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Fistula

Best Ksharsutra Treatment for Fistula-in-Ano in New Delhi

Are you seeking the best Ksharsutra treatment for fistula-in-ano in New Delhi? Longing for lasting relief from the pain and discomfort of an anal fistula? Discover Ksharsutra therapy at Piles To Smiles, under the expert guidance of Dr. Ravinder Sharma, your trusted specialist for gentle and effective fistula treatment.

An anal fistula can significantly impact your daily life, causing persistent pain, swelling, and drainage. Understanding your treatment options is key to finding the right path to healing. This article highlights why Ksharsutra treatment, particularly at Piles To Smiles in New Delhi, is recognized as a leading choice for managing this challenging condition effectively and with minimal discomfort.

Understanding Anal Fistula: Causes and Symptoms

Before exploring treatment options, let’s clarify what an anal fistula is. It’s an abnormal connection, or tunnel, that develops between the anal canal (the end of your large intestine) and the skin near your anus. This often arises from an infection in an anal gland that wasn’t properly drained. Common symptoms include:

Why Ksharsutra Stands Out as the Preferred Fistula Treatment

Traditional surgical approaches to anal fistula often involve significant cutting, a prolonged recovery, and a higher risk of complications, including potential bowel incontinence. Ksharsutra therapy offers a compelling alternative with numerous advantages:

  • Minimally Invasive Approach: Unlike conventional surgery, Ksharsutra involves minimal tissue cutting, resulting in less post-operative pain and discomfort.
  • High Success Rates: Clinical studies and extensive experience demonstrate the high effectiveness of Ksharsutra in treating various types of anal fistulas.
  • Reduced Recurrence: When performed with precision, Ksharsutra treatment significantly lowers the chances of the fistula returning.
  • Preserves Anal Sphincter Function: The gentle, gradual cutting action of the medicated thread minimizes the risk of damage to the crucial anal sphincter muscles, thus helping to maintain normal bowel control and prevent incontinence.
  • Faster Recovery: Patients undergoing Ksharsutra therapy typically experience a quicker recovery compared to traditional surgery, allowing for a faster return to daily activities.
  • Potentially More Cost-Effective: Considering the lower recurrence rate and reduced need for extensive post-operative care, Ksharsutra can be a more economical long-term solution.
  • Natural Ayurvedic Principles: As an Ayurvedic parasurgical technique, Ksharsutra utilizes natural herbal medications, minimizing the risk of adverse drug reactions.

Piles To Smiles: Your Trusted Center for Ksharsutra in New Delhi

Choosing the right healthcare provider is paramount for effective treatment and a positive experience. Piles To Smiles, led by the highly skilled and empathetic Dr. Ravinder Sharma, has established itself as a leading center for Ksharsutra treatment for fistula-in-ano in New Delhi.

Here’s what makes Piles To Smiles your ideal choice:

  • Expertise of Dr. Ravinder Sharma: Dr. Sharma brings extensive knowledge and a wealth of experience in performing Ksharsutra therapy for a wide spectrum of anorectal conditions, including complex anal fistulas. His meticulous technique and patient-focused approach are key to achieving optimal outcomes.
  • Specialized Focus on Anorectal Care: Piles To Smiles is dedicated to providing comprehensive care for anorectal diseases, emphasizing advanced Ksharsutra techniques. This specialization ensures a deep understanding of the condition and highly tailored treatment plans.
  • Patient-Centered Care: At Piles To Smiles, your comfort and well-being are top priorities. Dr. Sharma and his team provide personalized care, ensuring you are well-informed, comfortable, and fully supported throughout your treatment journey.
  • Modern and Hygienic Facilities: The clinic is equipped with modern infrastructure and adheres to strict hygiene protocols, providing a safe and comfortable environment for your treatment.
  • Positive Patient Testimonials: The numerous positive reviews and testimonials from satisfied patients at Piles To Smiles underscore the effectiveness of their treatment and the exceptional quality of care provided by Dr. Sharma.

