Piles (hemorrhoids) are usually diagnosed through a physical examination, often with a rectal digital exam, where the doctor gently inserts a gloved finger into the rectum to assess the condition. In some cases, diagnostic tools such as an anoscope, proctoscope, or sigmoidoscope may be used to get a clearer view. These tests help determine the severity of piles and rule out risks like colorectal cancer.

The surgical treatment for piles is called a hemorrhoidectomy. Depending on the case, it can be performed through open surgery or advanced laser techniques. The procedure involves numbing the area with anesthesia, making a small incision, and removing the swollen hemorrhoidal veins. After removal, the surgical site is either stitched closed or left open to heal naturally, ensuring long-term relief.