Grade 4 Piles: Causes, Symptoms, Treatment, Recover
Piles

Grade 4 Piles: Causes, Symptoms, Treatment, Recover

January 15, 2025
12 min read
Dr. Kapil Agrawal - Senior Consultant at Apollo Group of Hospitals
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Table of Contents

Key Takeaways

Comprehensive guide to Grade 4 piles including causes, symptoms, diagnosis, and treatment options including laser hemorrhoidectomy.

Grade 4 Piles: Causes, Symptoms, Treatment, Recover

What are Grade 4 Piles?

Haemorrhoids refer to having swollen blood vessels in the rectal area.

The characteristics of grade 4 piles include the following:

Full prolapse of internal haemorrhoids (sustained) No ability to reduce the haemorrhoids manually

Associated symptoms include pain, bleeding, itching, and burning of the anorectal area.

This can result in severe discomfort when carrying out day-to-day activities such as sitting, walking, and standing.

What Causes Grade 4 Piles?

The following factors may contribute to the development of grade 4 piles:

Chronic constipation or diarrhoea Continuous straining during defecation Lack of treatment for lower grade piles leading to worsened condition Increased pelvic pressure caused by pregnancy Natural wear and tear of the anal tissues due to old-ageing A poor lifestyle along with a poor diet Signs and Symptoms of Grade 4 Piles

If the tissue surrounding the anus is grade 4 piles, then the following symptoms will be present:

Severe ache around the anus, which can be sharp stabbing or throbbing. Heavy bleeding from the anus during bowel movement Prolapsed hemorrhoidal tissue Reduced control of cleanliness because of protrusion or oedema Obstructed defecation syndrome Fecal incontinence

Without treatment, these symptoms may develop into complications like anemia and skin infections, while adding psychological strife.

How are grade 4 Piles diagnosed?

A proctologist or colorectal surgeon can diagnose grade 4 piles by: Visually inspecting the anal region Evaluating the internal haemorrhoids via proctoscopy or anoscopy Analyzing the patient’s medical history, symptoms, and associated complaints

Timely diagnosis is crucial in selecting the appropriate course of treatment.

Treatment Methods

Non-surgical techniques are ineffective for Grade 4 piles, hence surgical treatment is required. The main approaches involve:

Laser Hemorrhoidectomy

An outpatient procedure that removes hemorrhoidal tissues using laser technology.

Benefits include decreased pain, less bleeding, and faster recovery.

Open Hemorrhoidectomy

This procedure is performed as a day case and involves surgically removing the haemorrhoids. Although it is effective, patients may experience a higher pain level and longer recovery time.

Stapled Hemorrhoidopexy

In this intervention, hemorrhoidal tissue is repositioned to cut its blood supply and allow for tissue shrinkage. It is associated with reduced postoperative pain and quicker recovery than open surgery.

However, if one’s condition is unbearable, you might need to check with a piles specialist like Dr. Kapil Agarwal for effective and best piles treatment in Delhi. If you are experiencing mild to severe symptoms of piles longer than two weeks, consider getting the best piles and hemorrhoid treatment at Habilite Clinics, Delhi.

Call Now at +91 9999456455 or email us at contact@habiliteclinics.com

Cost of Piles Treatment in India

In India, expenses for treating Grade 4 piles differ depending on the surgical method selected:

Laser Hemorrhoidectomy: INR ₹45,000 to INR ₹73,400

Open Hemorrhoidectomy: INR 60,000 to INR 72,500

Stapled Hemorrhoidopexy: INR ₹35,000 to INR 1,15,000

Some of the factors affecting the cost include the type of operation, the hospital’s geographical location, surgical specialists’ charges, and other interventions needed.

Preparing for Laser Piles Surgery

Due to its accuracy, laser surgery is regarded as the most appropriate intervention for grade 4 piles. Here is how to prepare:

Let your provider know of any medications you take, especially anticoagulants. Refrain from consuming food or drinks for at least 8 hours before surgery. Address any concerns regarding allergies to anaesthetics with your physician. Discussions concerning the surgery may be dealt with early to alleviate anxieties. Benefits of Laser Treatment for Grade 4 Piles

Laser surgery for piles has transformed treatment due to their effectiveness and ease for the patient:

There are no cuts, sutures, or open wounds. It is less painful than traditional surgery. It is a same-day discharge. Recovery is rapid. There is less bleeding during the procedure. Resumption of routine life is after 2-3 days. There is a lower risk of post-op infections and complications.

This approach is ideal for any modern-day patient looking for comfort as it offers less invasion to surgeries.

Recovery After Laser Piles Surgery

When care is taken following the steps, these ensure a rapid and uncomplicated recovery.

While home remedies can aid in managing pain, they aren’t able to treat grade 4 piles. The suggested methods include:

Taking sitz baths to relieve pain and swelling Using ointments or suppositories available at retail pharmacies Eating foods high in fibre and drinking enough fluids Avoiding straining during bowel movements

Why Choose Habilite Clinics for Grade 4 Piles Treatment?

