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Anal Fissure: Causes, Symptoms, and Effective Treatment Options

Anal Fissure: Understanding the Causes, Symptoms, and Treatment of This Painful Tear

An anal fissure is a painful tear or split in the sensitive lining of the anus. This tear can cause significant discomfort, especially during bowel movements. While they can affect individuals of all ages, they are more prevalent in infants and adults.

Common Causes of Anal Fissure

An anal fissure, a painful tear in the delicate lining of the anus, primarily arises from trauma to the anal region.

  • Straining During Bowel Movements: Passing hard, large stools requires significant effort, putting immense pressure on the anal tissues. This forceful expulsion can easily tear the fragile anal lining.
  • Chronic Constipation: When constipation becomes a persistent issue, the repeated straining during bowel movements creates a cycle of damage. The anal muscles and tissues become weakened, increasing the risk of tearing with each bowel movement.
  • Diarrhea: Frequent loose stools can irritate and inflame the anal area, making it more susceptible to tearing.
  • Childbirth: The process of childbirth can exert considerable pressure on the pelvic floor and anal muscles, potentially leading to tears or damage to the anal tissues.

Other Contributing Factors

Certain underlying conditions can also increase the susceptibility to anal fissures:

  • Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease and ulcerative colitis can cause inflammation and damage to the digestive tract, including the anal area.  
  • Anal Infections: Infections in the anal region can weaken the tissues and make them more prone to tearing.
  • Medications: Some medications, particularly certain chemotherapy drugs, can have side effects that contribute to the development of anal fissures.

Suffering from Anal Fissure Pain? Find effective treatment options. Schedule a consultation with a qualified healthcare professional today for relief.

Anal Fissure Symptoms: What to Watch For

Experiencing discomfort in the anal region? Understanding the symptoms of an anal fissure is crucial for prompt diagnosis and effective treatment.

Common Symptoms of Anal Fissures:

If you suspect you may have an anal fissure, it’s essential to consult a healthcare professional for proper diagnosis and treatment.

Effective Treatment Options for Anal Fissure Relief

Many anal fissures heal spontaneously within a few weeks with conservative management. These non-surgical approaches can significantly improve symptoms and promote healing:

When to Seek Professional Help for Anal Fissure

Anal fissure can often heal on their own with home care. However, it’s crucial to consult a proctologist (a doctor specializing in disorders of the rectum and anus) if you experience:

  • Persistent or Severe Pain: Professional evaluation is necessary if the discomfort is ongoing or significantly impacts your daily life.
  • Significant Bleeding: Any significant rectal bleeding warrants immediate medical attention to rule out other potential causes.
  • Signs of Infection: This includes fever, pus discharge from the affected area, or increased swelling around the anus.

By seeking timely professional help, you can ensure proper diagnosis and receive the most effective treatment for your anal fissure.

Beyond Home Remedies: Exploring Medical Treatments for Anal Fissure

If conservative measures like increased fiber intake, hydration, and over-the-counter pain relief fail to provide adequate relief, your doctor may recommend other treatment options:

Experiencing persistent anal fissure pain? Home remedies not cutting it? Don’t let it control your life. Schedule a consultation with an experienced proctologist in your area to explore effective treatment options tailored to your specific needs. Find relief today.

Experience Pain-Free Living: Ayurvedic Treatment for Anal Fissure

Suffering from the discomfort of anal fissure? Explore the time-tested wisdom of Ayurveda for effective and holistic relief.

Harnessing the Power of Kshara Karma & Ksharsutra

Ayurveda offers a unique approach to healing anal fissures, focusing on restoring natural balance within the body. Two key techniques stand out:

Kshara Karma: A Natural Approach to Anal Fissure Treatment

Kshara Karma is an ancient Ayurvedic treatment involving the application of medicated alkaline substances (Ksharas) to the affected areaThese Ksharas possess potent cleansing and healing properties, effectively debriding the anal fissure and promoting rapid healing. The specific Kshara used is carefully chosen based on the individual’s unique constitution (Prakriti) and the severity of the fissure. This personalized approach ensures safe and effective treatment for each patient.

Ksharsutra Treatment for Anal Fissure: A Gentle Approach to Healing

Ksharsutra, a unique Ayurvedic technique, offers a promising solution for individuals suffering from anal fissure. This method involves gently tying a thin thread, impregnated with medicinal herbs (Kshara), around the sentinel tag (a small, thickened piece of skin that often develops at the base of the fissure.)

This thread acts as a slow and controlled release system for medicinal herbs. The Kshara gradually softens and detaches the sentinel pile while promoting healing from within.

Key Advantages of Ksharsutra Treatment:

  • Minimal Invasiveness: Unlike surgical procedures that may involve cutting the anal sphincter muscle (crucial for bowel control), Ksharsutra treatment is minimally invasive.
  • Reduced Risk of Complications: By avoiding cutting the sphincter muscle, Ksharsutra significantly minimizes the risk of postoperative complications such as fecal incontinence.
  • Gentle and Effective: The gradual action of Kshara ensures minimal discomfort and promotes natural healing.

If you’re seeking a natural and effective solution for anal fissure, consider exploring the benefits of Ksharsutra. Consult with an experienced Ayurvedic practitioner to determine if this treatment is right for you.

Experience the Benefits of Ayurvedic Treatment for Anal Fissure

Suffering from the discomfort of anal fissures? Explore the natural and holistic approach of Ayurveda for effective relief.

Key Benefits of Ayurvedic Treatment:

  • Holistic Healing: Ayurveda goes beyond treating just the symptoms. It considers your unique constitution and addresses the underlying imbalances that contribute to the fissure.
  • Minimal Side Effects: When performed by qualified Ayurvedic proctologist, these treatments generally have minimal side effects compared to some conventional methods.
  • Proven Efficacy: Techniques like Kshara Karma and Ksharsutra have a strong track record of successfully healing anal fissures, even in chronic cases.
  • Long-Term Relief: By addressing the root cause, Ayurveda aims to provide lasting relief and reduce the likelihood of future occurrences.

Important Considerations:

  • Personalized Approach: Consult with an experienced Ayurvedic proctologist for a personalized treatment plan tailored to your specific needs and condition.
  • Skilled Practitioner: The success of Ayurvedic treatments depends heavily on the expertise and experience of the practitioner.
  • Lifestyle Integration: Enhance the healing process by incorporating Ayurvedic dietary guidelines, stress management techniques, and regular exercise into your daily routine.

Experience the natural and holistic healing power of Ayurveda for your anal fissure. Consult with a qualified Ayurvedic practitioner today.

Prevent Anal Fissures: Key Strategies for a Healthy Anus

Anal fissures can be a painful and uncomfortable experience. However, you can take steps to prevent them from occurring in the first place.

Key Preventive Measures:

  • Prioritize a High-Fiber Diet:
    • Include plenty of fruits, vegetables, and whole grains in your daily meals.
    • Fiber adds bulk to your stool, making it easier to pass and reducing straining during bowel movements.
  • Stay Hydrated:
    • Drink plenty of water and other fluids throughout the day.
    • Adequate hydration helps soften stools and prevents constipation.
  • Maintain Regular Exercise:
    • Physical activity promotes healthy digestion and bowel function.

By incorporating these preventive measures into your daily routine, you can significantly reduce your risk of developing anal fissure and enjoy a healthier, more comfortable life.

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  • Minimally Invasive Procedures: Experience a comfortable and discreet recovery with minimal discomfort.
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Conclusion:

An anal fissure is a painful tear in the delicate lining of the anus, often caused by straining during bowel movements, constipation, diarrhea, or childbirth. Recognizing the symptoms, such as painful bowel movements and bright red blood, is crucial for timely diagnosis and treatment. While many fissures heal spontaneously with home care, such as increased fiber intake and sitz baths, persistent or severe cases may require medical intervention. This can include topical medications, Botox injections, or in some cases, surgery.

Beyond conventional treatments, Ayurveda offers a holistic approach to healing anal fissures. Techniques like Kshara Karma and Ksharsutra utilize natural substances to gently debride the fissure and promote healing from within. These minimally invasive methods offer a gentle and effective alternative to surgery, minimizing the risk of complications like fecal incontinence.

Preventing anal fissures involves prioritizing a high-fiber diet, staying hydrated, and maintaining regular exercise. If you’re struggling with anal fissure pain, seek expert care at Piles To Smiles. Dr. Ravinder Sharma, a leading proctologist in Delhi NCR, offers advanced, minimally invasive treatments for anal fissures, providing effective and personalized care for a pain-free future.

FAQs about Anal Fissure: Causes, Symptoms, and Effective Treatment Options

An anal fissure is a small tear in the lining of the anus, usually caused by passing hard stools. This common condition can cause pain, especially during bowel movements.

Anal fissure, a small tear in the anal lining, is most often caused by passing hard or large stools, commonly due to constipation, straining, or a low-fiber diet. Other less frequent causes include:

  • Chronic diarrhea
  • Childbirth
  • Anal intercourse
  • Underlying medical conditions (e.g., IBD, Crohn’s disease)

Anal fissure, a small tear in the anal lining, often causes a sharp, stinging pain during bowel movements. This pain can linger for several hours afterward. Other common symptoms include:

  • Pain: Sharp pain during bowel movements, often described as a tearing or burning sensation.
  • Bleeding: Blood on the toilet paper or in the toilet bowl, typically bright red.
  • Itching: Itching or irritation around the anus.
  • Visible tear: In some cases, a small tear in the anal lining can be seen.
  • Muscle Spasm: Spasm of the internal anal sphincter muscle, which can contribute to pain and difficulty healing.

