Injection Treatment for Piles (Sclerotherapy) – Complete Guide

Sclerotherapy is one of the oldest and most reliable non-surgical treatments for haemorrhoids (piles), particularly for Grades I and II.

How Sclerotherapy Works

A sclerosant solution is injected into the base of the haemorrhoid above the dentate line. This causes:

• Fibrosis (scarring) of the blood vessel feeding the haemorrhoid
• Shrinkage and disappearance of the haemorrhoidal tissue over 2–4 weeks

Key Benefits

• ✅ No anaesthesia needed
• ✅ Outpatient procedure (no overnight stay)
• ✅ Quick — completed in under 10 minutes
• ✅ Minimal recovery time
• ✅ Cost-effective

Limitations

• ❌ Not effective for Grade III–IV piles
• ❌ May require multiple sessions
• ❌ Does not address skin tags or external haemorrhoids
• ❌ Higher recurrence rate compared to haemorrhoidectomy (surgery)

Preparing for the Procedure

• No fasting required (unlike surgery)
• Inform your doctor of all medications, especially blood thinners
• A gentle bowel preparation may be recommended

Aftercare

• Resume normal diet immediately
• Avoid heavy lifting for 24 hours
• Take sitz baths (warm water) 2–3 times daily for a week
• High-fibre diet to prevent constipation

Consult the Gastroenterology team at Iswarya Hospital to determine if sclerotherapy is the right option for your condition.