Is the North Indian Winter Making Your Piles Worse? (And Why You Don’t Need “Big Surgery” Anymore)
By Dr. Karan R. Rawat Gastroenterologist, Hepatologist & Advanced Laparoscopic Surgeon | Agra
As the temperature drops across North India, from the foggy mornings of Agra to the chilly nights of the NCR region, our lifestyle changes dramatically. We layer up in woolens, sip on hot chai, and indulge in the rich, heavy foods that our region is famous for.
But for many of my patients, this change in season brings an unwelcome guest: a sudden flare-up of Piles (Hemorrhoids).
If you have noticed increased discomfort, bleeding, or constipation recently, you are not alone. In my OPD at Safe Gastro and Surgery Center, I see a spike in piles cases every winter. Here is the science behind why this happens and—more importantly—the modern solution that is changing how we treat it.
The “North Indian Winter” Trap
Why does the cold weather aggravate rectal issues? It usually comes down to three specific habits common in our region:
- Dehydration in Disguise: In the cold, we simply don’t feel thirsty. We unknowingly drop our water intake drastically. However, the dry winter air sucks moisture from the body, leading to hard stools and severe constipation—the #1 trigger for piles.
- The “Garam” Diet: North Indian winters are synonymous with Gajak, Makki di Roti, and rich, spicy gravies. While delicious, these heat-inducing foods (often low in fiber) can cause inflammation and digestive stress, irritating the anal canal.
- Sedentary Lifestyle: The cold makes us want to stay tucked in bed or sit in one place for hours. Lack of movement slows down bowel motility, increasing pressure on the veins in the rectal area.
The Good News: Treatment Has Changed (Goodbye, Painful Cuts)
For decades, patients in Agra and surrounding districts avoided visiting a doctor for piles because they feared “The Operation.” They imagined days of bed rest, painful cuts, and dressing changes.
That era is over.
As a Proctologist, I have seen the massive shift toward Minimally Invasive Laser Surgery (Laser Proctology), and it is the trending standard of care for a reason.
Why Laser is the “Trending” Choice for Patients:
- No Cuts or Stitches: We use a high-precision laser beam to shrink the hemorrhoidal tissue. There is no cutting involved in the traditional sense.
- Minimal Pain: Since there are no large incisions, post-operative pain is significantly less than traditional open surgery.
- Daycare Procedure: Most of my patients walk in the morning and go home the same evening.
- Faster Recovery: You don’t need weeks off work. Most people return to their routine within 2–3 days.
Dr. Rawat’s Winter Protection Plan
Before you book an appointment, try these simple changes to manage your symptoms at home:
- Hydrate Like It’s Summer: Force yourself to drink 2.5 to 3 liters of water daily. Warm water is even better for digestion.
- Fiber is Your Friend: Add Isabgol (Psyllium husk), green leafy vegetables (Palak/Methi), and salads to every meal.
- Don’t Delay: Never suppress the urge to pass stool. Delaying causes the stool to harden and dry out.
When to See a Doctor?
If you see blood in the pan, feel a lump, or experience persistent pain, home remedies are not enough. Early intervention with Laser treatment often prevents the condition from reaching a stage where major surgery is required.
Don’t let the fear of surgery keep you in pain this winter.
About the Author: Dr. Karan R. Rawat is a leading Gastroenterologist and Liver Specialist in Agra. He specializes in Advanced Laparoscopic and Laser Surgeries for Piles, Fissures, and Fistulas.
📍 Visit Us: Safe Gastro and Surgery Center, Agra Heart Centre, Civil Lines, Agra. 📞 Book an Appointment: +91-7398888889