What to Expect During Your Ksharsutra Journey at Piles To Smiles

The Ksharsutra treatment process at Piles To Smiles typically involves these stages:

  1. Comprehensive Consultation and Examination: Dr. Sharma will conduct a thorough physical examination and may recommend specific investigations to diagnose the type and extent of your anal fistula accurately.
  2. Preparation for the Procedure: The area around your anus will be carefully cleaned and prepared. Local anesthesia is usually administered to ensure minimal discomfort during the Ksharsutra placement.
  3. Gentle Ksharsutra Placement: A specially prepared medicated thread (Ksharsutra) is carefully and precisely passed through the entire length of the fistula tract, connecting the internal and external openings.
  4. Regular Thread Changes: The Ksharsutra thread is gently replaced with a new medicated thread at regular intervals, typically weekly at the clinic. This gradual process facilitates controlled cutting and simultaneous healing of the fistula tract.
  5. Detailed Post-Treatment Guidance: Dr. Sharma will provide you with clear and comprehensive post-treatment instructions and schedule regular follow-up appointments to closely monitor your progress and ensure complete healing.

The total duration of the Ksharsutra treatment can vary depending on the length and complexity of your anal fistula. However, most patients experience significant relief and complete healing within a few weeks to a couple of months.

Reclaim Your Comfort: Contact Piles To Smiles Today

Living with an anal fistula doesn’t have to be a long-term burden. Ksharsutra therapy at Piles To Smiles, under the expert care of Dr. Ravinder Sharma, offers a safe, minimally invasive, and highly effective solution right here in New Delhi.

Don’t let fistula-in-ano dictate your life any longer. Take the first step towards lasting relief and a “Piles To Smiles” journey. Contact Piles To Smiles today to schedule a confidential consultation and discover how Ksharsutra treatment can help you regain your health, comfort, and overall well-being.

Anal Fistula Treatment FAQs: Expert Care in New Delhi

An anal fistula, or fistula-in-ano, is a small tunnel connecting the anal canal to the skin near the anusIt typically forms due to an infection in an anal gland. If you suspect an anal fistula in New Delhi, prompt expert diagnosis and treatment are essential.

Common anal fistula symptoms include recurring anal abscesses, pain and swelling around the anus, foul-smelling or bloody discharge, skin irritation, and sometimes fever. For these symptoms in New Delhi, a professional medical evaluation is highly recommended.

Anal fistulas most often develop after an anal abscess has drained. Less common causes include Crohn’s disease, tuberculosis, STIs, or anal trauma. Our experts in New Delhi can accurately diagnose the cause for effective treatment.

Ksharsutra treatment is an ancient Ayurvedic parasurgical technique for anal fistulas. It involves placing a medicated thread (Ksharsutra) into the fistula tract, which gradually cuts, drains, and heals the tract from within. This specialized treatment is offered at Piles To Smiles in New Delhi.

Unlike traditional surgery, which often involves cutting the entire fistula tract, Ksharsutra treatment is minimally invasive. It offers gradual healing, generally preserves anal sphincter function, and has a lower risk of incontinence, making it a preferred choice for many patients in New Delhi

While there can be some discomfort during thread placement and changes, it’s generally well-managed with local anesthesia and pain medication. Most patients find the discomfort significantly less than traditional surgical recovery. Our team in New Delhi prioritizes your comfort during Ksharsutra treatment.

Key advantages of Ksharsutra therapy include:

  • Its high success rate,
  • Minimal invasiveness,
  • Preservation of anal sphincter function (reducing incontinence risk),
  • Fewer chances of recurrence, and
  • Suitability for complex fistulas.

It’s a highly recommended anal fistula treatment in New Delhi due to these benefits.

Ksharsutra treatment is highly effective for most types of anal fistulas, including complex and recurrent cases. Our experienced specialists in New Delhi will assess your condition to determine if Ksharsutra is the most suitable treatment option for you.

The duration of Ksharsutra treatment varies based on the fistula’s complexity and length, typically ranging from 6 weeks to 3 months. Regular follow-ups and thread changes at Piles To Smiles, New Delhi, are crucial for successful completion.

Recovery after Ksharsutra treatment is generally smoother and faster than traditional surgery. Most patients can resume normal activities within a few days after each thread change. Complete healing occurs gradually throughout the treatment course.

