Why Do Piles Keep Coming Back? Causes, Treatment

Recurring piles can be painful, frustrating, and confusing. At GutCare Clinics in Bangalore, under the care of Dr. Yuvaraj Singh Gehlot, we educate our patients on why hemorrhoids keep coming back and how to treat them. This article examines the causes of recurring piles, and how to stop them from coming back— permanently.

What Are Piles (Hemorrhoids)?

Piles, or hemorrhoids, are swollen veins in the anus or rectum that can cause discomfort, pain, and bleeding. They may appear internally (inside the rectum) or externally (around the anus).

Hemorrhoids symptoms:

  • Pain during bowel movements
  • Bleeding after passing stool
  • Itching or burning sensation
  • Swelling or a hard lump near the anus

Why Do Piles Keep Coming Back?

Piles that return after treatment are referred to as recurring piles. According to Dr. Yuvaraj Singh Gehlot, Senior Colorectal Specialist at GutCare Clinics, the most common reasons for recurrence include:

1. Incomplete or Temporary Treatment

Many treatments only relieve symptoms, not the underlying causes like constipation or bowel strain.

2. Poor Bowel Habits

Delaying bowel movements or straining on the toilet increases rectal pressure.

3. Low-Fiber Diet

Insufficient fiber leads to hard stools, which worsens hemorrhoids.

4. Sedentary Lifestyle

Lack of physical activity results in poor blood circulation and higher pressure on the rectal veins.

5. Chronic Digestive Issues

Conditions such as constipation, diarrhea, or obesity increase the likelihood of piles recurrence.

What Are Chronic Hemorrhoids?

Chronic hemorrhoids refer to piles that return frequently or persist despite treatment. Without correcting lifestyle habits or addressing root causes, even surgery may not offer permanent relief.

How to Stop Piles from Coming Back

Dr. Yuvaraj Singh Gehlot recommends the following evidence-based strategies:

1. Eat a High-Fiber Diet

Consume more fruits, vegetables, legumes, and whole grains to soften stools and reduce straining.

2. Drink Enough Water

Hydration improves bowel movement regularity.

3. Exercise Regularly

Light exercise such as walking, swimming, or yoga helps prevent constipation.

4. Avoid Straining

Use the toilet as soon as you feel the urge. Don’t sit for too long, and use a footstool to maintain a natural squat position.

5. Maintain a Healthy Weight

Obesity increases abdominal pressure, worsening hemorrhoids.

6. Get Professional Treatment

Persistent or severe piles should be evaluated by a colorectal specialist.

Treatments for Recurring Piles

At GutCare Clinics, Bangalore, Dr. Yuvaraj Singh Gehlot leads a team offering personalized treatments, including:

Rubber Band Ligation

A rubber band is placed at the hemorrhoid base to cut off blood flow.

Infrared Coagulation (IRC)

Non-surgical option using infrared light to shrink hemorrhoids.

Sclerotherapy

Injection therapy that causes the hemorrhoid to shrink.

Hemorrhoidectomy

Surgical removal of chronic or large hemorrhoids.

Treatment selection depends on hemorrhoid grade, frequency, and your health status.

When to Consult a Piles Specialist

You should consult Dr. Yuvaraj Singh Gehlot at GutCare Clinics if you experience:

  • Ongoing pain or bleeding
  • Lumps that do not shrink
  • Recurrence after treatment
  • Unexplained weight loss or changes in bowel habits

Prevention Tips to Avoid Recurrence

  • Follow a fiber-rich diet
  • Avoid processed foods and alcohol
  • Never delay bowel movements
  • Keep anal hygiene with water, not harsh wipes
  • Limit sitting time and take walking breaks if desk-bound

Expert Care by Dr. Yuvaraj Singh Gehlot

Dr. Yuvaraj Singh Gehlot, a leading colorectal surgeon and gastroenterologist at GutCare Clinics, specializes in treating recurring piles with a combination of modern procedures and preventive strategies. With years of clinical experience and patient success stories, Dr. Gehlot provides care tailored to each individual.

GutCare Clinics serves patients across Bangalore including locations like Indiranagar.

Book Your Appointment Today

Recurring piles do not have to be a lifelong problem. With expert evaluation and modern treatments from Dr. Yuvaraj Singh Gehlot at GutCare Clinics, you can achieve lasting relief and prevent future flare-ups.

Contact GutCare Clinics in Bangalore to book a consultation and begin your recovery journey.

Frequently Asked Questions (FAQs)

Q1. Why piles keep returning back?

Hemorrhoids keep coming back because the underlying causes such as poor diet, chronic constipation and straining are not dealt with. 

Q2. Can recurring hemorrhoids ever be cured permanently? 

Yes, with the right combination of medical treatment and lifestyle modifications the majority of the majority of my patients find permanent relief. 

Q3. What treatments work best for recurring hemorrhoids? 

The most effective treatments for recurring hemorrhoids are minimally invasive techniques such as rubber band ligation and infrared coagulation. In extreme cases where the hemorrhoids are large and excessive surgery may be required. 

Q4. When should I consult piles doctor? 

If you have had recurrent episodes of hemorrhoids, constituted by bleeding, pain and lumps it is highly recommended to consult Dr Yuvaraj Singh Gehlot.

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