The pain of an anal fissure can be excruciating, often described as a sharp, burning, or tearing sensation, especially during and after bowel movements. This intense pain can last anywhere from a few minutes to several hours after a bowel movement, making even simple daily activities feel unbearable. This discomfort can significantly impact daily life, making sitting, walking, or engaging in other activities, including work and social events, extremely challenging. It can also disrupt sleep and affect overall quality of life.

The pain can also lead to a fear of bowel movements (bowel movement phobia), as individuals anticipate the excruciating pain. This fear can cause them to hold back stools, leading to constipation, which further hardens the stool and exacerbates the fissure, creating a vicious cycle of pain and constipation. While the level of pain varies from person to person, even mild anal fissures can cause significant discomfort. The chronic pain and fear associated with anal fissures can also take a toll on mental and emotional well-being, leading to anxiety, stress, and even depression in some individuals.

Because of the intense pain and its potential impact on quality of life, it’s essential to seek prompt medical treatment for an anal fissure. Effective pain management is crucial not only for comfort but also for promoting healing, as it encourages regular bowel movements and reduces the risk of complications.

Anal fissure is a relatively common condition, affecting people of all ages. While it can occur at any point in life, it is particularly prevalent in two age groups:

  • Infants: Anal fissure is one of the most common causes of rectal bleeding in infants. This is often due to the passage of hard stools.
  • Young Adults: The incidence of anal fissure tends to peak again in young adulthood, likely related to dietary habits, lifestyle factors, and other potential causes.

While less common, anal fissure can still occur in older adults and children. It’s important to note that while the condition is common, especially in certain age groups, any persistent or recurring anal pain or bleeding should be evaluated by a medical professional to rule out other potential causes.

Many anal fissures heal on their own within a few weeks, especially if the underlying cause (like constipation) is addressed. However, some fissures can become chronic if left untreated. If your anal fissure hasn’t improved after a few weeks of self-care (like increasing fiber and sitz baths), it’s important to see a doctor. They can provide treatments like topical creams or, in some cases, recommend a surgical procedure for persistent or severe fissures. Don’t hesitate to seek professional medical advice for a proper diagnosis and personalized treatment plan.

Many anal fissures do heal on their own with proper home care. This typically involves:

  • Increasing fiber intake: Eating plenty of fruits, vegetables, and whole grains helps soften stools and makes them easier to pass.
  • Stool softeners: Over-the-counter stool softeners can also help soften stools.
  • Sitz baths: Soaking the affected area in warm water several times a day can soothe the area and promote healing.
  • Proper hygiene: Keeping the anal area clean and dry is important.

When to seek medical help:

While many fissures heal on their own, it’s crucial to see a doctor if:

  • Your pain is severe or doesn’t improve with home care.
  • You experience bleeding that doesn’t stop.
  • You suspect an infection (increased pain, redness, swelling, or discharge).
  • Your symptoms worsen or recur.

A doctor can diagnose the fissure, rule out underlying conditions, and recommend appropriate treatment, which may include prescription creams, medications, or, in rare cases, surgery. Don’t hesitate to seek medical attention if you’re concerned.

While anal fissures themselves are rarely life-threatening, they can be quite painful and disrupt daily life. The pain can lead to a cycle of constipation as people avoid bowel movements, which further exacerbates the problem.

Potential complications of untreated anal fissures include:

  • Chronic fissures: A fissure that doesn’t heal within several weeks is considered chronic and may require more aggressive treatment.
  • Fistula formation: In some cases, an anal fissure can lead to the development of a fistula, an abnormal tunnel between the anal canal and the skin.
  • Anal stenosis: In rare cases, chronic fissures can lead to narrowing of the anal canal (anal stenosis).
  • Infection: Although uncommon, fissures can become infected.

It’s important to see a doctor if you suspect you have an anal fissure. A proper diagnosis is crucial to rule out other potential causes of rectal pain and bleeding, such as hemorrhoids, inflammatory bowel disease, or even anal cancer. Early diagnosis and treatment can also help prevent complications and promote faster healing.

Yes, anal fissures can recur, even after successful treatment. Recurrence is common, especially if the underlying cause isn’t addressed. Factors that increase the risk of a recurring anal fissure include:

  • Continued constipation or straining: If you continue to have hard stools or strain during bowel movements, the fissure may reopen or a new one may develop.
  • Inadequate treatment of the initial fissure: If the initial fissure didn’t heal completely, it’s more likely to recur.
  • Underlying medical conditions: Conditions like IBD or Crohn’s disease can increase the risk of recurring fissures.
  • Lifestyle factors: A low-fiber diet, dehydration, and lack of exercise can contribute to constipation and increase the risk of recurrence.

Preventing recurrence focuses on addressing the underlying causes and promoting healthy bowel habits:

  • Increase fiber intake: A high-fiber diet softens stools and makes them easier to pass. Include plenty of fruits, vegetables, and whole grains in your diet.
  • Stay hydrated: Drinking plenty of water helps keep stools soft and prevents constipation.
  • Avoid straining: Don’t strain during bowel movements. If you’re having trouble passing a stool, talk to your doctor about stool softeners.
  • Maintain regular bowel habits: Try to have bowel movements at regular times each day.
  • Exercise regularly: Regular exercise can help prevent constipation.
  • Treat underlying medical conditions: If you have an underlying condition like IBD, work with your doctor to manage it effectively.
  • Consider sitz baths: Soaking the anal area in warm water several times a day can promote healing and prevent recurrence.

If you experience recurrent anal fissures, it’s crucial to consult a doctor to identify any underlying causes and develop a personalized treatment plan.

Anal fissures often cause pain during bowel movements, sometimes described as a sharp, burning, or tearing sensation. You might also notice bright red blood on the toilet paper or in the toilet bowl. Other symptoms can include itching or discomfort in the anal area.

It’s important to see a doctor for a proper diagnosis if you’re experiencing these symptoms. While these symptoms may suggest an anal fissure, they can also be indicative of other conditions. A doctor can perform a physical examination to confirm the diagnosis and rule out any other potential causes. They can also recommend the most appropriate treatment plan for your specific situation. Self-diagnosis and treatment can sometimes worsen the problem or delay proper care.

Anal fissure treatment aims to relieve pain, heal the tear, and prevent recurrence. Treatment options range from home remedies to medical procedures, depending on the severity and chronicity of the fissure.

Home Remedies:

  • Sitz baths: Soaking the affected area in warm, shallow water several times a day can soothe the area, improve hygiene, and promote healing.
  • Increased fiber intake: Eating a diet rich in fiber softens stools, making them easier to pass and reducing strain. This includes fruits, vegetables, and whole grains.
  • Stool softeners: These medications can help soften stools and reduce pain during bowel movements.
  • Proper hygiene: Keeping the anal area clean and dry is crucial. Avoid harsh soaps and opt for gentle cleansing after bowel movements.

Medications:

  • Topical creams: Nitroglycerin or nifedipine creams can relax the anal sphincter muscle, reducing spasm and promoting blood flow to the area for healing.
  • Pain relievers: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain.

Procedures:

  • Lateral internal sphincterotomy (LIS): This surgical procedure involves making a small incision in the anal sphincter muscle to reduce tension and allow the fissure to heal. This is typically reserved for chronic fissures that haven’t responded to other treatments.
  • Kshar Karma: This Ayurvedic treatment involves applying a medicated paste (Kshar) to the fissure. It chemically cauterizes the wound and promotes healing. Note: Kshar Karma should only be performed by a qualified Ayurvedic practitioner.
  • Ksharsutra: This Ayurvedic technique involves placing a medicated thread (sutra) around sentinel tag (A complication of ch. anal fissure). Note: Ksharsutra should only be performed by a qualified Ayurvedic practitioner.

It’s important to consult a doctor for diagnosis and treatment of an anal fissure. He can determine the best course of action based on your situation. Self-treating can sometimes worsen the condition or delay proper treatment.

Anal fissure, a small tear in the anal lining, can often be managed at home with simple remedies. These focus on softening stools, promoting healing, and relieving pain. While home remedies can be effective, it’s crucial to consult a doctor if symptoms worsen or don’t improve within a few weeks.

Dietary Changes:

  • Increase fiber intake: Fiber softens stools and makes them easier to pass. Aim for 25-30 grams of fiber daily from fruits, vegetables, whole grains, and legumes.
  • Stay hydrated: Drinking plenty of water (8-10 glasses daily) helps prevent constipation and softens stools.

Sitz Baths:

  • Soothing relief: Sitz baths, soaking the anal area in warm water for 15-20 minutes several times a day (especially after bowel movements), can relax the anal sphincter muscle, improve blood flow, and promote healing.

Over-the-Counter Pain Relief:

  • Pain management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain associated with anal fissures. Always follow the recommended dosage.
  • Topical creams: Some over-the-counter topical creams or ointments can provide temporary relief, but consult your doctor before using them.

Important Note: While these home remedies can be helpful, they are not a substitute for professional medical advice. If your anal fissure doesn’t heal or if you experience worsening pain, bleeding, or other concerning symptoms, please see a doctor. They can provide a proper diagnosis and recommend the most appropriate treatment plan.