Side effects are generally minimal and manageable, including mild pain, discharge, or slight bleeding as part of the healing process. Serious complications are rare, especially when performed by experienced practitioners at Piles To Smiles New Delhi.

Yes, a significant advantage of Ksharsutra treatment is its ability to preserve anal sphincter function. The gradual cutting and healing action minimizes damage to sphincter muscles, greatly reducing incontinence risk. This makes it a preferred choice for anal fistula treatment in New Delhi.

Yes, Ksharsutra treatment is widely regarded as a permanent cure for fistula-in-ano with a very low recurrence rate when performed correctly by skilled practitioners. Our goal at Piles To Smiles New Delhi is to provide you with a lasting solution to your anal fistula.

For highly effective and specialized Ksharsutra treatment for anal fistula in New Delhi, Piles To Smiles is a leading choice. Our clinic focuses on anorectal conditions, and our experienced team provides personalized care.

Piles To Smiles is a premier clinic in New Delhi known for its expertise in Ksharsutra treatment. We offer a holistic approach, highly experienced specialists, advanced techniques, compassionate care, and a proven track record of successful outcomes for anal fistula patients.

Dr. Ravinder Sharma is a highly respected and experienced specialist in anorectal conditions, particularly renowned for his expertise in Ksharsutra treatment for anal fistula in New Delhi. He leads the team at Piles To Smiles, bringing years of dedicated practice to his patients.

Dr. Ravinder Sharma has extensive (18+ years) experience performing Ksharsutra treatment for a wide range of anal fistula cases, from simple to complex. His deep understanding of the technique and commitment to patient care have earned him a reputation as a trusted expert in New Delhi.

Absolutely. Piles To Smiles is a dedicated and specialized clinic focused exclusively on the diagnosis and treatment of anorectal conditions, including anal fistulas, piles, fissures, and Pilonidal Sinus in New Delhi. Our specialization ensures focused and expert care.

During your first consultation at Piles To Smiles in New Delhi, you can expect a thorough examination by Dr. Ravinder Sharma, a detailed discussion of your symptoms and medical history, and a clear explanation of your diagnosis and recommended treatment plan, including Ksharsutra if applicable. We encourage you to ask any questions you may have.

Ksharsutra thread changes are typically required every 7-10 days, depending on the individual’s healing progress and the specific condition of the fistula tract. Our team at Piles To Smiles in New Delhi will provide you with a personalized schedule.

Yes, we have numerous patient testimonials from individuals who have successfully undergone Ksharsutra treatment for anal fistula at Piles To Smiles in New Delhi. We believe their experiences speak volumes about our commitment to patient care and successful outcomes. Please ask our staff for details.

Our clinic hours for Piles To Smiles in New Delhi are Monday to Saturday, 10:00 AM – 2:00 PM and 4:00 PM – 8:00 PM, and for Sunday, 10:00 AM – 2:00 PM. We recommend checking our website or calling us directly for the most up-to-date hours.

Booking an appointment with Dr. Ravinder Sharma at Piles To Smiles in New Delhi is easy. You can call us directly at +91-8586854224, or visit our website at https://www.healingayurved.com/contact-us/ to schedule your consultation online.

 While the upfront cost may vary, Ksharsutra treatment is often considered cost-effective in the long run due to its high success rate and low recurrence rate, which minimizes the need for repeat procedures and associated expenses. Investing in effective treatment for anal fistula at Piles To Smiles New Delhi can save you significant costs and discomfort over time.

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Fistula Uncategorized

Recurrent Anal Fistula: Causes, Symptoms, and Treatment

Recurrent Anal Fistula: Finding Lasting Relief

A recurrent anal fistula is a persistent and challenging condition where a small, tunnel-like passage (fistula) repeatedly forms between the anus and the surrounding skin despite previous treatments, often surgery. 

Recurrence is defined as clinical reappearance of the fistula after complete healing of the surgical wound, occurring within one year after the procedure. 

This chronic condition typically arises from an infected anal gland that develops into an abscess. While recurrent anal fistulas can be frustrating for both patients and healthcare providers, effective treatment options exist, offering relief and improved quality of life.

