It depends on the type of piles Parimala.
If its is very large and comes out of the anus, then surgery alone is ideal. If it is within then u have many options.
First is to have a high fiber diet. Have 2 bananas at night.
A laxative at night can also be taken.
Now a days Stapler is available which costs 12000. It can be easily applied without anaesthesia and patient can walk home immediately.
Laser can also be used.
Injection of coagulants inside the piles can be done. But here the recurrence is more.
Banding is a technique where a rubber band is applied over the piles which slowly shrinks and disappears.
Hope u r convinced with my answer.
Any thing more u can blurb to me.

Answered by Siva Sankar , an ibibo Citizen, at 2:37 PM on June 17, 2008

Hemorrhoids, which are also called piles, are swollen and inflamed veins in your anus and rectum. They may result from straining during a bowel movement or the increased pressure on these veins during pregnancy, among other causes.

In many cases hemorrhoid treatment involves steps that you can take on your own. But sometimes medications or surgical procedures are necessary.

For persistent bleeding or painful hemorrhoids, your doctor may recommend:

- Rubber band ligation. Your doctor places one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its circulation and the hemorrhoid falls off. This simple procedure —called rubber band ligation —is done in the doctor's office and is effective for many people.
- Sclerotherapy. In this procedure, your doctor injects a chemical solution around the blood vessel to shrink the hemorrhoid.
- Infrared light. A one- or two-second burst of infrared light cuts off circulation to small, bleeding, internal hemorrhoids.
- Surgery. If other procedures haven't been successful or if you have large hemorrhoids, your doctor can remove tissue in a procedure called hemorrhoidectomy. The surgery is done with either a local anesthetic combined with sedation, a spinal anesthetic, or a general anesthetic. Surgery can be performed on an outpatient basis or you may require an overnight hospital stay. While you may experience discomfort after the procedure, medications can be used to relieve your pain. Soaking in a warm bath also can ease your discomfort.
- Stapling. This procedure, which blocks blood flow to hemorrhoidal tissue, is a relatively new treatment technique. While some experts point out that this procedure involves less pain than surgery and allows an earlier return to work, there are drawbacks as well. Stapling has been associated with a greater risk of hemorrhoidal recurrence and prolapse compared with open surgery. Talk with your doctor about what might be the best option for you.

ACCORDING TO MY PERSONAL KNOWLEDGE FOR THIS DISEASE THE MAIN CAUSE IS CONSTIPATION. IF YOU AVOID CONSTIPATION YOU CAN BE FREE FROM PILES-

Answered by Mohd Farooq , an ibibo Master, at 4:59 PM on June 17, 2008

hi there

In the initial stages, a lot of treatment options are available such as high fibre diet, Banding[place small rubber bands around the hemorrhoids to cut off the blood supply], Sclerothrapy [inject the hemorrhoids with a drug that drastically shrinks them], Cryotherapy[the hemorrhoid is essentially frozen off], Infra-red coagulation or laser[the hemorrhoid is burned off, cauterizing the ends] etc. These modalities provide good relief in initial stages but do not help much in the later stages of the disease. In advanced stage, only Surgery provides long lasting relief. Now Stapler method of treatment has revolutionized the surgical treatment of piles.

Answered by Reeta K , an ibibo Master, at 2:55 PM on June 19, 2008