Several medications can help heal anal fissures and relieve pain. Treatment options vary depending on the severity and chronicity of the fissure. Here are some common approaches:

  • Topical Creams: These are often the first line of treatment. They may include:

    • Nitroglycerin (Rectiv): Relaxes the internal anal sphincter muscle, increasing blood flow to the fissure and promoting healing.
    • Nifedipine: Another cream that relaxes the anal sphincter.
    • Lidocaine: A local anesthetic that can help numb the area and reduce pain.
  • Botox Injections: Botulinum toxin (Botox) injections into the internal anal sphincter can relax the muscle, reducing spasm and allowing the fissure to heal. This is often used for chronic fissures that haven’t responded to other treatments.

  • Kshar Karma: This Ayurvedic treatment involves applying a specialized Ayurvedic Medicine namely Kshar to the fissure. It is a minimally invasive procedure that promotes healing. It’s important to discuss this option with a qualified Ayurvedic practitioner.

It’s crucial to consult a doctor to determine the most appropriate treatment for your specific situation. Self-treating can sometimes worsen the condition.

Most anal fissures heal on their own with conservative treatment like increasing fiber intake, stool softeners, and sitz baths. However, surgery may be necessary for chronic fissures that haven’t responded to other treatments after several weeks or months. Surgery is also considered if the fissure is particularly large or deep, or if the anal sphincter muscle is too tight (hypertonic).

The most common surgical procedure for anal fissures is a lateral internal sphincterotomy. This involves making a small incision in the internal anal sphincter muscle to reduce tension and allow the fissure to heal. Other, less common procedures may be considered depending on the specific case.

While generally safe, potential complications of anal fissure surgery can include bleeding, infection, and, difficulty controlling bowel movements (fecal incontinence). Discuss the risks and benefits of surgery with your doctor to determine the best course of treatment for your anal fissure.

A lateral internal sphincterotomy (LIS) is a surgical procedure that’s often used to treat an anal fissure that hasn’t healed with conservative treatments. The internal anal sphincter is a muscle that controls the opening and closing of the anus. In some cases, this muscle can be too tight (hypertonic), which can contribute to the development of anal fissures and hinder healing.

During a LIS, the surgeon makes a small incision in the side of the anal canal and carefully cuts a small portion of the internal anal sphincter muscle. This releases some of the tension in the muscle, reducing spasm and pressure on the anal fissure, allowing it to heal. The procedure is typically performed on an outpatient basis, meaning you can go home the same day.

Potential complications of a LIS?

While LIS is generally considered a safe and effective procedure, like any surgery, it carries some potential risks and complications. These can include:

  • Bleeding: Some bleeding is expected after the procedure, but excessive bleeding is rare.
  • Infection: There’s a small risk of infection at the surgical site.
  • Pain: Some pain or discomfort is normal after surgery, but it usually subsides within a few days.
  • Fecal incontinence: This involves difficulty controlling bowel movements or leakage of stool. It’s usually temporary and mild, but in some cases can be permanent.
  • Recurrence: Although LISS is often effective, the anal fissure can sometimes recur.
  • Anal stenosis: This is a narrowing of the anal canal, which can make bowel movements difficult.

It’s important to discuss the risks and benefits of LIS with your doctor to determine if it’s the right treatment option for you. They can assess your specific situation and answer any questions you may have.

There’s no single “best” anal fissure treatment. The most effective approach depends on individual needs and the severity of the fissure. A doctor will create a personalized treatment plan, which may include:

  • Conservative Treatments: Often, mild fissures heal with self-care like increasing fiber and fluid intake, using stool softeners, sitz baths, and topical creams (e.g., anesthetic or nitrate).

  • Medical Treatments: If conservative measures fail, a doctor might prescribe stronger topical medications, such as calcium channel blockers or botulinum toxin injections to relax the anal sphincter.

  • Minimally Invasive Procedures: For chronic or complex fissures, minimally invasive procedures like lateral internal sphincterotomy (LIS) might be recommended to reduce muscle tension.

  • Ayurvedic Treatments: In some cases, Ayurvedic treatments like Kshar Karma and Ksharsutra therapy may be considered. Kshar Karma involves applying medicated alkaline substances to the fissure, while Ksharsutra uses a medicated thread to promote healing. These approaches should be discussed with a qualified Ayurvedic practitioner.

It’s crucial to consult a healthcare professional for diagnosis and a tailored treatment plan, as what works for one person may not work for another. Self-treating can sometimes worsen the condition.

Anal fissure pain can be intense, but several methods can provide quick relief. These include:

  • Sitz baths: Soaking the affected area in warm, shallow water for 15-20 minutes several times a day (especially after bowel movements) can soothe the area and promote healing.
  • Over-the-counter pain medication: Pain relievers like ibuprofen or acetaminophen can help reduce pain and inflammation. Always follow the recommended dosage.
  • Topical anesthetic creams: Numbing creams or ointments can provide temporary pain relief. Consult your doctor for recommendations.
  • Stool softeners: These can make bowel movements easier and less painful, reducing strain on the fissure.

While these methods can offer fast relief, it’s crucial to consult a doctor for proper diagnosis and long-term treatment. They can also rule out other potential causes of pain.

While medical treatments are often necessary for anal fissure, some natural approaches may offer relief and support healing. These include increasing fiber intake, using sitz baths, and applying topical creams with natural ingredients like aloe vera.

Ayurvedic approaches also offer potential treatment options for anal fissures. Two such approaches are:

  • Kshara Karma: This Ayurvedic procedure involves applying a medicated alkaline paste to the fissure. It helps debride the wound and promote healing. Kshara Karma should only be performed by a qualified Ayurvedic practitioner.

  • Ksharsutra: This is a medicated thread used in Ayurvedic medicine. It’s ligated at the base of sentinel tag (a complication of chronic anal fissure) and it gradually cut through the base of the fissure, promoting healing. Like Kshara Karma, Ksharsutra treatment should only be administered by a trained Ayurvedic professional.

Important Note: it’s crucial to consult with a qualified Ayurvedic practitioner to determine if they are appropriate for your specific situation. They can properly diagnose your condition and advise on the most suitable treatment plan. Self-treating can sometimes worsen the condition.

Ayurveda offers a holistic approach to treating anal fissures, focusing on balancing the body’s doshas (energies) and promoting natural healing. Rather than just addressing the symptoms, Ayurvedic treatment aims to identify and address the root cause of the fissure.

Ayurvedic treatment for anal fissures may include:

  • Dietary and Lifestyle Modifications: Ayurveda emphasizes a diet rich in fiber, promoting regular bowel movements and preventing constipation. Lifestyle changes may include stress management techniques and regular exercise.

  • Herbal Remedies: Various herbs with anti-inflammatory, healing, and laxative properties may be recommended. These can be administered internally or topically.

  • Kshar Karma: This specialized Ayurvedic procedure involves applying a paste of caustic substances (kshara) to the fissure. It helps to debride the wound and promote healing.

  • Ksharsutra Therapy: A medicated thread (ksharsutra) is ligated at the base of Sentinel tag (a complication of chronic anal fissure). The thread slowly cuts through the unhealthy tissue, promoting healing from the inside out. This technique is particularly useful for chronic or complex fissures.

  • Sitz Baths: Warm sitz baths with added herbal decoctions may be recommended to soothe the area and promote healing.

  • Oil application: Medicated oils are used for local application to promote healing and reduce pain.

It’s crucial to consult a qualified Ayurvedic practitioner for diagnosis and personalized treatment. Self-treating anal fissures can be harmful. An Ayurvedic practitioner can determine the appropriate course of treatment based on your individual constitution and the severity of your condition.

Kshara Karma is a minimally invasive Ayurvedic procedure that uses caustic alkalis (ksharas) to treat various conditions. It’s a non-surgical approach that involves applying a specially prepared alkaline paste to the affected area.

How it Works:

Kshara Karma works by chemically cauterizing the targeted tissue. The kshara paste causes controlled damage, leading to:

  • Tissue destruction: The alkaline paste destroys unhealthy or unwanted tissue, such as hemorrhoids or warts.
  • Inflammation and healing: The controlled damage triggers an inflammatory response, which helps the body to heal the area and replace damaged tissue with healthy tissue.

Benefits:

  • Minimally invasive: Kshara Karma is a non-surgical procedure, so it involves no incisions or stitches.
  • Effective for various conditions: It can be used to treat a range of conditions, including hemorrhoids, anal fissures, warts, and skin tags.
  • Minimal pain and discomfort: The procedure is typically performed under local anesthesia, so there is minimal pain or discomfort.
  • Fast recovery: Most people can return to their normal activities within a few days of the procedure.

Conditions Treated:

Kshara Karma is commonly used to treat:

If you are considering Kshara Karma, it is important to consult with a qualified Ayurvedic practitioner to discuss your individual needs and determine if this procedure is right for you.

Ksharsutra is a minimally invasive Ayurvedic therapy used to treat anorectal disorders like hemorrhoids (piles)anal fissuresfistula-in-ano, and Pilonidal sinus. It involves the use of a medicated thread (sutra) coated with Kshara, a caustic herbal preparation. This thread is inserted into the anal canal or the fistula tract, where it gradually cuts through the unhealthy tissue, promoting healing and closing the tract.

How does Ksharsutra work?

The Kshara in the thread slowly and progressively acts on the targeted tissue, causing it to slough off. This controlled process minimizes bleeding and pain. Because the process is gradual, the surrounding healthy tissues are not significantly damaged.

What are the advantages of Ksharsutra over surgery?