Recurrent Anal Fistula: Causes & Risk Factors

Anal fistula recurrence can be a significant challenge. While the underlying cause may vary, several factors contribute to this complication:

Incomplete Initial Treatment:

  • Inadequate Fistula Removal: If the original surgery failed to remove the fistula tract completely, it can easily regrow.
  • Persistent Infection: After the initial procedure, residual infection can fuel ongoing inflammation and recurrence.

Underlying Medical Conditions:

Complex Fistula Anatomy:

Surgical Complications:

Other Factors:

  • Previous Anal Abscess: Untreated abscesses can lead to fistula formation and increase the risk of recurrence.
  • Trauma: Injury to the anal area can sometimes trigger fistula development.
  • Infections: Certain infections, like tuberculosis or HIV, can contribute to fistula formation.
  • Radiation Therapy: Radiation treatment for rectal cancer can damage anal tissues and increase the risk of fistulas.
  • Diabetes: This condition also contributes to the failure of healing after anal fistula surgery because of the delayed healing and weak tissue immunity caused by the disease.
  • Poor Postoperative Care: Inadequate wound care after surgery can increase the risk of infection and hinder healing.

If you’re experiencing recurrent anal fistula or are concerned about your risk, consult a qualified healthcare professional for proper diagnosis and treatment options.

Causes of Recurrent Anal Fistula After Surgery

Anal fistula recurrence can be a significant setback following surgery. Several factors contribute to this frustrating complication:

By addressing these factors and seeking treatment from experienced colorectal surgeons, patients can significantly improve their chances of a successful and lasting fistula cure.

The Complexity of Recurrent Anal Fistulas: Why Treatment Can Be Difficult

Recurrent anal fistulas pose a significant surgical challenge due to a heightened risk of re-recurrence and potential for fecal incontinence (FI). These complications are often linked to previous surgical interventions.

Increased Recurrence Risk:

Factors Contributing to Recurrence:

  • Disturbed perianal anatomy resulting from prior surgery.
  • Excessive scarring and fibrosis, hindering identification of internal openings, secondary branches, and abscess cavities.
  • Reduced diagnostic accuracy: Studies have shown that endoanal ultrasound (EAUS) is less effective in assessing the complex anatomy of recurrent fistulas compared to primary ones.

Elevated Fecal Incontinence Risk:

  • Recurrent fistula surgery carries a higher risk of FI compared to primary fistula surgery.
  • Prior surgeries may have caused subtle damage to the internal or external anal sphincters, which may not have manifested clinically initially.
  • Subsequent surgeries can exacerbate this damage, leading to the development of Fecal Incontinence, particularly in vulnerable patient groups such as females, the older people, individuals with weak sphincters, and those with pre-existing FI.

If you are dealing with recurrent anal fistulas, consult with a colorectal surgeon specializing in the treatment of complex anal conditions. They can provide a comprehensive evaluation, discuss the risks and benefits of various treatment options, and develop a personalized surgical plan to minimize the risk of recurrence and FI.

Effective Treatment for Recurrent Anal Fistula

The success of recurrent anal fistula treatment lies in identifying and addressing the underlying cause of recurrence. If the fistula stems from another medical condition, prioritizing treatment for that primary disease is crucial.

Prioritizing Underlying Conditions for Successful Recurrent Anal Fistula Treatment

  • Crohn’s Disease: Before treating fistulas associated with Crohn’s disease, it is paramount to manage the underlying Crohn’s disease effectively.
  • Tuberculosis: Recurrence after anal fistula surgery can often be attributed to underlying tuberculosis. If tuberculosis is identified as the cause of the fistula, pre-operative treatment with a full course of anti-tuberculous medications is crucial to prevent post-surgical complications and ensure successful treatment outcomes.
  • Sexually Transmitted Infections: Sexually transmitted diseases, particularly HIV, can impact the anorectal region and lead to anal fistula development. Identifying and treating the underlying infection is critical for successful fistula healing or control.

