How Piles led me to depression

Dealing with Piles / hemorrhoids can often be quite depressing along with an unpleasant knowledge.

Many people today suffer from hemorrhoids and 55% of them  don’t even know it yet. The main reason being they can’t notice any irregularities in their daily life until the hemorrhoids get aged.


It was an year ago, somewhere in the mid of April that suddenly I started experiencing a pain while passing stool. I thought it may be piles and because I was busy with my software job which includes prolonged sitting,  I didn’t care much about the problem but did few homemade procedures to cure. And, it was not even a week that I started spotting blood after every bowel movement which made really worried.

Day by day my pain became so severe and unbearable which made me fall into stress and depression.I was so sick and tired of everything and due to the pain, I couldn’t sit and work for an hour and couldn’t even travel .With this discomfort in my back passage, I have faced a terrible situation to move on with colleagues. And finally, I was completely depressed with the problem.

However, instead of wasting any more time, I fixed an appointment with my regular physician. After examining and understanding about my experiences, he immediately referred me to the best piles doctor in Bangalore as the signs and symptoms were serious. The anal area became red and swollen and the pain got much severe.

Dr Parameshwara C M, chief surgeon that I was referred to conducted number of medical tests and examinations to the anal area. On getting the reports, I was diagnosed with hemorrhoids grade 3 and prescribed me hemorrhoid treatment, DG HAL RAR and I was asked to start the procedure soon, because it would get much more severe and would lead to heavy bleeding. Till then, I have heard about hemorrhoids but had no clue about what happens, what should be done and so on.


Chief surgeon of piles at SIICP, Dr Parameshwara C M explained me why hemorrhoids are so common and complications I would face if neglected hemorrhoids at that stage. Then, I decided to undergo DG HAL RAR and went to the clinic with a hope of cure and was admitted into the SIICP clinic. After an hour, the doctor started the procedure with spinal anesthesia. During the procedure, my body was numb and completely painless and the surgery took almost 20 minutes.

Within couple of  hours of surgery I got discharged from  the clinic with slight pain which is bearable and much better compared to the earlier. The doctor said the pain is  temporary and it goes very soon. He also provided the instructions for diet after piles surgery and medications to follow for one month. I was very much impressed with the peaceful environment in the clinic and the hospitalization provided by them. Once the medicines were finished, I was totally free from pain and bleeding.


Piles / Hemorrhoids  treatment can range from simple home remedy to an advanced and sophisticated surgical procedures and many people choose the home remedy first. However, your condition might require immediate professional medical care to save you from further discomfort and disruption.

Do not ignore piles. Ensure to consult one of the best piles doctors in Bangalore to get better treatment and lead a depression-free life. SIICP gives you best solution to your problem.

How quacks use wrong methods/medicines to treat you

Quackery is a way of promoting medical cure which is scientifically unproven. Typically, quacks have no knowledge of modern medicine, training or qualification to treat patients.

The main reason of people visiting quacks is because of their attracted publicity gimmicks claiming a cheaper cure. However, many patients visiting SIICP often complain about their consistent symptoms even after consulting quacks.

Our chief of colorectal surgery encountered many cases who had suffered a lot and even dead with quackery. And so, he found SIICP(Smiles International Institute of Coloproctology Pvt Ltd) to eradicate quackery and save the lives.

Let’s discuss how quacks use wrong methods to treat colorectal diseases.

Here are the resultant complications arising out of the methods adapted by the quacks.
  • Wrong Injection at Wrong place

    Injection sclerotherapy is generally considered to be safe. However, this technique needs knowledge of the anatomy of the region and the skill to inject, depth and direction of the affected anatomy. But the quacks know only a little about these anatomical facts. Misapplication of this injection results in bleeding, ulceration and various septic complications like renal failure.

  • Quacks and the Fistulous Tract

    “Kshara Sutra” is an established and proven ayurvedic therapy to treat anal fistulas. This therapy is provided for the specialists who are well versed with the anatomy of anal fistula pathology. If Kshara Sutra is done wrongly by quacks and their treatment methods, it can cause severe pain, infection, pelvic cellulitis with progression to shock and death

  • Throttling Hemorrhoids

    The way quacks treat Piles/ hemorrhoids is based on simple principle, throttle the mass to obscure the blood supply. Various threads, ligatures and banding materials are used in this method. Often the patient has to pass through severe pain, huge lump at the bottom, bleeding and other severe septic complications.

