
Internal vs External Piles: Which Requires Laser Treatment?
Piles, also known as hemorrhoids, are a common yet often uncomfortable condition that affects people of all ages. Depending on their location, piles are classified as internal piles or external piles. Understanding the difference between the two is essential in deciding the right treatment approach—especially when considering advanced options like piles laser treatment in hyderabad.
In this blog, we’ll explain internal and external piles, their symptoms, and which type usually requires laser treatment.
What Are Internal Piles?
Internal piles develop inside the rectum and are usually not visible from outside. In the early stages, they may not cause pain, which is why many people ignore them until symptoms worsen.
Common Symptoms of Internal Piles
Painless bleeding during bowel movements
Bright red blood in stools
A feeling of incomplete bowel emptying
Prolapse (piles coming out during bowel movements in advanced stages)
Internal piles are graded from Grade 1 to Grade 4, depending on severity.
What Are External Piles?
External piles form under the skin around the anus and are often more uncomfortable because this area has many pain-sensitive nerves.
Common Symptoms of External Piles
Pain and discomfort while sitting or walking
Swelling or lump near the anus
Itching or irritation
Blood clots (thrombosed piles) causing severe pain
External piles are usually more noticeable and can interfere with daily activities.
Which Type of Piles Requires Laser Treatment?
Both internal and external piles can be treated using laser technology, but the need for laser treatment depends on severity, symptoms, and response to conservative treatment.
Laser Treatment for Internal Piles
Laser treatment is most commonly recommended for:
Grade 2 and Grade 3 internal piles
Bleeding piles that do not improve with medication
Prolapsed piles causing discomfort
Laser therapy shrinks the piles by sealing the affected blood vessels, leading to faster healing and minimal pain. Many patients in Hyderabad prefer this option due to its quick recovery and high success rate.
Laser Treatment for External Piles
Laser treatment may be advised for external piles when:
There is severe pain or recurrent swelling
Blood clots are present
Medications fail to provide relief
While not all external piles require laser treatment, advanced cases can benefit significantly from this minimally invasive procedure.
Benefits of Piles Laser Treatment
Patients opting for piles laser treatment in hyderabad enjoy several advantages, including:
Minimally invasive procedure
Less pain and bleeding
No stitches or large cuts
Short hospital stay or daycare procedure
Faster recovery and return to normal life
These benefits make laser treatment an increasingly popular choice for both internal and external piles.
When Should You See a Doctor?
You should consult a specialist if you experience:
Persistent bleeding
Severe pain or swelling
Piles that keep recurring
Difficulty in bowel movements
Early diagnosis helps determine whether laser treatment is necessary and prevents complications.
Final Thoughts
So, which requires laser treatment—internal or external piles?
The answer is: both can, depending on the stage and severity. Internal piles are more commonly treated with laser therapy, but advanced external piles may also require it for long-term relief.
If you are suffering from piles and looking for a safe, effective solution, consulting a specialist for piles laser treatment in hyderabad can help you regain comfort and improve your quality of life.