Crucial Role of Preoperative Imaging in Recurrent Anal Fistula Treatment

Proper treatment of recurrent anal fistulas necessitates a thorough preoperative assessment. Essential imaging studies, such as Endorectal Ultrasound (EAUS) and/or Magnetic Resonance Imaging (MRI), are crucial to identify potential secondary extensions or missed abscess cavities that may have contributed to the recurrence of the fistula.

Accurate Internal Opening Localization: Key to Successful Anal Fistula Treatment

Precise identification of the internal opening of an anal fistula is crucial before initiating treatment for recurrent cases. Neglecting this step can significantly increase the risk of the fistula returning. Common techniques for locating the internal opening involve:

  • Dye Injection: Injecting hydrogen peroxide or povidone-iodine through the external opening and observing its escape from the internal opening.
  • Probe Insertion: Carefully guiding a flexible metallic probe through the fistula tract from the external opening until it emerges from the internal opening.

These methods help surgeons accurately plan and execute the most effective treatment strategy, minimizing the likelihood of recurrence.

Best Surgical Treatments for Recurrent Anal Fistula

Recurrent anal fistulas present a significant surgical challenge. While surgery is often the recommended treatment, concerns arise due to the potential for re-recurrence and an increased risk of fecal incontinence. These complications can significantly impact a patient’s quality of life.

Significantly Higher Recurrence Rates After Anal Fistula Surgery

Increased Risk of Fecal Incontinence (FI) After Repeated Fistula Surgeries

  • Individuals undergoing multiple fistula surgeries face a significantly higher risk of developing Fecal Incontinence (FI) compared to those undergoing a single, initial procedure.
  • Prior surgeries may have caused subtle but critical damage to the delicate anal sphincter muscles. This damage may not always be immediately apparent.
  • Repeated surgical interventions can worsen this underlying sphincter weakness, increasing the likelihood of FI. This risk is particularly pronounced in vulnerable patient groups, including women, the older people, individuals with pre-existing sphincter weakness, and those who have already experienced episodes of FI.

If you are struggling with recurrent anal fistulas, consult with a colorectal surgeon experienced in advanced fistula treatment options. He can assess your situation and recommend the most appropriate treatment option to minimize the risk of recurrence and FI while optimizing your long-term outcomes. 

Ksharsutra Treatment for Recurrent Anal Fistula: A Minimally Invasive Ayurvedic Approach

Suffering from recurrent anal fistula? Explore the ancient Ayurvedic technique of Ksharsutra for effective and minimally invasive treatment. This time-honored method involves gently placing a medicated thread within the fistula tract to promote healing from within.

A groundbreaking study conducted by the Indian Council of Medical Research (ICMR) in collaboration with leading institutions like AIIMS New Delhi and PGIMER Chandigarh has demonstrated the superior efficacy of Ksharsutra compared to traditional surgical interventions.

Ksharsutra for Recurrent Fistula-in-Ano: Unlocking High Success Rates

Ksharsutra boasts a high success rate in treating fistula-in-ano due to its unique ability to target and heal the entire fistula tract. This effective treatment method works through several key mechanisms:

  • Precise Targeting of Fistula Tracts: Meticulous examination pinpoints the exact extent and complexity of the fistula tract. This ensures the medicated thread reaches every affected area, leaving no room for the condition to persist.
  • Medicinal Debridement for Healing: Ksharsutra releases potent medicinal substances that gradually dissolve the infected tissue lining the fistula tract. This debridement process promotes healing and significantly reduces the risk of recurrence.
  • Deep Penetration for Complete Coverage: The Kshar’s self-spreading properties enable deep penetration into the fistula tract, ensuring complete coverage and treatment of even the most intricate passages.
  • Adaptive Healing for Complex Cases: Should any untreated areas remain, the Ksharsutra’s medicine can often stimulate the formation of a new opening, making it accessible for further treatment and ensuring complete resolution.

This comprehensive approach makes Ksharsutra a highly effective treatment for Recurrent fistula-in-ano, resulting in high success rates and reduced recurrence.

Ksharsutra for Recurrent Fistula-in-Ano: Preserve Sphincter Function & Prevent Incontinence

Fistula-in-ano surgery often carries the risk of fecal incontinence due to potential damage to the anal sphincter. Ksharsutra treatment offers a significant advantage by prioritizing sphincter preservation.