Ksharsutra offers several potential advantages compared to traditional surgical procedures:

  • Minimally invasive: No major incisions are required, reducing pain and recovery time.
  • Lower recurrence rate: Studies suggest Ksharsutra may have a lower recurrence rate for certain conditions compared to surgery.
  • Less pain: The procedure is generally less painful than surgery.
  • Faster recovery: Patients typically recover faster and can return to their normal activities sooner.
  • Reduced risk of complications: Ksharsutra is associated with a lower risk of complications like incontinence compared to some surgical interventions.
  • Outpatient procedure: In many cases, Ksharsutra can be performed as an outpatient procedure, avoiding hospitalization.
  • Cost-effective: Ksharsutra may be a more cost-effective option than surgery in some cases.

It’s important to consult with a qualified Ayurvedic practitioner to determine if Ksharsutra is the right treatment option for your specific condition. They will assess your individual case and advise on the best course of action.

Ksharsutra treatment, a minimally invasive Ayurvedic procedure for anorectal disorders like piles, fissures, and fistulas, often raises concerns about pain. While some discomfort is expected, it’s generally manageable and less than traditional surgery.

During the Procedure: Local anesthesia is administered to numb the area, minimizing pain during the Ksharsutra application. You may feel some pressure or a mild sensation, but sharp pain is usually avoided.

After the Procedure: Some discomfort, like a burning sensation or soreness, is common after the anesthesia wears off. This can be managed with pain medication prescribed by your doctor. The discomfort typically subsides within a few days.

Compared to Surgery: Many patients report less pain and a faster recovery compared to traditional surgical methods. Ksharsutra aims to minimize tissue damage and promote healing, which can contribute to less post-operative pain.

Talk to Your Doctor: It’s important to discuss any pain concerns with your doctor. They can explain the procedure in detail, discuss pain management strategies, and address your specific situation. They can also provide guidance on how to manage any post-procedure discomfort.

Ayurvedic treatment offers a holistic approach to anal fissure management, focusing on natural remedies and lifestyle changes. While many people find relief through Ayurveda, it’s important to understand the effectiveness and what to expect.

Does Ayurvedic treatment work for anal fissures?

Some individuals experience significant relief from anal fissure symptoms using Ayurvedic treatments. These approaches often involve herbal remedies (like Triphala, Haritaki, or aloe vera), dietary modifications (emphasizing fiber-rich foods and avoiding irritants), sitz baths, and lifestyle adjustments (like managing stress and improving bowel habits). These methods aim to soften stools, reduce inflammation, promote healing, and address the underlying causes of fissures.

What about success rates and long-term relief?

While clinical trials specifically examining Ayurvedic treatment for anal fissures are limited, anecdotal evidence and traditional use suggest potential benefits. Success depends on several factors, including the severity of the fissure, individual response to treatment, and adherence to the recommended regimen.

It’s crucial to consult a qualified Ayurvedic practitioner for a personalized treatment plan. They can assess your specific condition and recommend appropriate therapies.

Important Considerations:

  • Integration with conventional medicine: Ayurvedic treatment can sometimes be used as a complementary approach alongside conventional medical care. Discuss this with your doctor.
  • Evidence-based approach: While Ayurveda has a long history, more research is needed to fully understand its efficacy for anal fissures.
  • Consistency is key: Ayurvedic treatment often requires consistent effort and lifestyle changes for optimal results.

If you’re considering Ayurvedic treatment for an anal fissure, discuss it with a qualified Ayurvedic practitioner to ensure a safe and effective approach. They can help you weigh the potential benefits and risks and determine the best course of action for your individual needs.

Ayurvedic treatments for anal fissures, when administered by a qualified and experienced practitioner, generally carry minimal risk. Because Ayurvedic approaches often utilize natural ingredients and focus on holistic healing, side effects are rare.

However, like any medical treatment, there’s a potential for reactions, especially if herbs are taken internally. It’s crucial to discuss your complete health history and any allergies with your Ayurvedic practitioner. They can tailor a treatment plan to minimize potential issues. 

While serious side effects are uncommon, some individuals might experience mild digestive upset or skin irritation with certain topical applications. Choosing a reputable practitioner and openly communicating any concerns are key to a safe and effective Ayurvedic treatment experience.

Finding effective treatment for anal fissures can be challenging. Many people seek natural and holistic approaches like Ayurveda. If you’re looking for Ayurvedic treatment for anal fissures in Delhi, several reputable clinics and practitioners offer such services. One such option is Piles To Smiles, led by Dr. Ravinder Sharma. 

They specialize in Ayurvedic management of anorectal conditions, including anal fissures. It’s always recommended to research and consult with qualified Ayurvedic practitioners to find the best course of treatment for your specific needs. You can search online for “Ayurvedic treatment for anal fissure Delhi” or “Piles To Smiles Dr. Ravinder Sharma” to find more information and contact details.

Preventing anal fissure focuses on maintaining healthy bowel habits and minimizing strain during bowel movements. Here’s how:

  • Diet: A high-fiber diet is crucial. Include plenty of fruits, vegetables, and whole grains to soften stools and promote regular bowel movements. This helps prevent constipation, a major contributor to fissures.

  • Hydration: Drink plenty of water throughout the day. Staying hydrated helps keep stools soft and easier to pass, reducing strain on the anal canal.

  • Exercise: Regular physical activity can promote healthy bowel function and prevent constipation. Even moderate exercise can make a difference.

  • Healthy Bowel Habits: Don’t strain during bowel movements. Take your time and avoid forcing anything. 

  • Respond to Urges: Don’t delay going to the bathroom when you feel the urge. Holding it in can lead to harder stools.

  • Other Tips: Consider using a stool softener if you’re prone to constipation. If you have chronic diarrhea, seek medical treatment to manage it.

A high-fiber diet and adequate fluid intake are key to preventing anal fissure. Fiber softens stool and makes it easier to pass, reducing strain on the anal canal. Focus on these:

  • High-fiber foods: Increase your intake of fruits, vegetables, whole grains (like brown rice, oats, and whole-wheat bread), and legumes (beans and lentils). These are excellent sources of fiber.
  • Fluids: Drink plenty of water throughout the day to keep stools soft and hydrated. Aim for at least eight glasses of water daily. Juices and herbal teas can also contribute to fluid intake.

By prioritizing fiber and fluids, you can promote regular bowel movements and minimize the risk of developing anal fissure.

Constipation is a major contributor to anal fissure. Maintaining regular bowel movements is key to preventing both constipation and these painful tears. Here are some tips to promote healthy bowel habits and reduce your risk:

  • Increase fiber intake: Aim for 25-30 grams of fiber daily. Include fiber-rich foods like fruits, vegetables, whole grains, and legumes in your diet. Fiber adds bulk to stool, making it easier to pass.
  • Stay hydrated: Drink plenty of water throughout the day. Fluids help soften stool and prevent it from becoming hard and difficult to pass.
  • Regular exercise: Physical activity can stimulate bowel movements and improve overall gut health. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  • Don’t delay: When you feel the urge to go, don’t hold it in. Ignoring the urge can lead to constipation.
  • Establish a routine: Try to establish a regular bowel routine. Some people find it helpful to try to have a bowel movement at the same time each day.
  • Consider stool softeners: If you struggle with constipation, talk to your doctor about using stool softeners. These can help make stools easier to pass.
  • Manage stress: Stress can contribute to digestive issues, including constipation. Find healthy ways to manage stress, such as yoga, meditation, or spending time in nature.

By incorporating these tips into your daily routine, you can promote regular bowel movements, prevent constipation, and significantly reduce your risk of developing anal fissures. If you experience persistent constipation, consult with your doctor to rule out any underlying medical conditions.

Dr. Ravinder Sharma is a leading proctologist with over 18 years of experience specializing in Ksharsutra treatment for anorectal conditions. He is highly regarded for his expertise in treating hemorrhoids (piles), anal fistula, anal fissure, and pilonidal sinus. Dr. Sharma is known for his meticulous approach, compassionate patient care, and innovative techniques, particularly his minimally invasive Ksharsutra therapy. He has a proven track record of successfully treating even complex, high, recurrent anal fistulas and pilonidal sinuses without surgery. Learn more about Dr. Sharma and his practice at https://www.healingayurved.com/about-us/

Piles to Smiles is a specialized clinic in Delhi NCR offering minimally invasive treatments for hemorrhoids (piles) and other anorectal conditions like anal fissures, fistula, and pilonidal sinus. We differentiate ourselves through:

  • Minimally Invasive Procedures: Unlike traditional surgery, we use advanced techniques like Kshar Karma and Ksharsutra Treatment, prioritizing patient comfort, less pain, smaller incisions, and faster recovery.
  • Expert Proctologist: Dr. Ravinder Sharma leads our team, providing personalized treatment plans tailored to each patient’s needs.
  • Focus on Pain-Free Relief: We strive to deliver effective, long-term solutions with a patient-centered approach, emphasizing comfort and discreet recovery.
  • Holistic Approach: We incorporate Ayurvedic treatments as part of our comprehensive care.
  • Specialization: We are a leading clinic specifically focused on minimally invasive treatment of anorectal conditions.

Piles To Smiles offers comprehensive treatment for anorectal conditions, including:

  • Anal Fissure: Non-surgical options (medication, sitz baths, lifestyle changes), Kshar Karma treatment, and minimally invasive surgical options (Ksharsutra, CLIS).
  • Piles (Hemorrhoids): Non-surgical options (medication, lifestyle changes, sclerotherapy, banding, Kshar Karma) and minimally invasive surgical options (Ksharsutra, hemorrhoidectomy).
  • Anal Fistula: Advanced Ksharsutra treatment for anal fistula high, complex, and recurrent anal fistulas.
  • Other Anorectal Conditions: Pilonidal sinus (including recurrent) – Ksharsutra treatment; Peri-anal abscess – I&D and Ksharsutra treatment; Rectal prolapse – Thiersch stitch.

