Are you suffering from piles for a long time now? Do you know what stage it is? Did you consult a doctor for a diagnosis? 

A lot of people do not go to the doctor for piles treatment due to embarrassment. They keep taking over-the-counter medicines irrespective of knowing their condition. . 

When there is no diagnosis, you can not find out what grade of piles you might be going through. And you might continue to take the same medicines that are prescribed during grade 1 or 2. In that case, they will not be effective and might make the situation worse. 

Over-the-counter medicines for piles

There are a few over the counter medicines and products which people take for grade 1 and 2 piles. It is important to understand that there are very few medicines that may or may not be effective for grade 3 and 4 piles. 

  • Recticare Anorectal cream

People suffering from piles may be hesitant to share anything about their anorectal problems. In that case, this ointment can help you get relief from burning, itching and pain. 

  • Anusol Hemorrhoidal ointment

It has antiseptic properties and astringent that provides relief from pain and itching.  

  • Preparation H Hemorrhoidal cream

Preparation H is the over-the-counter cream that provides temporary relief from symptoms such as itching pain, burning and swelling. 

  • Doctor Butler's hemorrhoid and fissure cream

This ointment stops bleeding and reduces swelling and can provide relief from symptoms that mostly occur in grade 1 and 2 piles. 

  • Tronolane hemorrhoid cream

It is a numbing cream. The ointment provides users with comfort, lubricates the piles affected area, soothes it, and relieves pain.

*Disclaimer - We don’t recommend any medicine mentioned above. The use of medicine for any Grade of Piles should be done in supervision of Doctor only.

Other Alternatives of Medicines Used in India

People use several home remedies such as sitz bath, high-fiber meals, cold compress which help them ease pain and swelling. It is very important to build healthy toilet habits such as keeping yourself clean, prolonged sitting on the toilet and straining.

Below are some over the counter products that are also used to treat piles:

  • Hemorrwedge Ice treatment
  • Thena sitz bath soak
  • Tucks medicated cooling pads
  • Hem control capsules from Naticura

What is a Wise Decision in Grade 3 and 4 piles? 

Internal hemorrhoids are divided into four grades - 1, 2, 3 and 4; grade 4 being the most severe stage of piles. 

While grade 1 piles do not bulge out from the anus at all, in grade 2, it comes during a bowel movement and then returns to their normal location.

As piles get worse, the complications and pain increase. Grade 3 piles require manual insertion to return them to their position. Grade 4, the most severe, does not reduce at all and is painful if you try to insert it manually and do not stay inside the rectum.

But grade 3 and 4 can not be treated easily with over-the-counter medicines. Grade 3 and 4 treatment is usually surgical. Patients usually delay the treatment either due to pain and complications or they think over-the-counter medicines. These medicines can also cause side-effects and further aggravate piles. 

With advancement in technology, the treatment allows for minimally invasive surgical treatment of piles or hemorrhoids.  

Laser treatment for piles 

Laser surgery is a minimally invasive procedure and a  best possible treatment for piles. It involves no cuts, no pain and no wounds. 


In this process, specialized laser fiber is   to the affected area. With a precise intensity of laser beam, the light energy from the laser works to close off the blood supply to the tissue. This coagulation causes the piles to shrink up and disappear.

Recovery Time

Traditional surgery or open surgery for piles take longer to recover whereas with laser surgery you can resume the normal activities within 48 hours. Even the post-surgery discomfort and complications are negligible in laser surgery. 

Recurrence of piles

After surgery, you can make lifestyle changes to prevent recurrence of piles. Exercise, Yoga, fiber intake and drinking enough water will keep the digestive system smooth. 

There are other advantages of Piles Laser Surgery:

  • Daycare procedure
  • Instant relief from symptoms
  • High success rate
  • No chances of complications after surgery

Take Away

Grade 3 and 4 cannot be treated with over-the-counter medicines. They need surgical treatment and laser surgery is the best way to treat them. Consult a proctologist and do not shy away to discuss the problem. Therefore, when you want relief and want it instantly, laser surgery for piles is the right way.

Author's Bio: 

Pristyn Care is a multi-speciality healthcare provider which aims to deliver a hassle free surgical experience to all patients by leveraging technology, and a set of advanced operations and powerful processes.