How Ksharsutra Helps Preserve Sphincter Function:

Ksharsutra’s unique approach ensures minimal disruption to the delicate sphincter muscles:

  • Gradual and Controlled Tissue Removal: Unlike invasive surgery, Ksharsutra employs a slow, controlled process of removing infected tissue, significantly reducing the risk of sphincter damage. This gradual approach allows the body to heal naturally.
  • Minimal Surgical Disruption: The Ksharsutra procedure avoids extensive cutting or excision, minimizing trauma to the sphincter muscles and surrounding tissues. This less invasive technique is key to maintaining sphincter integrity.
  • Stimulates Natural Healing and Muscle Repair: Ksharsutra promotes the body’s natural healing mechanisms, allowing the sphincter muscles to repair and regain their optimal function. This natural healing process is crucial for long-term continence.

Additional Benefits of Ksharsutra for Sphincter Preservation:

  • Targeted Fistula Tract Treatment: Ksharsutra precisely targets the fistula tract, minimizing damage to surrounding healthy tissues, including the sphincter muscles. This targeted approach is a major advantage over more invasive procedures.
  • Post-Treatment Care for Enhanced Sphincter Strength: Post-treatment care, including specific sphincter exercises, can further strengthen the anal sphincter muscles and improve continence.

Suffering from a Recurrent fistula-in-ano? Concerned about preserving your sphincter function? Contact us today to learn more about the benefits of Ksharsutra treatment and schedule a consultation. 

Ksharsutra Treatment for Recurrent Fistula-in-Ano: A Step-by-Step Guide

Are you suffering from a Recurrent fistula-in-ano and looking for a natural and effective treatment option? Ksharsutra therapy offers a minimally invasive approach to healing this condition. This guide outlines the Ksharsutra treatment process, explaining each step in detail.

The Ksharsutra Treatment Procedure: A Step-by-Step Breakdown

 The Ksharsutra procedure involves a precise and carefully executed process:
  1. Diagnosis and Assessment: Accurate diagnosis is crucial for effective treatment.

    • A qualified healthcare provider will conduct a thorough physical examination to assess the fistula tract, including its depth, direction, and any branching.
    • For complex fistula or recurrent anal fistula, an MRI fistulogram may be recommended to provide a more detailed visualization of the fistula tract and surrounding structures. This helps in planning the treatment strategy.
  2. Ksharsutra Insertion: This is the core of the treatment.

    • A specially prepared medicated thread (Ksharsutra) is attached to a probe.
    • The probe is carefully inserted through the external opening of the fistula tract and gently guided towards the internal opening.
    • Once the probe reaches the internal opening, the Ksharsutra is threaded through the fistula tract, creating a loop. The ends of the thread are then tied together.
  3. Healing Process: The Ksharsutra works through a combination of mechanisms.

    • The medicated thread gradually cuts through the fistula tract while simultaneously delivering herbal medications to the affected area.
    • The herbal extracts promote healing, reduce inflammation, and prevent infection. This controlled cutting and healing process facilitates gradual closure of the fistula tract.
  4. Regular Replacement: Maintaining the efficacy of the treatment requires periodic changes of the Ksharsutra.

    • The Ksharsutra is typically replaced every 7-10 days.
    • The frequency of replacement is determined by the individual’s healing progress and the complexity of the fistula. Regular follow-ups with the treating physician are essential.

Take the First Step Towards Healing!

Are you ready to explore Ksharsutra treatment for your Recurrent fistula-in-ano? Contact us today for a consultation to discuss your options and begin your journey towards a healthier, pain-free life. 

Recurrent Anal Fistula Treatment in Delhi: Ksharsutra Specialist Dr. Ravinder Sharma

Suffering from a recurrent anal fistula in Delhi? Dr. Ravinder Sharma, a leading anal fistula specialist, provides expert care using the highly effective Ksharsutra treatment. This minimally invasive technique offers lasting relief and minimizes complications like fecal incontinence and recurrent anal fistula.