Treatment plans at Piles To Smiles are tailored to each patient’s individual needs.

Piles to Smiles offers expert, compassionate care for anal fissure treatment, prioritizing minimally invasive procedures and personalized treatment plans. Our experienced specialists, led by Dr. Ravinder Sharma, utilize the latest techniques for effective, long-term relief and faster healing. We focus on patient comfort and minimizing recurrence through holistic Ayurvedic treatments. Choose Piles to Smiles for:

  • Expertise: Our specialists have extensive experience in diagnosing and treating anal fissures, using the latest techniques for optimal healing.
  • Minimally Invasive: Experience a comfortable and discreet recovery with minimal discomfort thanks to our minimally invasive procedures like Kshar Karma and Ksharsutra Treatment.
  • Effective Ayurvedic Treatments: We take a holistic approach, incorporating Ayurvedic treatments to provide long-term relief and minimize the risk of recurrence.
  • Personalized Care: We understand that every patient is unique. We tailor treatment plans to your specific needs and prioritize your comfort and well-being throughout your journey.
  • Patient-Centered Approach: Your comfort and well-being are our top priorities. We provide compassionate care and support throughout your treatment.

You can easily schedule your appointment at Piles To Smiles by calling us at +91-8586854224, booking online through our website at https://www.healingayurved.com/contact-us/#BookAppointment or contacting us via email at pilestosmilesdelhi@gmail.com. We look forward to hearing from you!

Categories
Fissure Fistula

Can a Fissure Turn into a Fistula?

Fissure vs. Fistula: Understanding the Difference

Fissures and fistulas are two common anorectal conditions that can cause significant discomfort and inconvenience. While they may sound similar, they are distinct conditions with different causes, symptoms, and treatment approaches.

What is an Anal Fissure?

An anal fissure is a small tear in the delicate skin lining the anus. This tear can cause severe pain, especially during bowel movements.

 

What is an Anal Fistula?

A fistula-in-ano is an abnormal tunnel that forms between the anal canal and the skin near the anus. This tunnel can lead to persistent drainage, pain, and discomfort.

The Connection Between Fissures and Fistulas

A common question among those dealing with anorectal issues is whether an anal fissure can progress into a fistula-in-ano. To answer this, we must delve into the nature of these conditions and their potential interconnections.

By understanding the characteristics, causes, and progression of both fissures and fistulas, we can gain valuable insights into their relationship and the steps to take for effective management.

Seeking Relief from Anal Fissure or Fistula?

Dr. Ravinder Sharma, a leading proctologist in Delhi NCR, offers expert diagnosis and treatment for anal fissure and fistula. With his extensive experience, he can address your concerns and provide personalized care.

Wondering about the connection between fissures and fistulas? Dr. Sharma can clarify any doubts and guide you through the treatment process.

Understanding Anal Fissures: A Common Anorectal Issue

Anal Fissure: A Painful Tear

An anal fissure is a small tear in the delicate skin lining the anus. This painful condition often arises from straining during bowel movements, leading to trauma in the anal canal. While it can affect people of all ages, adults are more commonly affected.

Common Symptoms of Anal Fissures:

  • Severe Pain: Intense pain, especially during and after bowel movements.
  • Bright Red Blood: Blood on toilet paper or in stool.
  • Itching and Burning: Discomfort in the anal area.

Types of Anal Fissures:

  • Acute Fissure: A recent tear that often heals spontaneously within a few weeks with proper care.
  • Chronic Fissure: A long-lasting fissure that may require medical intervention.

If you’re experiencing symptoms of an anal fissure, it’s essential to consult a healthcare professional for proper diagnosis and treatment.

Understanding the Causes of Anal Fissures

Anal fissures are painful tears in the delicate skin lining the anus. Several factors can contribute to their development:

Common Causes of Anal Fissures:

  • Constipation: Straining during bowel movements can cause the anal tissue to tear, leading to a fissure.
  • Diarrhea: Frequent loose stools can irritate the sensitive anal skin, making it more susceptible to tears.
  • Trauma: Injuries to the anal area, such as those sustained during childbirth or anal intercourse, can result in fissures.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease and ulcerative colitis can cause inflammation and damage to the intestinal lining, increasing the risk of anal fissures.
     

If you’re experiencing symptoms of anal fissures, it’s important to consult a healthcare professional for proper diagnosis and treatment.

Healing Anal Fissures: A Comprehensive Guide

Anal fissures, painful tears in the delicate skin lining the anus, can cause significant discomfort. While they often heal naturally, persistent fissures may require medical intervention. Here’s a breakdown of treatment options:

Conservative Treatments

  • Dietary Adjustments: Consuming a fiber-rich diet and staying hydrated can soften stools, reducing the risk of further tearing.
  • Topical Medications: Over-the-counter creams and ointments containing lidocaine can provide temporary relief from pain and inflammation.
  • Sitz Baths: Soaking in warm water can relax the anal muscles and promote healing.

Medical Interventions

  • Medication: In some cases, doctors may prescribe medications like calcium channel blockers or nitroglycerin ointment to relax the anal sphincter and improve blood flow to the area.
  • Minor Surgery: For persistent fissures, surgical procedures such as some injection to paralyze sphincter muscles or lateral internal sphincterotomy may be considered to relax the anal sphincter.

Ayurvedic Approach: Ksharsutra Treatment

Ayurveda offers a natural and effective solution for anal fissures: Ksharsutra treatment. This involves applying a medicated thread to the affected area to promote healing and reduce inflammation. Ksharsutra treatment is minimally invasive and often requires minimal recovery time.

Remember: While home remedies and medical interventions can help manage anal fissures, it’s essential to consult a healthcare professional for proper diagnosis and treatment.

If you’re experiencing persistent anal fissure symptoms, consider seeking expert advice from a proctologist at Piles to Smiles.

Understanding Anal Fistula: A Complex Condition

An anal fistula is an abnormal tunnel that forms between the skin around the anus and the anal canal. It often develops as a complication of an anal abscess, a painful, pus-filled infection. When an abscess ruptures or is drained, it may leave behind a tract that doesn’t heal completely, leading to the formation of a fistula.

Anal Fistula: Recognizing the Symptoms

An anal fistula is an abnormal tunnel that forms between the anal canal and the skin near the anus. This condition can cause a variety of symptoms, including:

  • Persistent Anal Pain: Chronic discomfort or pain around the anus.
  • Visible Swelling: Bulges or lumps near the anal opening.
  • Discharge: Drainage of pus or blood from the anal opening.
  • Skin Irritation: Rashes or itching in the perianal area.
  • Recurring Abscesses: Repeated formation of pus-filled pockets near the anus.

If you experience any of these symptoms, it’s crucial to seek medical attention for proper diagnosis and treatment.

Understanding the Causes of Anal Fistula

An anal fistula; an abnormal tunnel that forms between the anal canal and the skin near the anus. This condition often develops due to an infection in the anal glands.

Key Factors Contributing to Anal Fistula:

  • Anal Gland Infection: A common cause is the blockage and infection of the anal glands, leading to the formation of an abscess.
  • Inflammatory Bowel Diseases: Conditions like Crohn’s disease can increase the risk of anal fistula due to chronic inflammation and damage to the intestinal lining.
  • Previous Anal Surgery: Surgical procedures like hemorrhoidectomy or fistulotomy can sometimes inadvertently injure the anal glands or surrounding tissues, leading to fistula formation.
  • Trauma: Injuries to the anal region, such as those sustained during childbirth or anal intercourse, can increase the risk of developing an anal fistula.

If you experience symptoms of an anal fistula, such as persistent pain, swelling, or discharge, it’s crucial to consult a healthcare professional for proper diagnosis and treatment.

Effective Treatments for Anal Fistula

The optimal treatment for anal fistula depends on factors such as its location, severity, and underlying cause. Here are the primary treatment approaches:

Medical Treatment

  • Antibiotics: In cases where the fistula is associated with an infection, antibiotics may be prescribed to clear the infection.

Surgical Interventions

  • Fistulotomy: This involves cutting open the fistula tract to allow it to heal naturally from the inside out.
  • Fistulectomy: This procedure involves removing the fistula tract entirely.
  • Seton Placement: A thread is inserted into the fistula tract to drain pus and promote healing.
  • Flap Repair: This advanced technique involves using tissue from the surrounding area to repair the fistula tract.
  • VAAFT (Video-Assisted Anal Fistula Treatment) is a minimally invasive procedure using advanced imaging techniques to treat complex anal fistulas.
  • FiLaC (Fistula Laser Closure) is a minimally invasive laser treatment for fistula-in-ano, offering a less invasive option

Ayurvedic Treatment: Ksharsutra Therapy

Ksharsutra therapy, an ancient Ayurvedic technique, offers a minimally invasive and effective treatment for anal fistula. A medicated thread, known as Ksharsutra, is inserted into the fistula tract that gradually dissolves the unhealthy fistula tissue, promoting healing from within. This method has several advantages:

  • Minimal Invasiveness: Requires no hospitalization or extended bed rest.
  • Reduced Risk of Complications: Lower risk of recurrence and incontinence compared to surgical procedures.
  • Preserves Anal Sphincter Function: Helps maintain bowel control.
  • Holistic Approach: Addresses underlying imbalances and promotes overall well-being.
  • High Success Rate: Proven to be highly effective with a success rate of around 96.77%.

