9 Best Piles Treatment Options You Should Know in 2025

Piles, also called bawasir, is a condition many people don’t talk about openly. But it can affect your daily life in serious ways. The right treatment is different for every person, so it is important to know your options.

In this blog, we will discuss different types of piles treatment—from simple methods to the most modern surgical procedures. Whether you’re looking for a quick outpatient solution or the best piles treatment option for long-term relief, understanding these methods will help you make an informed decision.

1. Hemorrhoidectomy (Surgical Removal)

This is the most common and traditional treatment. In this procedure, the piles mass is removed through surgery. It is best for people who have big or external piles.

After surgery, some patients feel more pain, but now we use modern tools like Liga Sure that make the surgery less painful. Also, the chances of piles coming back after surgery become very low, making this one of the best piles treatment options for advanced stages.

2. Injection Sclerotherapy

This is a non-surgical option. A special chemical solution is injected into the piles which dries them up. This method is good for small and internal piles.

But sometimes there can be infection, and there is also a chance that piles may return again later. It’s not always the best piles treatment option, but for early-stage cases, it can work well.

3. Radiofrequency Ablation

This method uses heat to destroy piles tissue. It’s simple and works well for small internal piles. It’s painless and doesn’t require surgery, making it a good choice for those looking for a less invasive piles treatment option.

4. Cryotherapy

In this treatment, liquid nitrogen is used to freeze the piles. Like radiofrequency, it is useful for small internal piles but is not very commonly used today due to the availability of more effective techniques.

Still, for some people, it may be the best piles treatment option, especially when combined with dietary changes.

5. Infrared Coagulation (IRC)

This treatment uses infrared light to shrink the tissue. It is quick and non-surgical. But again, it works only if piles are in early stage (Grade 1 or Grade 2).

If caught early, this could be considered the best piles treatment option due to its simplicity and quick recovery time.

6. Stapler Surgery

This modern technique treats both internal and external hemorrhoids—especially if they are prolapsed (coming out).

The benefit of stapler surgery is less pain and faster recovery. However, in some cases, piles can come back, and rarely, it can cause narrowing of the anal canal (anal stenosis). Still, for prolapsed piles, it remains one of the best piles treatments available in Karachi.

7. Laser Surgery

• Laser is one of the most advanced treatments today. In this method, laser light is used to shrink piles and seal the veins.
• Bleeding is very minimal, pain is also low, and patients usually recover quickly. For many people, this is the best piles treatment option, especially if they want fast results with less discomfort.
• But remember—no treatment can guarantee that piles will never come back. The cause of recurrence may vary. To know more about why piles return even after treatment, check our detailed article on this topic.

8. Combination Treatments (Hybrid Methods)

Sometimes, patients come with more complex cases—like piles with fistula or old and large hemorrhoids with external piles.

In such cases, we may need to use a combination of surgical and laser methods. This gives a better success rate and reduces the chance of piles returning. It is often the best piles treatment option for complicated or recurrent cases.

9. Doppler-Guided HAL (Hemorrhoidal Artery Ligation)

This is another high-tech method. With the help of ultrasound, the blood vessels that supply the piles are located and tied off.

It involves no cuts, and both pain and bleeding are very low. But again, this method is not effective if the patient has external piles. For internal piles, however, this might be the best piles treatment option available.

Which Treatment Is Best for You?

Nowadays, there are many treatment options available. But we choose the best piles treatment option based on the stage and grade of your piles.

• For Grade 1 or 2, small OPD procedures are usually enough.

• For Grade 3 or 4, we offer advanced surgeries at our center.

We recommend a proper checkup to understand the grade and choose the most suitable option for you.

About Dr. Abdullah Iqbal

Dr. Abdullah Iqbal is a leading bawaseer doctor in Karachi, known for his expertise in diagnosing and treating all types of hemorrhoids. With years of surgical experience and modern techniques, he offers some of the best piles treatment in Karachi—from simple outpatient procedures to advanced laser piles treatment. At his clinic, patients receive a personalized approach to care, ensuring that the right piles treatment options are selected based on the severity of the condition. Whether you’re looking for non-surgical solutions or advanced piles surgery treatment, Dr. Abdullah Iqbal provides safe, effective, and minimally painful results for long-term relief.

Share Your Experience

Have you ever had piles? What piles treatment did you try, and what worked best for you? Do let us know in the comments!

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