Injection Treatment for Piles (Sclerotherapy) – Complete Guide

Dr. Ilango Sethu

Surgical Gastroenterology · Iswarya Hospital

A concise guide to sclerotherapy for haemorrhoids — how it works, what to expect, and when it is the right choice.

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

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

✅ No anaesthesia needed

✅ Outpatient procedure (no overnight stay)

✅ Quick — completed in under 10 minutes

✅ Minimal recovery time

✅ Cost-effective

❌ 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)

No fasting required (unlike surgery)

Inform your doctor of all medications, especially blood thinners

A gentle bowel preparation may be recommended

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.

Tags:

#piles#haemorrhoids#sclerotherapy#injection#gastroenterology#non-surgical

Book an appointment with our expert team at Iswarya Hospital, OMR Chennai.