Quacks use medicines which might give you temporary relief for the moment but not a permanent cure.

Do not damage your health and life by consulting a quack in the hope of low cost, operation less cure. You may end up with incomplete, irrational treatment and lifetime suffering.

Always consult a qualified and professional proctologist for colon and rectum aliments and move on with a healthy colon.

Why Piles/Hemorrhoids are common by the age of 50

Anyone can get hemorrhoids or piles but, they become more common as people age and it is estimated that 50% of people have them by the time they are 50 years old.

Piles are another name for haemorrhoids which are collections of inflamed tissue in the anal canal. Essentially hemorrhoids are swollen veins either inside the anus or rectum or outside the anus.

Although anyone can get hemorrhoids, they become more common as people age and it is estimated that 50% of people have them by the time they are 50 years old. Women often develop piles in pregnancy or during labour.


What causes Hemorrhoids among many aged 50?

“The primary cause of hemorrhoids is constipation which itself becomes more common as people age. Difficulty in expelling stool becomes more difficult with age and it can cause people to strain in order to expel stool. Such strain puts pressure on the veins in the rectal area causing such veins to enlarge. However hereditary factors can also lead to hemorrhoids and people who are obese are more likely than others to get hemorrhoids. Diseases of the liver can also lead to hemorrhoids,” explains Dr Parameshwar CM, Chief, SIICP – Bengaluru Smiles.

Symptoms of Hemorrhoids

Hemorrhoids can be internal or external and show up in different guises. Internal hemorrhoids are usually painless unless they protrude outside the anus in which case they can cause blood clots which can be painful but are nevertheless harmless.

A few symptoms of hemorrhoids are

  • anal pain
  • anal itching
  • a purplish lump around the anus
  • a reddish mass of tissue around the rectum
  • bright red blood in the stool, in the toilet bowl, on undergarments, or on toilet tissue.

Two additional symptoms of Hemorrhoids are

  • mucous on the undergarments
  • feces on the undergarments.

How to prevent hemorrhoids if you are 50 or above

The easiest way to prevent hemorrhoids is by eating healthy and getting plenty of exercise. Someone who already has hemorrhoids can make lifestyle changes that make hemorrhoids less bothersome. As constipation is one of the leading causes of hemorrhoids among those over 50, someone who is suffering from hemorrhoids may want to ask a physician whether a medication they use is making them constipated. When this is the case a patient may ask a doctor to prescribe another medication that does not cause constipation.

Constipation can often be alleviated by eating a diet that is rich in the fiber found in whole grain foods, fresh fruits, and vegetables. Drinking up to or more than 6 glasses of water every day may also help alleviate the symptoms of hemorrhoids or prevent its onset altogether. A diet that is rich in fiber and which is complemented with sufficient quantities of water helps to soften the stool and adds bulk to it allowing it to be more easily pushed through the intestine which prevents hemorrhoids. Eating refined and processed foods may also exacerbate the symptoms of hemorrhoids or lead to constipation which could lead to hemorrhoids. Hence foods such as chips, cakes, and candy should be avoided particularly among those close to or over the age of 50.

Getting enough exercise will also help prevent hemorrhoids and alleviate its symptoms. Someone over 50 who has no disability should engage in regular physical exercise not only to prevent hemorrhoids or alleviate its symptoms but also to remain healthy. It is also a good idea to not sit on the toilet for a long period of time as doing so can put a strain on the veins around the anus or rectum. Finally, gently cleaning the anus after a bowel movement prevents the area from becoming irritated and prevents hemorrhoids.

Even after taking many precautions, one can not be completely sure if they got rid of piles. Consult the best piles treatment doctors in Bangalore at SIICP today!
For the same information in Kannada click here.

World Piles Day: No Piles, Only Smiles

No Piles. Only Smiles.

Every year, 20th November is celebrated as ‘World Piles day’ with an intention of spreading the awareness about Piles.

Piles are one of the most common problems of the rectum, affecting both men and women. Piles also called as Hemorrhoids are troublesome but can be treated. 

