Piles is something most people deal with quietly for a long time before they do anything about it. You try the pharmacy cream, it settles, you move on. A few weeks later it’s back. You try again. This goes on.
Part of why it drags on is the embarrassment. But honestly, for most people the bigger thing is the thought of surgery down there. That’s the part that makes people put the phone down after Googling and decide to just manage it a bit longer.
What usually changes things is realising the procedure isn’t what they were picturing. Laser treatment takes about 30 minutes, you go home the same day, and most people are back to normal within a few days. Not weeks. Days.
For mild cases, dietary changes and the right medication genuinely do work. More fibre, more water, consistent treatment. Fine.
The issue is when that stops working. Bleeding that keeps happening. Tissue that’s prolapsing and not going back. Symptoms that come back every few weeks no matter what you do.
At that stage you’re not really managing it anymore, you’re just living with it getting gradually worse. That’s when it makes more sense to just deal with it properly.
The laser delivers targeted energy to the base of the haemorrhoid, cutting off its blood supply. The tissue then shrinks over the following weeks on its own.
No cutting. No stitches. No wound healing from the outside. The whole thing happens internally, and the tissue around it isn’t touched.
It runs about 20 to 30 minutes under local or short general anaesthesia. Most people are home a few hours after arriving.
The older approach involved cutting the tissue out physically. Recovery from that was hard going — pain for two to four weeks, wound care at home, a significant amount of time off work. That reputation is a big reason people avoided treatment for so long.
Laser is different in a few practical ways:
First couple of days there’s some soreness. Manageable with the medication prescribed. Most people are moving around at home comfortably, eating normally.
Days three to five it noticeably improves. Light activity is fine. Strenuous exercise and heavy lifting should wait a bit longer.
By week two most people are back at work. The tissue keeps shrinking internally for a few weeks after that, which is normal.
Dr. Mangesh Yadav does a follow-up to check healing is going as expected.
What actually helps:
It works well for Grade 2, Grade 3, and certain Grade 4 haemorrhoids. It tends to suit people who need to get back to work quickly, who’ve had recurring symptoms for a while, or who’ve been avoiding treatment because conventional surgery sounded too difficult.
It’s not the answer for every case. Some presentations need a different approach. The consultation with Dr. Mangesh Yadav is where that gets worked out properly, based on what’s actually going on rather than a general recommendation.
Good outcomes with laser surgery are well documented. But it’s still a procedure that requires accurate assessment and precise execution. Reading the tissue correctly, making the right calls during the operation — that comes from experience, not just equipment.
Dr. Mangesh Yadav has specific experience in this area. Consultations are thorough. You’ll leave knowing exactly what your situation is and what the procedure involves before you decide anything.
Most people with piles wait longer than they need to. The embarrassment, the dread of surgery, the hope it’ll resolve it adds up to a lot of unnecessary time feeling uncomfortable.
If conservative treatment has stopped working and symptoms keep returning, a conversation with Dr. Mangesh Yadav is worth having. Not an intimidating one. Just a straightforward one about what’s actually going on and what the sensible next step is.
153, Magarpatta Rd, Magarpatta, Hadapsar, Pune
Monday To Saturday: 03.00 PM to 05.00 PM / 07.00 PM to 08.30 PM
Sunday: 10.30 AM to 01.00 PM
