Understanding Grades Of Hemorrhoids And When Surgery Becomes Essential

By Author: Dr. Daniel Serralta
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Hemorrhoids are a common yet often misunderstood medical condition affecting millions of people worldwide. They occur when the veins in the rectum or anus become swollen or inflamed, leading to discomfort, itching, bleeding, or pain. Understanding the Grades of Hemorrhoids is essential for determining the right treatment approach — from conservative care to surgical procedures. With advanced medical care options available, patients seeking Hemorrhoids Treatment in Dubai can now benefit from accurate diagnosis and minimally invasive surgical options when necessary.

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What Are Hemorrhoids?

Hemorrhoids, also known as piles, are swollen vascular structures in the anal canal. They serve as cushions that help control stool passage, but when they become enlarged or inflamed, they cause symptoms. A Hemorrhoids Doctor in Dubai typically classifies them as either internal or external:

Internal hemorrhoids: Found inside the rectum and usually painless but may cause bleeding.

External hemorrhoids: Develop under the skin around the anus ...
... and can be painful or itchy.

Understanding the Grades of Hemorrhoids helps determine the severity and appropriate treatment for each case.

The Four Grades of Hemorrhoids

Medical professionals categorize internal hemorrhoids into four grades based on the extent of prolapse and associated symptoms.

Grade I: Mild Hemorrhoids

Grade I hemorrhoids are the least severe form. They remain inside the rectum and may cause minor bleeding during bowel movements. Symptoms often include itching, mild discomfort, or a sensation of incomplete evacuation.
Treatment at this stage focuses on lifestyle and dietary modifications, such as increasing fiber intake, drinking adequate water, and avoiding straining during bowel movements. Over-the-counter creams or suppositories can also help relieve symptoms.

Grade II: Prolapse During Straining

In Grade II hemorrhoids, the veins prolapse or bulge out of the anus during bowel movements but return inside spontaneously afterward. Patients may notice bleeding, itching, and discomfort.
A Piles Doctor Dubai may recommend non-surgical interventions such as rubber band ligation, sclerotherapy, or infrared coagulation to treat this stage. These procedures are usually quick, minimally invasive, and performed under local anesthesia.

Grade III: Manual Reduction Required

Grade III hemorrhoids prolapse during bowel movements or physical exertion and must be manually pushed back into the rectum. At this stage, symptoms become more prominent, including bleeding, swelling, pain, and a constant feeling of pressure.
A Hemorrhoids Specialist in Dubai often suggests more advanced treatment options for Grade III hemorrhoids. Depending on the patient’s condition, options may include minimally invasive procedures like Doppler-guided hemorrhoidal artery ligation (DGHAL) or laser hemorrhoidoplasty. These approaches offer faster recovery and minimal discomfort compared to traditional surgery.

Grade IV: Irreducible Prolapse

Grade IV hemorrhoids represent the most severe form of the condition. The prolapsed tissue remains permanently outside the anus and cannot be pushed back in. This stage often causes significant pain, inflammation, bleeding, and risk of complications such as thrombosis or infection.
At this stage, Hemorrhoids Surgery becomes the definitive treatment. Surgical options include hemorrhoidectomy, stapled hemorrhoidopexy, or laser-assisted surgery. A Proctology Doctor Dubai carefully assesses each case to recommend the safest and most effective surgical approach, ensuring long-term relief and minimal recurrence.

When Is Surgery Needed for Hemorrhoids?

Not every case of hemorrhoids requires surgery. However, Hemorrhoids Surgery becomes necessary when:

Conservative treatments fail to relieve symptoms

Hemorrhoids are Grade III or IV

There is recurrent bleeding or severe pain

Thrombosis or strangulation occurs

Chronic prolapse affects quality of life

Surgical treatment offers long-term relief and prevents recurrence, especially in advanced stages. Modern surgical techniques available in Dubai are minimally invasive, with quicker recovery times and reduced postoperative pain.

Diagnosis: How Specialists Evaluate Hemorrhoids

A Proctologist in Dubai uses a thorough diagnostic approach to identify the severity and type of hemorrhoids. This includes:

Physical examination: The doctor visually examines external hemorrhoids and may use digital rectal examination for internal ones.

Anoscopy: A small device called an anoscope allows direct visualization of internal hemorrhoids.

Proctoscopy or sigmoidoscopy: These help rule out other causes of rectal bleeding, such as fissures, polyps, or colorectal disease.

Accurate diagnosis ensures that treatment is targeted and effective. The Best Proctologist in Dubai utilizes advanced diagnostic tools and minimally invasive techniques to deliver precise results and improve patient outcomes.

Non-Surgical Hemorrhoid Treatments

For early-stage hemorrhoids, conservative management is usually effective. Piles Treatment in Dubai often includes:

Lifestyle Changes: Increasing dietary fiber, staying hydrated, and avoiding prolonged sitting on the toilet.

Medications: Topical creams, suppositories, and oral pain relievers can reduce inflammation and discomfort.

Minimally Invasive Procedures: Rubber band ligation, infrared coagulation, and sclerotherapy are effective for Grades I and II hemorrhoids.

These methods aim to reduce symptoms and prevent progression to higher grades where surgical intervention may be necessary.

Advanced Surgical Options in Dubai

When hemorrhoids reach advanced stages, surgery provides the most reliable relief. The Best Proctologist in Dubai may recommend one of the following:

Hemorrhoidectomy: Surgical removal of large or severe hemorrhoids.

Stapled Hemorrhoidopexy: Repositions prolapsed tissue and cuts off blood supply to hemorrhoids, reducing swelling.

Laser Hemorrhoidoplasty: A minimally invasive procedure using laser energy to shrink hemorrhoidal tissue with minimal pain and downtime.

Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL): Targets the arteries supplying blood to hemorrhoids, causing them to shrink naturally.

Each of these techniques offers advantages depending on the patient’s grade and overall health condition. Dubai’s modern medical facilities and highly trained specialists make these procedures safe and effective.

Conclusion

Understanding the Grades of Hemorrhoids helps patients recognize when professional care is necessary and when Hemorrhoids Surgery might be the best option. Early diagnosis and timely intervention can prevent complications and improve quality of life. Whether it’s initial evaluation or advanced Hemorrhoids Treatment in Dubai, patients are in capable hands with the Best Proctologist in Dubai and experienced specialists offering cutting-edge care.