Many people suffer from piles in silence for a long period of time before seeking medical help. Many fear of surgery but majority of the piles issues can be treated without surgery says Dr. Parameshwara C M – Top Colo-rectal Surgeon & the Best doctor for piles treatment in India.

How many people have Piles?

It’s not really surprising, 75 percent of people suffer from piles at some point in their lives. Most susceptible to the development of piles are pregnant women or women after childbirth. 5 out 10 pregnant women are struggling with piles during pregnancy.

People who eat low fiber diet, having chronic constipation and people who follow sedentary lifestyle are especially prone to Piles.

How Piles are dangerous?

  1. Piles by itself cause significant blood loss. Chronic blood loss can lead to anemia, with which you don’t have enough red blood cells to carry oxygen.
  2. Internal Hemorrhoids can collapse when their anal muscles cut off the blood supply, which leads to blood clots, infections, and sepsis.
  3. Bleeding from hemorrhoids can provoke heart attack in people with bad coronary arteries.
  4. Assuming that your symptoms are just Piles without colorectal specialist diagnosis could be really dangerous. This is because the similar symptoms of hemorrhoids can lead to many other diseases.
  5. Rectal bleeding, the most common symptom of piles could also be a sign of colorectal cancer or anal cancer.
  6. External hemorrhoids experience pain but sometimes it can also be a sign of Anal Fissure or tear at the opening of the anus.
  7. Pain at the anal area also points to a Fistula disease, an abnormal tunnel between two organs.

Who are more prone to Piles?

EVERYONE. Yes, everyone of us are more prone to piles.

  1. Piles during pregnancy are quite common due to the level of certain hormones in your body. The weight of the baby as it grows in the womb, putting more pressure on veins also increases the likelihood of suffering from hemorrhoids in pregnancy.
    Click here to know more about Piles in Pregnancy.
  2. Drivers are more prone to piles as they spend long periods of time sitting. As a result, drivers are more prone to developing Hemorrhoids.
  3. IT crowd and others with desk jobs, who sit for longer period of time at their work stations are more vulnerable to hemorrhoids.
  4. People who strain during bowel movements and sitting for long periods of time, especially on a toilet are more susceptible to piles.

How to Prevent Piles / Hemorrhoids?

They become a problem when hemorrhoids start to become itchy, cause pain, or bleed. Fortunately there are a number of simple step we can follow to prevent hemorrhoids from interfering with your daily life.

  1. Eat high-fiber foods
  2. Drink fluids
  3. Exercise regularly
  4. Don’t hold the urge to visit bathroom
  5. Avoid sitting for long periods.

Click here to know more on how to prevent piles.

Consult our best Colo-rectal surgeon Dr. Parameshwara C M – A pioneer and the best doctor for piles treatment when you feel the symptoms in the starting stage itself. Don’t suffer in silence. If detected at the right time, piles can be cured without surgery.



At SIICP, we focus on surgery less treatment methods to cure piles. Even if piles are in advanced stage, our painless, blood less and minimally invasive treatment methods can make you get back to your normal life within 24-hours without the need of hospitalization.

Contact SIICP today for the best piles treatment.

#WorldPilesDay #SayNoToSurgery #SaveTomorrow #NoPiles #OnlySmiles #SmilesIICP #SIICP

Piles – The secret disease of Bangalore

SIICP, being one of the best piles treatment hospitals in Bangalore & Mandya treats many patients suffering from piles, constipation, fissure and fistula every day.

Majority of the cases related to piles we deal at SIICP are in the final stage. It made us think about the dire need of implementing preventive cure & identifying Piles in the first stage itself. And what we could find was, they were neglecting the initial piles symptoms and avoiding getting in touch with specialists.

It has a made regular appearance in our experience at SIICP that people don’t speak about the things which they are going through. When they experience initial symptoms of piles they don’t take it seriously and avoid medication. Later when the piles symptoms reach greater grade it becomes hard for them to bare it.

Those left us wondering one thing

➢ Why people are ashamed to have Piles and they attempt to keep it secret?

➢ Is it so uncommon that it is shameful to be treated for piles?

