed.

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GastroNova Clinic, GTB Nagar, Jalandhar · +91 73470 58754