Treatment is not usually needed for piles, unless they are causing suffering. They are treated in different ways depending on size and condition:
Small piles can be ligated or injected at a clinic. Prolapsed piles that bleed can be treated by avoiding the use of abrasive toilet paper and cleansing with water instead. Large problematic piles may need surgery. Compared to old methods of excisional surgery, which is excruciating and results in terrible pain when passing motion after surgery, new procedures such as stapled haemorrhoidectomy are much less painful but just as or even more effective for patients with large piles and frequent symptoms.