If you’re dealing with anal fistula, it’s crucial to consult with a healthcare professional to determine the most suitable treatment option for your specific condition.

Can an Anal Fissure Turn into a Fistula?

The short answer is: It’s possible, but not always likely.

While anal fissures and fistulas are distinct conditions, there can be a connection between them. Small, uncomplicated fissures typically heal without complications. However, persistent or untreated fissures, especially those associated with underlying conditions like Crohn’s disease, can increase the risk of developing complications such as abscesses and fistulas.

Why might a fissure turn into a fistula?

  • Chronic Inflammation: Persistent inflammation in the anal area can damage the tissue and make it more susceptible to infection.
  • Underlying Conditions: Conditions like Crohn’s disease can weaken the anal tissue, increasing the risk of fistula formation.
  • Surgical Interventions: Procedures like lateral internal sphincterotomy, sometimes used to treat chronic fissures, can inadvertently create a pathway for fistula development.

The Importance of Timely Treatment

To prevent complications like fistula formation, it’s crucial to seek prompt medical attention for anal fissures. Early diagnosis and appropriate treatment can significantly reduce the risk of developing more serious conditions.

If you’re experiencing symptoms of anal fissures, such as pain, bleeding, or itching, consult a healthcare professional for proper evaluation and treatment.

Conclusion

While anal fissures and fistulas are distinct conditions, they can sometimes be interconnected. Untreated or chronic fissures may increase the risk of developing a fistula. However, these conditions require different treatment approaches.

To ensure optimal management and prevent complications, it is essential to seek timely medical attention from a qualified proctologist. A thorough diagnosis and appropriate treatment plan can help alleviate symptoms and promote healing.

If you’re experiencing symptoms of an anal fissure or fistula, consider consulting with the best fistula doctor in Delhi NCR at Piles To Smiles for expert care and guidance.

Don’t let these conditions disrupt your daily life. Book an appointment today and take the first step towards a healthier and more comfortable you.

Categories
Fissure Fistula General Piles Pilonidal Sinus

Why Prefer Piles To Smiles?

Piles to Smiles: Your Trusted Partner in Anorectal Health

At Piles To Smiles, we embrace the timeless wisdom of Ayurveda, which defines the ideal treatment as one that heals without causing harm. We believe in a holistic approach that addresses the root cause of the problem, not just the symptoms. Our treatments, like Ksharsutra therapy, are designed to be gentle, effective, and free from side effects, ensuring a comprehensive and compassionate healing journey.

The Sacred Doctor-Patient Relationship

मातरं पितरं पुत्रान् बांधवानपि चातुरः |
अप्येतानभिशंकेत वैद्ये विश्वासमेती च ||
विसृजत्यात्मना आत्मानं न चैनं परिशंकते |
तस्मात् पुत्रवदेवैनं पालयेदातुरं भिषक् ||

The patient trusts their doctor immensely, often confiding in them more than their own family. This sacred bond necessitates a high level of care and responsibility from the physician. A doctor’s duty extends beyond medical expertise; it involves a deep sense of empathy and compassion. Treating a patient with the same care and concern as one would their own child is the ultimate goal of a dedicated healthcare professional.

– सुश्रुत संहिता (Sushruta Samhita)

Piles to Smiles is dedicated to providing affordable, high-quality treatment for anorectal conditions. Here’s what sets us apart:

Exclusive Ayurvedic Treatment for Anorectal Problems

Piles To Smiles provides comprehensive and compassionate care for various anorectal conditions. Our specialized team of experienced healthcare professionals is dedicated to helping you regain your comfort and well-being.

We offer advanced treatments for conditions such as:

  • Hemorrhoids: Experience relief from pain, bleeding, and itching associated with hemorrhoids.
  • Fistula-in-Ano: Our expert team can effectively manage fistula-in-ano, reducing discomfort and preventing complications.
  • Anal Fissure: We provide effective solutions to alleviate the pain and discomfort caused by anal fissures.
  • Pilonidal Sinus: Our treatments target the underlying cause of pilonidal sinus, promoting healing and preventing recurrence.

With a focus on patient-centered care, we strive to deliver optimal results and improve your quality of life.

Expert Care for Complex Anorectal Conditions

At Piles to Smiles, we specialize in treating a wide range of complex anorectal conditions, including:

  • Advanced-stage hemorrhoids: Including 4th-degree internal hemorrhoids and infected hemorrhoids.
  • Complex fistulas: High anal fistulas, fistulas with multiple branches, and recurrent anal fistulas.
  • Rectal prolapse: A condition where the rectum slips out of its normal position.

With our expertise and advanced techniques, we are committed to providing effective and minimally invasive solutions for even the most challenging anorectal problems.

A Harmonious Blend of Ancient Wisdom and Modern Technology

At Piles to Smiles, we combine the time-tested principles of Ayurveda with advanced medical techniques to offer comprehensive and effective treatments for anorectal conditions. This integrative approach ensures optimal patient outcomes and a holistic healing experience.

Committed to Excellence and Innovation

We are dedicated to providing the most effective and up-to-date treatments for our patients. To achieve this, we continuously strive to improve our skills and knowledge through ongoing training and education. We stay abreast of the latest advancements in medical science and are always ready to adopt new treatment modalities that can benefit our patients.

Round-the-Clock Care, Personalized Solutions

Piles To Smiles offers 24/7 support to address your anorectal health concerns. Our dedicated team of experts is available to provide personalized solutions and minimize the need for frequent hospital visits.

Personalized Care and Patient Education

At Piles to Smiles, we believe in providing comprehensive care that extends beyond treatment. Our dedicated team offers personalized guidance on:

  • Diet and Lifestyle Modifications: We provide tailored dietary advice and lifestyle recommendations to promote healing and prevent future complications.
  • Post-Treatment Care: We educate patients and their caregivers on proper post-treatment care, minimizing the need for frequent hospital visits.

By empowering patients with knowledge and support, we aim to optimize treatment outcomes and enhance their overall well-being.

Affordable and Accessible Healthcare

We believe that effective healthcare should be accessible to all. That’s why we continually strive to make our treatments affordable without compromising on quality. We offer cost-effective solutions to ensure that everyone can receive the care they need.

Giving Back to the Community

Our commitment to providing accessible and affordable healthcare extends beyond our clinic walls. We actively engage in various initiatives to support the community, including:

  • Discounted Consultations and Treatments: We offer subsidized healthcare services to economically disadvantaged individuals.
  • Partnerships with NGOs: We collaborate with non-profit organizations to reach underserved populations and provide essential healthcare.
  • Minimizing Hospital Visits: We strive to offer efficient outpatient treatments and minimize the need for hospitalization, reducing the financial burden on patients.

By prioritizing patient well-being and community service, we aim to make quality healthcare accessible to all.

Experience the Piles To Smiles Difference

Piles To Smiles is your partner in achieving optimal anorectal health. Our clinic offers a comprehensive approach that blends ancient Ayurvedic wisdom with modern medical techniques. Here’s why we’re the preferred choice for many:

  • Advanced Ayurvedic Techniques: Our minimally invasive procedures, such as Ksharsutra therapy, are rooted in centuries-old Ayurvedic principles. These techniques offer high success rates and minimal side effects, making them a popular choice for many patients.
  • Minimal Disruption to Your Life: We understand the importance of a busy lifestyle. Our treatments are designed to minimize hospital stays and downtime, allowing you to quickly return to your daily routine.
  • Proven Track Record: Our experienced team has a proven track record of successful treatments, reducing the risk of recurrence and ensuring long-lasting relief.
  • Personalized Care: We believe in a patient-centered approach. Our treatments are tailored to your specific needs and concerns, ensuring optimal outcomes.
  • Faster Recovery: Our minimally invasive procedures often lead to quicker recovery times compared to traditional surgical methods.
  • Enhanced Quality of Life: We aim to improve your overall quality of life by addressing the root cause of your anorectal issue.
  • Holistic Approach: We combine traditional and modern techniques to provide a holistic approach to healthcare, addressing both the physical and emotional aspects of your condition.
  • Specialized Expertise: Our team of experienced doctors specializes in treating a wide range of anorectal issues, including hemorrhoids, fissures, fistulas, and more.
  • Patient-Centric Approach: Your comfort and satisfaction are our top priorities. We strive to create a welcoming and supportive environment for all our patients.
  • Affordable Care: We believe that quality healthcare should be accessible to all. Our clinic offers affordable treatment options without compromising on quality.
  • State-of-the-Art Facilities: Our clinic is equipped with modern facilities to ensure a comfortable and hygienic environment for our patients.

Our commitment to patient care, combined with our expertise and advanced techniques, has earned us a strong reputation and a loyal patient base. We invite you to experience the difference at Piles To Smiles.

By choosing Piles To Smiles, you’re choosing a path to a healthier, more comfortable life. 

It’s no wonder that our patients often refer their loved ones, making word-of-mouth our most powerful testimonial.

5.0
Based on 152 reviews
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Devesh Bansal
13:00 25 Jun 25
We consulted Piles to Smiles for my pregnant wife who was experiencing severe constipation which led to symptoms of Piles, and the medicines she had taken by then were not effective. But the guidance and medication provided by Dr. Ravinder at Piles To Smiles worked like magic for her and she felt super relieved. His prescribed medicines were totally safe and had no side effects even during pregnancy.
Also, He is vey friendly in nature and his conversations help comfort the patient a lot.
vikas hasiza
16:42 16 Jun 25
I have an excellent experience of treatment in my accute fissure problem undertaken through Dr.Ravinder sharma. I am suffering from severe pain from long time it heals but occurs again after some period of time. But when I talk with Dr. Ravindra sharma He understand my problem and treated me very well. He is very kind and friendly nature doctoe having an excellent skill in this field. I felt my self very comfortable after some days. Now I am perfectly fit Dr. Sharma I wish your ever success in the treatment of piles, fissure and fistula. I hope my small review may help patients to get rid of diseases within very cheap treatment cost.