When we pondered over these questions and tried to find answers we took a reverse approach in
answering these questions. Let’s start with the last question first.

Is it so uncommon that it is shameful to be treated for piles?

People in our country believe that having affected with piles is rare. While the stats say that, reportedly 75% of population is estimated to have piles also known as Hemorrhoids. According to one of the research study papers from Rajiv Gandhi University of Health and Science, Bengaluru, Karnataka, more than 40 million people in India are reported to have piles.

That means 3 out of every 10 have piles . But only 1 gets operated among the 10. It is estimated that 40 out of 100 Bangalorians might be suffering from Piles due to the stressful work lifestyle.

So is it Uncommon to have piles? It is quite common and it is OKAY to be treated for piles.

Why people are ashamed to have Piles and they attempt to keep it secret?

Upon the surveys taken post surgery of high grade piles treatment, when people were asked the reason for not taking right medical treatment during the initial stages the answers were quite natural.

Most of them were ashamed to talk about the ailment and went ahead in taking home remedies.These indigenous treatments have the high possibility of infections and relapses often. It is always recommended to stay away from these deadly

With modern day procedures, there are many best piles treatments and procedures available at affordable rates. DG-HAL RAR and Laser Treatment are some of those best piles treatments available at SIICP which has 100% success rate , painless, bloodless and are minimally invasive.

That said, being embarrassed of the disorders or the discomforting ailments would only pose serious medical problems and also can be symptoms of bigger problems. So staying hush-hush about the illness is a not suggested. If you are experiencing piles symptoms and you are still keeping it secret, please do not do that.

Open up and talk to our internationally certified experts at SIICP.

Feel free to get in touch with us. Book appointment here or call us before it is is too late @ +91 9844 229 888.

Sitz bath- What is Sitz bath? How to take a Sitz bath?

Sitz bath for Hemorrhoids, Fissure, Fistula, Constipation & other ano rectal issues

What is a Sitz bath?

A sitz bath or hip bath is a warm bath where you sit in water up to the hips that cleanses the perineum,  the area between the rectum and the vulva or scrotum. This bath can help in bringing relief for people with pain, swelling, irritation or inflammation in the perineum. as explained by best hemorrhoids doctor of SIICP.


It is also a way of bathing the genitals that can help to relieve burning and soreness.

Hence, we can say that sitz bath can be valuable for individuals who have issues in the butt-centric region, for example, hemorrhoids, or a disease in the anogenital region. It can give relief to ladies after vaginal childbirth.

How to take Sitz bath?

The different ways of taking a sitz bath are taking it in the bathtub and using a kit. Soak up to 10 to 15 minutes for three times a day.

>> Taking sitz bath in the bathtub

Steps on how  to take a sitz bath in the bathtub:

  • Clean the tub by blending 2 tablespoons of bleach with a ½ gallon of water.
  • Make sure that the tub is filled  3 to 4 inches of water. The water should be warm but not hot enough to cause burns or discomfort.
  • Sit in the tub, making sure your perineum is covered.
  • Afterward, gently pat the area with a clean cotton towel. Don’t cause pain and irritation by rubbing or scrubbing the perineum.
  • Rinse the tub thoroughly.
>> Taking sitz bath using a kit

A plastic sitz bath normally comes as a kit that can be fitted to a standard toilet. Rinse the kit with clean water. Then, add warm but not hot water along with medications or solutions prescribed by a doctor.

The following are the steps on how to take sitz bath using kit:
  • Place the sitz bath in the open toilet
  • Test it by trying to move it from side to side to guarantee it will remain in the same place and won’t move.
  • The sitz bath should be filled with warm water. You can add extra water without having to get up. The extra water comes from the tube of the plastic bag. Make sure the water is deep enough to cover your perineum.
  • Most sitz baths prevent water from overflowing. The water conveniently overflows and can be flushed.
  • Avoid rubbing or scrubbing the area when you are finished. Stand up and pat the area gently with a clean cotton towel.
  • Prepare the sitz bath for its next use by cleaning it completely.

In spite of the fact that there are no guidelines for when to replace sitz bath, dependably check it for indications or signs of splitting or weakened areas everytime time before and after use.

What are the uses of Sitz bath?

