A general physician can absolutely examine and diagnose piles and manage early-to-moderate cases without jumping straight to surgery. Surgery is only recommended for severe or advanced piles that do not respond to conservative treatment â most early cases can be managed well with dietary changes, stool softeners, and topical treatments. You do not need to go directly to a surgeon for an initial evaluation.
Next Steps
Please consult me directly on Practo for a detailed evaluation â I can assess your condition and guide you on whether surgery is actually needed or if it can be managed conservatively.