Thanks a lot sir.
1328 Avnish Kumar
07:38 26 May 25
I visited Dr. Ravinder Kumar at Pile to Smile Clinic for treatment and I’m very satisfied with the care I received. Dr. Ravinder is highly professional, patient, and took the time to explain the condition and treatment options in detail. The clinic is well-maintained, and the staff was courteous and helpful throughout the process.
The treatment was effective, and I noticed significant relief within a short time. What I appreciated most was the doctor’s compassionate approach and his focus on non-surgical, minimally invasive techniques.
I highly recommend Pile to Smile Clinic and Dr. Ravinder Kumar to anyone looking for expert care for piles or related conditions.
Manu sharma
05:20 09 May 25
I was suffering from anal fistula since 14 years when i consulted Dr Ravinder. I had 3 unsuccessful surgeries before ksharsutra treatment. But fistula recurred after every surgery. After taking ksharsutra treatment from Dr Sharma my fistula is completely healed. I am very happy after completing ksharsutra treatment.
NAVEEN HATWAL
09:40 07 May 25
I would take my thought and write about my experience at piles to smiles clinic specially about Dr. Ravinder Sharma, from the first day I was meet with him and I talk about my illness then he was treated very well and also asked about my entire diet and helpful and he was my entire problem was solved by him.

The staff (Jyoti Mam) she is also very friendly, and the clinic maintains great hygiene.

An absolute fabulous 100% treatment with reasonable price.

Request for Dr. Ravinder Sharma Sir, You must keep a print out in your clinic, so that any one need it the regarding the bill purpose for reimbursement, it can be used properly.

Highly recommended for anyone looking for ayurvedic clinic for Piles to Smiles.

Thank you so much for your kind words and appreciation for Dr. Ravinder Sharma. 😃
yash veer
01:47 06 May 25
I, Yashveer Verma,was suffering from multiple fistula tracts and searching for a good kshar Sutra surgery center when I came to know of Dr Ravindra Sharma, who runs Piles to smiles clinic at vasant kunj. I contacted Dr Ravindra Sharma and I started my treatment with him in January 2025. He treated me compassionately and gently. He guided me about all the dos and don'ts and also kept my morale high all through the treatment . Now I am totally cured of my fistulas. I am extremely thankful to Dr. Ravindra Sharma and his staff for their professional approach and deep understanding of their patients' suffering and I strongly recommend all those patients who are suffering from piles, fissure or fistula not to hesitate even a bit and meet him for the best treatment .
Prateek Mediratta
03:38 27 Apr 25
I want to thank Dr Ravinder Sharma for curing my complicated case of Internal Anal fistula which i was suffering from Last one year. After trying so many treatments, I visited Piles to smiles Clinic in January this year and met Dr Ravinder Sharma Sir,
He listened my symptoms and Diagnosed my problem assuring that fistula will be cured by ksharsutra treatment with in 8 weeks with minimal pain and even asked me to resume my daily activities from first day of Treatment.

My Ksharsutra surgery was started on 25th Jan and as estimated correctly by Dr Ravinder Sharma Ji my treatment was completed by 18th March 2025. Dr Ravinder Sharma Ji and his team is very experienced in handling these cases as they made sure that Surgery and thread change was done with less discomfort and pain. During My course of treatment Dr Ravinder Sharma Ji and his team was always reachable on phone and provided me solution to my problems immediately.

I would highly recommend everyone to visit Piles to smiles clinic in case they are facing any complicated or non complicated anorectal problem like Anal fistula, fissure or Piles within cost effective treatment with best results.

Again i want to thank Dr Ravinder Sharma Ji and Piles to smile clinic for making me smile again:)
suman pandey
11:35 20 Apr 25
My dad got his fissure treatment done from this very humble polite and nice doctor. He hears, understands and explains issue very nicely. Totally satisfied with the treatment and the doctor. My dad is fit n fine now just by his medicines. He is trustworthy and not at all money minded. Thanks a lot doctor if u r reading it.
Pal Chandni
08:52 20 Apr 25
Thankyou so much sir.🙏

I recently had a great and incredible experience at Piles to Smile Clinic in Delhi. Dr Ravinder Sharma sir and his team done a great job. I was suffering from chronic fissure. Then I got to know about this clinic. Finnally, i found the solution from him. I am impressed by his professionalism and his genuine care for his patients and if patients forget to come for the next date he especially as a doc. he called and ask about their problem and remind them.

I am so happy now, I free from this horrible pain during my those days.By this i depressed and anxiety issues But thanks to sir to cure this problem.

Really, your treatment is outstanding and best part is medicine is fully ayurvedic and I don't like alopathy medicine.

I highly highly recommend him to those who suffer from this problem as like me .

Rest apart of this, his consultation charges is also payable and medicine is 100% ayurvedic and curable .

My last message to those people who suffer by this problem plz plz consult with doc and don't hesitate to tell your parents in early stage.

Thankyou so much sir for this painless treatment journey🙏
JR MALLICK
01:58 14 Apr 25
The Dr. is very professional and sound in knowledge. He is soft spoken and caring in nature.
I was suffering from chronic fissure and I went to 4/5 Dr. before him. Finally, I found the solution from him. Now I get rid of the issue. After my experience, I will recommend the Dr you should take a visit try the treatment from him.
Monika Bhrigu
16:12 28 Mar 25
I would take my time to write about my experience at piles to smiles clinic specially about Dr.Ravindra .I visited the clinic with a misdiagnosis of piles and was advised surgery by one of the doctors in Delhi.Later I got to know about this clinic while I was looking for doctor of piles so that I can take a second opinion.I visited him and got my diagnosis from him and for a surprise I was not suffering from piles and there was no need of surgery.I was just suffering from Anal fissure and he treated me and within a month I recovered fully with no pain no bleeding at all.I am really thankful to Dr.Ravindra for excellent diagnosis and his line of treatment.
I would suggest it to everyone who are suffering from piles and other related issues Kindly do consult him.
Shubham
01:33 26 Mar 25
I have an excellent experience of treatment in my accute fisher problem undertaken through Dr.Ravinder sharma. I visited his clinic with a very severe pain. He assured me that it will take 55 days time of treatment. He is very kind and sover doctor having an excellent skill in this field. I felt my self very comfortable after 10 days. Now I am perfectly fit even before 45 days. Dr. Sharma I wish your ever success in the treatment of piles, fisher and fistula. I hope my small review may help patients to get rid of diseses within very cheap treatment cost.
Utsav Nigam
13:25 19 Mar 25
It's incredibly important to have a doctor who stays with you throughout your treatment, especially when dealing with a condition like this. Dr. Ravinder truly stands out in this regard. I sought his treatment for a Perianal Abscess, and he performed a small procedure. What sets him apart from other doctors is his constant availability for any kind of help and his genuine understanding of your pain.

I would personally recommend anyone facing anorectal issues to visit his clinic, even if it's far or you're already undergoing treatment elsewhere. Just getting a check-up with him is worth it. He doesn't suggest anything for his personal gain; his focus is solely on the well-being of his patients. His consultation fee is very reasonable, and surprisingly, he doesn’t push for unnecessary treatments to make money.

I last visited him on March 15th, and looking back over the past 2-3 months, I have no regrets about choosing him as my doctor.

I wish Dr. Ravinder all the best for his continued efforts and great work!
Rishita Rohilla
16:37 15 Mar 25
I was suffering from fistula in Ano for last 10 to 12 years. Tried all kinds of treatments even surgery but the fistula did not cure. Finally after searching the web I came across Dr Ravinder Sharma. I visited his clinic. He assured me that it will be cured within 4-6 sittings. Kshar sutra was inserted on 15 Mar and changed weekly. As assured by him the fistula totally cured within stipulated time. Dr Ravinder has vast experience in curing fistula and other related diseases. His staff is very cooperative. I recommend Ravinder for treatment of fistula. One year almost over now and I am perfectly fine now. I recollect Dr Ravinder's last conversation when he said go eat anything and enjoy. I have really forgotten that I had this disease. Thank Dr Ravinder sir
sanjeev Goyat
07:56 13 Mar 25
I recently had a great experience at Piles to Smiles Clinic in Delhi. Dr. Ravinder Sharma and his team were highly professional, skilled, and compassionate throughout my treatment. Their expertise and care made the entire process smooth and comfortable. I truly appreciate their dedication and would highly recommend them to anyone in need of quality treatment.
Mahipal Kashyap
02:04 11 Mar 25
I recently underwent treatment for a fistula and I couldn’t be more grateful for the care I received from Dr. Ravinder from the very first consultation, Doctor took the time to thoroughly explain my condition, the treatment options available, and what to expect during the recovery process. I was going through a truma and was very depressed but suddenly I came to know about Piles to Smiles clinic, I went there all my worries gone after meeting Dr. Ravinder and his team.

The ksharsutra treatment was performed with great skill, and I felt comfortable and reassured throughout the entire process. Dr. Ravindra and their staff were always professional, compassionate, and available for any questions I had, both before and after the procedure.