People use sitz baths regularly to cleanse the perineum. Sitz baths benefits include

  • keeping the anus clean
  • improve hygiene
  • reducing inflammation
  • promote blood flow to the anogenital area
  • healing perineal
  • vaginal lacerations after vaginal childbirth
  • Can advance quicker recuperating
  • calms irritation, itching and minor pain

Why you should consider Sitz bath?

Common  reasons why you should need to consider using a sitz bath include:
  • Having recent surgery in the anogenital area.
  • Having discomfort from hemorrhoids, when they push outside of the anus.
  • Having given birth recently
  • Having discomfort with bowel movements, such as diarrhea and constipation.

Both adults and children can use sitz baths. Parents need to supervise their children during a sitz bath.

Our doctors can help you by prescribing the right medications to put in a sitz bath.

Risk factors of Sitz bath

Taking sitz bath is harmless because it is a noninvasive treatment.  The most well known adverse event associated with sitz baths is the infection of the perineum, but this rarely happens. This may also happen if you don’t clean the tub or plastic bath thoroughly.

If your perineum becomes red and puffy or if the pain or itching worsens stop using sitz baths and contact your doctor.

If sitz bath gives relief, you can take three or four per day, until the source of the itching, irritation or pain is healed. After having a sitz bath, you may immediately return to normal activities.

Home remedies to treat piles during pregnancy

Home remedies for hemorrhoids during pregnancy

In many cases, hemorrhoids during pregnancy can be treated easily and naturally at home. Following are some home remedies for hemorrhoids in pregnancy that will help you ease out your symptoms:

  • Apply coconut oil to the piles (hemorrhoids): It can relieve pain and help piles to heal in a few days. It has antifungal and antibacterial properties which can help with the itching.
  • Aloe vera: Apply fresh aloe vera to the inflamed area for the relief. Be sure to use a pure aloe vera, without fragrances and chemicals added.
  • Wet Wipe: Use natural baby wipes instead of using dry toilet paper to avoid irritation.
  • Sleeping position: Sleep on your left side. Sleeping on the left sides eases the pressure on the abdomen and get relief from the pain of piles.
  • Use loose-fitting cotton clothes: Use cotton clothes for easy breathing of the area and pain relief from piles.
  • Avoid sitting for a longer time: Sitting puts pressure on the veins in the rectum and anus. Take frequent breaks or sit on a ring cushion which is also called as hemorrhoid pillow.
  • Warm water bath: Bath with warm water for 10 minutes or soak the affected area in a tub with warm water.

In most cases, with proper care, you can treat piles in pregnancy using some of these popular home remedies. However it is always recommended to visit a qualified colo-proctologist to assess your condition and recommend the necessary treatment.

Piles in Pregnancy – Symptoms, Treatment and Diet

Why are piles in pregnancy so common?

Piles during pregnancy are quite common due to the level of certain hormones in your body. In particular, the hormone progesterone, which relaxes the walls of blood vessels making more likely to occur piles in pregnancy.

The weight of the baby as it grows in the womb, putting more pressure on veins also increases the likelihood of suffering from hemorrhoids in pregnancy.


Symptoms of piles during pregnancy

The swollen blood vessels will become painful and uncomfortable. It is possible to hang down during or after passing a stool.

There are numerous symptoms of piles in pregnant. The most common symptoms include:

  • Blood after passing the stool: When you sit for trying a stool, you will see blood after passing the stool.
  • Itching around the bottom: There will be burning sensation and severe itching every time you try to pass the stool.
  • Feel of being full and need of emptying: The swollen blood vessels keep pressurizing the rectum area and thus it creates the feeling of full bowel and a need to empty it even after passing a stool.
  • Discharge of Mucus: There will be a mucus discharge every time after passing a stool in piles in pregnancy.
  • Lumps: A lump hanging outside the anus, which may need to push in back everytime after passing a stool.

