Can piles be treated without surgery? Exploring non-surgical solutions, by colorectal surgeon Mr Javed Arain
Piles, also known as haemorrhoids, are swollen blood vessels in the rectal or anal region that can lead to discomfort, itching, and sometimes bleeding. While surgical intervention is occasionally necessary for severe or persistent cases, most individuals can benefit from non-surgical haemorrhoid treatments -especially during the early stages.
Non-invasive methods are effective at relieving symptoms, shrinking haemorrhoids, and improving overall comfort without the need for invasive procedures. These treatments are well-suited to patients looking for quick, effective solutions with minimal recovery time.

What are non-surgical treatments for piles?
Non-surgical treatments primarily focus on reducing swelling, alleviating pain, and promoting healthy bowel habits. Some of the most common non-invasive options include:
- Lifestyle changes: Increasing fibre intake, staying well-hydrated, and avoiding straining during bowel movements are key to reducing symptoms and preventing further irritation. These simple changes help alleviate pressure in the anal area and support overall bowel health.
- Topical treatments: Over-the-counter creams, ointments, and suppositories that contain ingredients like hydrocortisone or witch hazel can help soothe irritation, reduce itching, and alleviate discomfort in the affected area.
- Warm sitz baths: Soaking the affected area in warm water multiple times a day can effectively reduce swelling and provide soothing relief for those dealing with the discomfort of haemorrhoids.
- Medications: For more significant discomfort, oral pain relievers and stool softeners can be prescribed to reduce irritation and promote more comfortable bowel movements.
Minimally invasive procedures for piles
When lifestyle changes and topical treatments alone are not enough to provide relief, minimally invasive procedures may be recommended. These procedures are typically quick, safe, and can be performed on an outpatient basis, offering significant relief with minimal downtime.
- Rubber band ligation: In this procedure, a small rubber band is placed around the base of the haemorrhoid to cut off its blood supply. This causes the haemorrhoid to shrink and eventually fall off within a few days.
- Sclerotherapy: A chemical solution is injected into the haemorrhoid, causing it to shrink over time. This method is effective for reducing haemorrhoids and providing lasting relief.
- Infrared coagulation: Infrared light is used to target and seal off the blood vessels supplying the haemorrhoid, reducing its size and alleviating discomfort.
These minimally invasive treatments are designed to be well-tolerated with very little discomfort and are effective for treating most cases of haemorrhoids.
Are non-surgical treatments painful?
Non-surgical haemorrhoid treatments are generally well-tolerated and are less painful than surgical options. Some procedures, such as rubber band ligation, may cause mild discomfort or a sensation of pressure, but this discomfort is temporary and typically resolves within a few days.
For added comfort, treatments like warm sitz baths and proper aftercare can further minimise discomfort. Most people can resume normal activities shortly after treatment, making non-surgical options an attractive choice for individuals seeking quick, effective relief without the recovery time associated with surgery.
Introducing eXroid®: A cutting-edge non-surgical treatment for piles
One of the most advanced non-surgical treatments for haemorrhoids is eXroid®, a safe and effective electrotherapy treatment. Unlike traditional methods, eXroid uses a small electrical current to shrink haemorrhoids without the need for anaesthesia or cutting. It’s a pain-free, non-invasive option that provides fast relief for many patients.
According to Mr Javed Arain, colorectal surgeon:
"eXroid offers a highly effective and well-tolerated solution for patients with haemorrhoids. The treatment requires no downtime, and its non-invasive nature makes it a popular choice for those looking for a quick and effective alternative to more traditional procedures."
eXroid provides lasting relief, helping sufferers manage symptoms without resorting to surgery. Whether you’re dealing with early-stage haemorrhoids or seeking a non-surgical solution to recurring symptoms, eXroid can be an excellent option.
When is surgery necessary for piles?
While non-surgical treatments are highly effective for many people, surgery may be necessary for severe or persistent haemorrhoids. Procedures such as haemorrhoidectomy or stapled haemorrhoidopexy are typically reserved for cases where non-surgical treatments have not provided adequate relief. These surgical interventions offer a more permanent solution for chronic sufferers but are generally recommended only after other options have been explored.
Preventing the recurrence of piles
To reduce the risk of piles returning, it’s essential to adopt healthy bowel habits and lifestyle changes, including:
- Eating a high-fibre diet
- Drinking plenty of water
- Avoiding prolonged sitting, especially on the toilet
- Maintaining a healthy weight and staying active
By following these preventive measures and seeking early treatment, most people can successfully manage their haemorrhoids and reduce the likelihood of recurrence.
Conclusion
There are numerous non-surgical options available for treating piles, ranging from simple lifestyle changes and topical treatments to minimally invasive procedures and advanced therapies like eXroid. With the guidance of a colorectal surgeon like Mr Javed Arain, most people can manage their haemorrhoid symptoms effectively without resorting to surgery.
For more information on non-surgical haemorrhoid treatments, including eXroid, or to book a consultation with Mr Javed Arain, visit our clinic today.