By | June 14, 2019


Grade 4 piles, the most severe and the last level of haemorrhoids, is the stage at which haemorrhoids stay out of the anal canal all the time and can not be physically or manually inserted back in. Enlarged blood vessels due to excess intra- abdominal pressure and rectal or anal bleeding are quite common signs or symptoms that you have been infected by piles. Piles can cause a great deal of discomfort, leading to discharge of mucus, itching, soreness and redness around the anal region. Caused during obesity, chronic constipation, pregnancy, diarrhoea and excessive straining while passing stools, piles can be really problematic and embarrassing disease. Nearly 50 percent of the population over the age of 50 experience haemorrhoids at some point during their lifetime.


Haemorrhoids are curable at every stage, however, the treatment may differ according to severity or modality. How does a person know which stage of piles is he or she affected by? For this, let us take a look at different stages of piles. All of them are classified on the basis of their extent of prolapse.


  • Grade 1: At this stage, haemorrhoids bulge out of lumen of the anal canal, however, they do not prolapse.
  • Grade 2: Although haemorrhoids protrude out during bowel movements, they automatically return as and when the straining ceases.
  • Grade 3: Haemorrhoids prolapse out of the anal canal at this level but can be manually pushed back in.
  • Grade 4: In this last stage, haemorrhoids permanently stay outside and cannot be physically re-inserted into the anal canal.

Treatment of Grade 4 Piles

The ordeals caused by piles at this degree can be mitigated by the use of some remedial measures like having a diet rich in fibre, intaking lots of liquid, using warm tub or sitz bath for 10-15 minutes after the bowel movements, applying some topical ointments, etc. However, for completely aiding haemorrhoids at this stage, surgical intervention might be required.

The final stage of piles can easily be treated using several surgical procedures. Traditional open surgery or haemorrhoidectomy is performed by making incisions and removing haemorrhoids. It is an invasive procedure, which requires a lot of recovery time and involves stich-marks. Rubber band litigation technique comprising of use of latex band to cease blood flow to haemorrhoid is another conventional procedure. On the contrary, haemorrhoids stapling is quite efficacious medical procedure, used widely, to cure piles. It involves removal of internal haemorrhoids tissues and re-insertion of prolapsed haemorrhoids back into the anal canal.  With the advancement of technology in medical field, laser technique is now easily available. It is the most advanced and seamless medical procedure which involves no cuts or wounds and ensures faster recovery of the patient. Intense light pulses are used to coagulate blood vessels, leading haemorrhoids to shrivel up. It also ensures no risk of recurrence and minimal risk rate of infection. Thus, grade 4 piles can easily be treated using such surgical treatments.


While many people are afraid to get surgery done due to cuts, stitch marks, pain, etc., delaying the treatment might exacerbate the condition leading to serious problems. However, medical technology has advanced quite a lot over time and painless treatments involving minimal cuts or wounds have been developed. Consult a doctor near you to diagnose and properly receive the best possible treatment for the same.


Also Read: What are Grade 2 Hemorrhoids Treatments?

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