My recovery has gone smoothly, and I am now feeling much better. I truly appreciate Dr. Ravinder expertise and commitment to my well-being. I highly recommend Piles to smiles to anyone seeking treatment for fistula or similar condition.
Rahul Gautam
11:25 08 Mar 25
Dr. Ravinder Sharma is an outstanding expert in the treatment of anorectal conditions, and my experience at Piles to Smile exceeded all expectations. From the moment I arrived, I was impressed by Dr. Sharma's professionalism and his genuine care for his patients. He took the time to thoroughly listen to my concerns, ensuring that I felt heard and comfortable at every step. His ability to explain the treatment process clearly and his compassionate approach made a world of difference. The entire experience was seamless, stress-free, and left me feeling completely confident in my treatment. Dr. Ravinder Sharma is truly one of a kind – a rare combination of expertise, empathy, and dedication. I highly recommend him to anyone seeking top-notch care for anorectal issues. His level of care is unparalleled!

Thank you 😊
SHIVAS MEDIRATTA
14:03 05 Mar 25
Sir is very polite and listen properly.
Happy with the treatment.
ashish sharma
15:12 03 Mar 25
Well maintained facility and amazing doctor with great knowledge
Sanjay Kumar
17:21 02 Mar 25
Thanks a lot sir for the treatment of fistula with ksharsutra treatment without any complication,I am very satisfied with the treatment with proper healing and 100 percent cure,thanks a lot sir for this...☺️
Sushma Laut
17:17 02 Mar 25
Sir treated me well from fissures, he is very expert in dealing with fissure without surgery from Ayurvedic treatment.... Thanks a lot sir
gaurav bhatnagar
15:42 01 Mar 25
Best Treatment in the town
My problems were resolved completely
aman sharma
09:04 01 Mar 25
Visited Doctor Ravinder with severe pain and infection in peri-anal area. Was given a thorough treatment that lasted 3 weeks and was super helpful in the recovery process. Highly recommended
Vinod Kumar
06:46 01 Mar 25
Very satisfied with the treatment and guidance of doctors, my wife have a serious problem and they treat her and cure the problem. In present condition she is in very good condition.
pawan kumar
14:36 28 Feb 25
I visited the dr Ravindra Sharma ji with the problem of acute pain, he diagnosed me with the fissure and treated me. Now I am totally fine. Apart from his diagnosis, he is very nice and humble human being also. I wish him all the best.🙏🏻
Mithu Kumar
12:52 27 Feb 25
Gaurav Sharma
05:38 26 Feb 25
Thanks a lot Doctor for helping me in my tratment. Now i am feeling much better!!

Thanks for all your support
Rajesh Sachdeva
03:59 26 Feb 25
Very good experience with the doctor.
he was empathetic for my pain and helped it get away by giving right medicines
shalini goel
05:39 23 Feb 25
Like
I recommend this doctor!
Before 4 months i dignosed with Fissure , i visited many doctors and hospital everywhere i get same solution thats A surgery but mentally i not prepared for this.

Finally i find Piles to smile ( Dr. Ravindra ) from Google. and i visited there. Dr Ravindra is a good , humble and experienced Doctor and he have magical treatment. After regular medication of 2 months i m perfectly fine. i feel like i was never suffered with the same.

i recommed to Piles to smiles for all piles related issues.

Thanks Piles to Smile..

Thanks Dr Ravindra. 🙂
Gajendra Singh
02:20 16 Feb 25
Good experience ,Dr Ravinder sharma is very expert in handling anorectal problems,he is having good knowledge ,clinic is very clean and neat,thanks a lot sir...
Ambrish
18:37 14 Feb 25
"I had an excellent experience at Piles To Smiles Ayurvedic Clinic. Dr. Ravinder sir is highly knowledgeable and provide effective Ayurvedic treatment with a personalized approach. The staff is friendly, and the clinic maintains great hygiene. My health has improved significantly after following their treatment plan. Highly recommended for anyone looking for natural and holistic healing!"
Narendra Teotia
08:01 11 Feb 25
Very good experience
R.K. Sharma
15:35 04 Feb 25
Very good experience, Dr. Ravinderji is so humble and experienced.
Thanks and regards
Pawan Seth
12:55 03 Feb 25
I lost my hope of recovery without operation. But after getting treatment from piles to smile I am OK now. Dr ravinder sharma is very friendly and polite to there patient. Thanks to dr ravinder sharma ji
Preeti Sehrawat
07:06 29 Jan 25
Professional environment. I felt very looked after and comfortable. I was given all necessary information and had a good experience. Proper hygiene was also maintained.
VIKASH SHARMA
15:03 26 Jan 25
Dr. Ravindra is an exceptional doctor who truly cares about their patients. He is knowledgeable, patient, and take the time to explain everything clearly. The staff is friendly, and the overall experience was seamless. Highly recommend for anyone seeking excellent care!"
sucharit narang
11:41 26 Jan 25
Had consulted with Dr. Ravinder, we were initially very apprehensive of Ayurveda and the doctor. But the doctor was very patient, helpful and our problem was solved by him.
When most of the hospitals had suggested surgery, He gave us time and explained us things very patiently. Highly recommended the clinic and dr Ravinder in particular. Such doctors are God send.

Thank you so much from the bottom of our hearts.
roshan kumar
08:49 19 Jan 25
"I had a great experience at Piles to Smiles Clinic. The doctor ravinder sharma was very professional, knowledgeable, and made me feel comfortable throughout the treatment. Highly recommend this clinic for anyone seeking expert care!"
Neha rathor
05:19 19 Jan 25
Dr Ravinder is very expert in handling haemorrhoids problem with perfect ayurvedic treatment,he listens the patient problem well,and provide effective treatment for the same,I m very satisfied after his treatment and well recovered,clinic hygiene is excellent,will suggest to all those who are suffering from such problem👍
sameer subba
02:47 11 Jan 25
I am from Darjeeling and I got cured from Piles to Smile.
I always used to ask Dr.Ravinder Sir when I get a smile on my face he replies soon you will get it…
Now I am fully cured and thanks to Dr. Ravinder and his team.
I am very Lucky and fortunate that I got Dr. Ravinder for my treatment. He is very soft spoken and he understand the feelings of patient…
Thanks to Dr. Ravinder Sir and Team
ajay Kumar
06:35 10 Jan 25
Must visit piles to smiles for haemorrhoids problem,,good ayurvedic treatment and painless with 💯 percent recovery,thanks a lot sir🙏😊
Jagdish Kumar
06:32 10 Jan 25
I m giving 5 star rating according to my experience with Dr. Ravinder Sharma,he is very expert in handling fistula ,got treated well and satisfied 😊
Gora devi
08:08 09 Jan 25
Good one, satisfied with the ayurvedic treatment of piles,the treatment by the docter defines the name of the clinic i .e.piles to smiles ☺️thanks a lot sir🙏(Dr Ravinder Sharma)..
Very good experience.
Am very satisfied.
Piles smile is good for treatment of piles.
jagmati vats
11:58 29 Dec 24
Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.
Kullu Noel
09:47 22 Dec 24
Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄
Alka Bisht Bisht
08:48 22 Dec 24
Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.
med Jayant
09:02 18 Dec 24
Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.
Kiran Grover
06:05 13 Dec 24
One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏
Mandy Sandhu
17:40 29 Nov 24
Highly impressed by the service received by the doctor and the staff at Piles to Smiles.
An absolute fabulous treatment with reasonable price.
I recommend people to visit Piles to Smiles clinic for an efficient treatment.
Devdutt Dev
07:20 26 Nov 24
Best place for fistula treatment...
Md Shamim Ansari
14:18 25 Nov 24
Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.
Komal Tanwar
18:41 17 Nov 24
i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.
Nikita Verma
17:51 06 Nov 24
I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️
Akash Chaubey
15:32 05 Nov 24
My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...
deepika singh
14:04 22 Oct 24
Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...
Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.
Monika
12:43 16 Oct 24
I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.
Ravi Lagga
08:27 12 Oct 24
There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.
Lalita Bhandari
13:27 07 Oct 24
My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.
He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.

Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏

I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏

I will give him five star for this treatment.
mahipal kathayat
13:40 27 Sep 24
PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir
Who Yogisingla
01:14 25 Sep 24
Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.
I’ll highly recommend.
Rameshwari Singh
01:59 20 Sep 24
Good experience,best docter for painless ayurvedic treatment for piles....
Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....
Shashi Devi
12:08 09 Sep 24
Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏
Priya Vats
18:01 28 Jul 24
A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...
Amarjeet Cagten
03:57 25 Jul 24
"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"
Nidhi Bhardwaj
07:02 19 Jul 24
I would definitely
recommend this hospital to
family and friends!
One of my friend had taken treatment for fistula and he’s satisfied and happy with the treatment now!
All reward goes to Dr.Ravinder & It's a
beautiful environment, very
nice and clean. The
community needs this
service.
Thank you for all you do!
Yogeeta Kadian
06:37 30 Jun 24
Dr. Ravinder is an experienced doctor. He understands the problem well and provides right solutions to cure people's suffering from intense pain. His expertise has been very helpful for my mother. I have referred him to my relatives and friends and all of them were also treated well. Apart from his expertise as doctor he is very soft spoken and kind person.
creative songs
05:23 29 May 24
I got my previous treatment done somewhere,but was not having good experience. Then I decided to visit piles to smiles,Dr Ravinder is very incredible,He explains everything in clear manner,he treated me well,best experience, will recommend to visit here for best ayurvedaic treatment for fissures...

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