Habilite Clinics have gained prominence as one of the best clinics for piles treatment due to their:

Senior Proctologist and Surgeon Specialists Surgical Laser Treatment Technology Facilities Integrated and holistic approach to treatment Tailored consultations and treatment strategies Well-maintained and sanitized rooms Positive testimonials and an impressive success rate

Habilite Clinics guarantees a refined treatment journey, free of, as well as post-surgical recovery stressors, from the initial consultation onward.

FAQ

Is Grade 4 Piles Serious?

Yes, grade 4 piles are the severest form of haemorrhoids. The engorged tissues remain outside the anus permanently and frequently result in pain, bleeding, sanitary difficulties, and at times, issues like thrombosis or infections. Strongmedical assistance is urgent.

Do Grade 4 Hemorrhoids Need Surgery?

In most cases, surgery is the only effective treatment for grade 4 haemorrhoids. Non-surgical approaches like creams, sitz baths, and diet changes may offer some temporary relief, but they do not address the underlying issue of prolapsed tissue. Currently, laser pile surgery is a widely practised, gentle, and non-intrusive treatment.

Are Grade 4 Hemorrhoids Cancerous?

No, grade 4 haemorrhoids are not cancerous. They are essentially, swollen and inflamed veins located around the anus. However, the symptoms that accompany them like bleeding and pain, can be associated with much more serious illnesses like colorectal cancer, making proper diagnosis by a professional very important.

Nonetheless, consulting an expert to discuss possible surgical options is important for lasting comfort.

At Habilite Clinics, Dr. Kapil Agrawal and our skilled team of medical professionals, including the best appendix surgeon in Delhi, specialize in minimally invasive appendix removal. This means smaller cuts, less pain, and faster recovery.

Why Choose Us

  • Best Outcomes with discharge within 24 hours.
  • High-quality standards with an almost zero percent rate of infection.
  • Best Post Operative Care with round-the-clock availability of team.
  • A team of dedicated nutritionists to make your recovery faster.
  • No hidden charges and fixed and transparent packages.
  • Complete network of cashless insurance available.
  • All paperwork is handled by an expert team to give you a hassle-free experience.
  • Tie up with various agencies to provide you with EMI options at zero rate of interest.
  • Dr Kapil Agrawal, senior consultant laparoscopic surgeon, affiliated with some of the best and finest hospitals in New Delhi.

Book an Appointment

To Book an Appointment, kindly contact us at: +91-9910024564, +91-9999456455

D

Dr. Kapil Agrawal

Senior Consultant at Apollo Group of Hospitals

Published on 15 January 2025

About the Doctor

Dr. Kapil Agrawal

Dr. Kapil Agrawal

Senior Consultant - Laparoscopic & Robotic Surgeon

23+ years of Experience

Dr. Kapil Agrawal is a leading and one of the best Robotic and Laparoscopic Surgeon in Delhi, India. He has an overall experience of 23 years and has been working as a Senior Consultant Surgeon at Apollo Group of Hospitals, New Delhi, India. He is performing advanced laparoscopic and robotic surgeries for various conditions, which include Gallbladder stones, Hernia, Appendicitis, Rectal prolapse, and pseudo-pancreatic cyst.

Qualifications
  • MBBS - Institute of Medical Sciences, BHU, Varanasi
  • MS (Surgery) - Institute of Medical Sciences, BHU, Varanasi
  • MRCS (London, U.K) - Royal College of Surgeons, London
Specializations
Laparoscopic SurgeryRobotic SurgeryGallbladder SurgeryHernia Surgery
Connect with Dr. Kapil Agrawal

Why Choose Us

  • Best Outcomes with discharge within 24 hours.
  • High-quality standards with an almost zero percent rate of infection.
  • Best Post Operative Care with round-the-clock availability of team.
  • A team of dedicated nutritionists to make your recovery faster.
  • No hidden charges and fixed and transparent packages.
  • Complete network of cashless insurance available.
  • All paperwork is handled by an expert team to give you a hassle-free experience.
  • Tie up with various agencies to provide you with EMI options at zero rate of interest.
  • Dr Kapil Agrawal, senior consultant laparoscopic surgeon, affiliated with some of the best and finest hospitals in New Delhi.

Book an Appointment

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Dr. Kapil Agrawal

Consult with Dr. Kapil Agrawal - Senior Consultant - Laparoscopic & Robotic Surgeon at Apollo Hospitals, Delhi NCR. 23+ years experience and 7000+ advanced procedures with enhanced recovery care.

Gallbladder SurgeryCBD Stones RemovalGallbladder PolypsHernia SurgeryAppendix SurgeryGERD & Hiatus HerniaRectal Prolapse Surgery

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