If there's no improvement to your piles after home treatments, you may need hospital treatment.
Talk to your doctor about the best treatment for you. Treatment does not always prevent piles coming back.
Treatment without surgery
Common hospital treatments include:
- rubber band ligation: a band is placed around your piles to make them drop off
- sclerotherapy: a liquid is injected into your piles to make them shrink
- electrotherapy: a gentle electric current is applied to your piles to make them shrink
- infrared coagulation: an infrared light is used to cut the blood supply to your piles to make them shrink
You'll be awake for this type of treatment, but the area will be numbed.
You should be able to go home on the same day.
If these treatments do not work, you may need surgery to remove your piles.
Surgical treatments include:
- haemorrhoidectomy: your piles are cut out
- stapled haemorrhoidopexy: your piles are stapled back inside your anus
- haemorrhoidal artery ligation: stitches are used to cut the blood supply to your piles to make them shrink
You'll usually need to be asleep for this type of treatment and may need to stay in hospital for more than 1 day.