Dr. Ranajoy Dutta

Piles, also known as hemorrhoids, are swollen blood vessels in and around the anus and rectum. They are more common than most people realise and can occur due to long-term constipation. If left untreated, piles can lead to repeated bleeding, infection, or more severe prolapse over time. Understanding your symptoms is the first step to knowing when surgical advice is needed. Here, in this blog, you will get to know about piles in detail. When do Piles require surgery? Not all cases need surgery. Many mild piles improve with lifestyle changes, increased dietary fibre, and simple treatments like warm sitz baths and creams. However, surgery becomes necessary when: Bleeding is frequent, heavy, or causes anemia. The piles are so large or prolapsed that they can’t be pushed back in. A blood clot forms inside the piles (thrombosis). It is causing severe pain and swelling. Daily activities, such as walking, sitting, or using the toilet, become difficult. Symptoms keep coming back despite mo...

Gallstones are hard lumps that form in the gallbladder. This occurs when substances in bile, such as cholesterol or pigments, clump together. Once they are created, the body rarely breaks them down naturally. In very rare situations, small stones less than 5 mm may pass into your intestines. They leave the body without causing pain. But for larger stones or several stones, natural disappearance is extremely unlikely. Some people live with “silent” gallstones for years without symptoms. But even these can suddenly cause pain or complications. What Happens If Gallstones Don’t Go Away? Gallstones that remain can: Causes sudden, sharp upper abdominal pain (biliary colic) Trigger inflammation of the gallbladder (acute cholecystitis) Block the bile ducts , causing jaundice It can lead to pancreatitis if the pancreatic duct gets blocked Complications often come on without warning signs. So waiting for them to dissolve can be risky. Can Small Gallstones Disappear Without Treatment? Small g...