Explains Delhi’s Top Laparoscopic Surgeon for Piles, Dr Amita Jain
When a hemorrhoid forms it is known as piles. Piles or haemorrhoids are swollen veins. This form of swelling can lead to localized inflammation of the other tissues, leading to extreme discomfort.
Talking about the types of haemorrhoids, there are internal and external haemorrhoids. An internal haemorrhoid takes form when the veins within swell up. They can arise due to various reasons. External piles form small lumps on the affected part’s outside edge. They are extremely itchy. They can even be painful upon the formation of a blood clot.
Dr Amita Jain, one of the best piles surgeons in Delhi in the field of laparoscopic surgery talks about the 4 stages of piles.
Stage 1: First-degree haemorrhoids
In this stage, the haemorrhoids are internal and generally not visible. They might cause minimal symptoms, like mild itching or discomfort, but typically do not cause pain. They might occasionally bleed during bowel movements.
Stage 2: Second-degree haemorrhoids
At this stage, the haemorrhoids become larger and might prolapse (protrude) during bowel movements, but retract back into the affected part on their own. They may cause more significant symptoms, including itching, pain, and bleeding. However, the symptoms generally resolve after the prolapsed haemorrhoids reduce.
Stage 3: Third-degree haemorrhoids
Third-degree haemorrhoids are larger and more prolapsed compared to second-degree haemorrhoids. They typically need manual repositioning, meaning they do not retract back into the on their own. Symptoms are more pronounced and might include bleeding, itching, pain, and discomfort.
Stage 4: Fourth-degree haemorrhoids
This is the most severe stage of haemorrhoids. Fourth-degree haemorrhoids are permanently prolapsed and are not manually repositioned. They might cause significant pain, bleeding, itching, and discomfort. In certain cases, a blood clot (thrombosis) can develop within the prolapsed haemorrhoids, leading to extreme pain and swelling.
It is essential to note that the symptoms and severity of haemorrhoids may vary from person to person. If you doubt you have haemorrhoids, it’s advisable to consult a doctor like Dr Amita Jain, for the right diagnosis and appropriate treatment.

Dr Amita Jain, one of the most experienced General and Laparoscopic Surgeons in Delhi, is widely recognised for her expertise in hernia, piles, gallbladder, fissure, and fistula surgeries. With an outstanding career spanning over 29 years, Dr Amita Jain has earned her place among the top General and Laparoscopic surgeons in Delhi and India, known for her precision, compassion, and consistent surgical excellence. She was the Professor of Surgery at the Army College of Medical Sciences and Base Hospital, Delhi Cantt. In 1994, she was commissioned as a surgeon under the United Nations Mission in Congo.
Dr Amita Jain currently serves as the Head of Department, Laparoscopic and Trauma Surgery at Artemis Lite Hospital (Delhi), Senior General and Laparoscopic Surgeon at Rosewalk – Luxury Maternity Hospital in Delhi and Rainbow Children Hospitals (at Malviya Nagar and Panchsheel Park, New Delhi)
Dr Amita Jain has successfully performed a wide range of complex general surgeries, including both open and minimally invasive procedures, with a strong focus on trauma care, onco-surgical techniques, and reconstructive surgeries. Her medical specialisation includes – Gallbladder surgeries, appendix removal surgeries, hernia repair surgeries, Pilonidal Sinus treatments, varicose vein and piles surgeries, fistula surgeries and fissure surgeries.
Dr Amita Jain has also authored some of the key medical journals and publications, like ResearchGate, IJSR
Note: the articles are written with Dr Amita Jain’s professional insights and referring to her medical publications.