Treatment for piles in pregnancy

Treatments can help significantly reduce the itching and discomfort. Some of the treatments for piles are listed below:

  • Topical Ointments: They have anti-inflammatory and analgesics properties which can provide relief from bleeding, pain, and discomfort.
  • Laxatives:  Laxatives are prescribed if a person with piles suffers from constipation. These can help the person to reduce the pressure on the lower colon and pass stools more easily.
  • Over the counter remedy: Apply witch hazel medicated pads to the anal area
  • Surgical options: Patients who have persistent symptoms even after a month of conservative therapy need surgery. This is the option only if the problem is severe

Diet to control Piles during pregnancy

To prevent piles and constipation during pregnancy follow some essential  diets which include:

  • Fiber-rich diet: Take a diet of food which has fruits and vegetables and other foods which are rich in fiber for a smooth bowel movement.
  • Ripe banana in a cup of milk: Boil a ripe banana in a cup of milk and drink it 3-4 times a day which makes the bowel movement smooth and easy.
  • Buttermilk with carom seed powder: Take a glass of buttermilk with carom seed powder and a pinch of salt also helps in treating piles (hemorrhoids).

Foods to avoid piles/hemorrhoids?

Avoid taking the following diet when you have piles

  • White bread
  •  Milk, cheese, and other dairies.
  • Meat
  • Frozen meals and fast food.
  • Ice creams

Pregnancy period is the most special yet the most stressful moment for every couple. Do not let piles affect your journey to parenthood. It is always recommended to reach out to experts for the exact treatment solutions.

5 foods to avoid to reduce the risk of Piles / Hemorrhoids

In majority of cases controlled diet can help prevent hemorrhoids. Observations from various medical studies has proved that certain food can do increase the risk of piles. They are

  • Dairy Products:
    Most of the dairy products contain a sticky protein called Casein. And it is very hard to digest Casein for humans. And they contain very little fiber. So it’s best to limit the intake of these.
  • Refined Foods:
    In many cases, a diet that is rich in refined carbohydrates can leads worsening the hemorrhoid condition. Due to this , the following foods should either be entirely avoided, or consumed in distinctly small quantities:
    • Ready-Made Meals
    • White Bread
    • Processed Foods
  • Deep Fried and Spicy foods:
    Although deep-frying foods every now and then probably won’t damage your health permanently, during hemorrhoid, you should avoid fried foods.They can be damaging to hemorrhoids in two ways.
    • Fried foods are heavy and hard to digest.
    • Fried foods are typically cooked in vegetable oils which are extremely inflaming and can cause damage to the intestinal walls. The damage can make hemorrhoids larger and more painful.
  • Coffee, Tea and Alcohol:
    Drinking lots of coffee and Tea beverages at least 6 cups of coffee each day will dehydrate your body, making your stools harder. Alcohol is a painful risk to those who suffer with hemorrhoids because Alcohol can cause irritation within the intestinal tract, which of course then results in the aggravation of the symptoms associated with hemorrhoids.
  • Lacking Physical Activity: Avoid sitting down for extended periods of time to reduce pressure on your bottom area.
    Get up from your chair at least once in 20-30 minutes and walk 5 minutes to get your circulation started.
    You can also do squats, lunges, leg lifts etc. not more than 10-15 minutes because more stress on bottom area will upsets hemorrhoids.

6 easy ways to prevent Hemorrhoids

They may not be fun to talk about, but hemorrhoids are actually a fairly common part of life.

They become a problem when hemorrhoids start to become itchy, cause pain, or bleed. Fortunately there are a number of simple strategies to prevent hemorrhoids from interfering with your daily life.

The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. Follow these tips to prevent piles.

avoid hemorrhoids

  1. Eat high-fiber foods.
    Most people don’t get the recommended amount of fiber — 25 grams a day for women and 38 grams a day for men through their diet. Include more fruits, vegetables and whole grains in your diet. Fiber and water content in them will help you avoid the straining that can cause hemorrhoids.
  2. Drink fluids.
    Increase the intake of water and other liquids which will make your stools soft. Keep alcohol away as it increases dehydration.
  3. Don’t strain.
    Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
  4. Don’t hold the urge.
    Never hold your stool, go as soon as you feel the urge. If you hold it, stool could become dry and be harder to pass.
  5. Being active.
    Physically helps in preventing constipation and in turn the risk of piles.
  6. Avoid long periods of sitting.
    Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus. Jobs such as software engineers, drivers, conductors, tailors need to make it a habit of taking regular breaks of getting up from their seats and taking few steps.