Why Choose Dr. Ravinder Sharma for Recurrent Anal Fistula Treatment?

  • Specialized Expertise: Dr. Sharma is highly skilled in performing Ksharsutra for anal fistula, including complex and recurrent cases.
  • Personalized Treatment: Dr. Sharma provides patient-focused care and tailors treatment plans to individual needs.
  • High Success Rate: Dr. Sharma has a proven track record of successfully treating recurrent anal fistulas, offering long-term relief.

Stop the cycle of repeated surgeries. Schedule a consultation with Dr. Ravinder Sharma at Piles To Smiles for the best recurrent anal fistula treatment in Delhi.

Conclusion

Recurrent anal fistulas present a significant challenge due to the high risk of re-recurrence and potential complications like fecal incontinence. This condition, often arising from incomplete initial treatment, underlying medical conditions like Crohn’s disease, or complex fistula anatomy, requires specialized care. Traditional surgical interventions, while sometimes necessary, carry increased risks with each subsequent procedure, emphasizing the importance of seeking expert evaluation and exploring alternative treatment options.

Ksharsutra therapy offers a promising minimally invasive approach for recurrent anal fistulas. This Ayurvedic technique involves placing a medicated thread within the fistula tract, promoting gradual healing and minimizing damage to the anal sphincter. Studies, including research by the Indian Council of Medical Research (ICMR), have demonstrated Ksharsutra’s effectiveness in achieving high success rates and preserving sphincter function, thus reducing the risk of fecal incontinence. This method’s precise targeting and medicinal debridement contribute to its efficacy in treating even complex and recurrent cases.

For individuals seeking treatment for recurrent anal fistulas, especially in Delhi, consulting a specialist experienced in Ksharsutra therapy is crucial. Dr. Ravinder Sharma, a leading expert in this field, offers personalized treatment plans and has a proven track record of successfully treating complex and recurrent cases. Choosing a specialist with expertise in Ksharsutra can significantly improve treatment outcomes, reduce the risk of further complications, and offer lasting relief from this challenging condition.

 

FAQs for Recurrent Anal Fistula

An anal fistula is an abnormal passageway that develops between the inside of the anus and the skin surrounding it.

A recurrent anal fistula signifies the return of the fistula after it was previously treated and appeared to have healed completely. Typically, recurrence is defined as the reappearance of the fistula within a year following the initial treatment procedure.

  • Inadequate Fistula Removal: The initial surgery may have left behind parts of the fistula, leading to regrowth.
  • Infection: Persistent infection after surgery can cause the fistula to return.
  • IBD: Crohn’s Disease and ulcerative colitis increase fistula risk.
  • Immunosuppression: Steroids can impair healing.
  • Complex Fistulas: Intricate tracts are difficult to treat completely.
  • Surgical Complications: Sphincter injury and failed surgeries increase recurrence.
  • Other Factors:
    • Abscesses, trauma, infections (TB, HIV), radiation, diabetes, poor wound care.
  • Discharge: Reappearance of pus or blood from the previous fistula site.
  • Pain: Persistent or recurring pain or discomfort in the anal area.
  • Skin Irritation: Redness, itching, or soreness around the previous fistula scar.
  • Fever: In some cases, fever may be present.
  • Immediately.
  • Early diagnosis and treatment are crucial for preventing complications and improving treatment success.
  • Surgery: While an option, repeated surgeries increase the risk of recurrence and complications like fecal incontinence.
  • Ksharsutra: This Ayurvedic treatment uses a medicated thread to gradually cut and heal the fistula tract, offering a less invasive alternative to repeated surgeries

While diet and lifestyle changes alone cannot completely prevent the recurrence of anal fistulas, they can significantly reduce the risk.

  • Maintain a Healthy Weight: Obesity increases the risk of anal fistulas and can complicate healing.
  • High-Fiber Diet: A diet rich in fiber promotes regular bowel movements, reducing straining and pressure on the anal area.
  • Hydration: Adequate water intake helps soften stools and prevent constipation.
  • Regular Exercise: Physical activity improves overall health and can aid in weight management.
  • Stress Management: Techniques like yoga, meditation, and deep breathing can help reduce stress, which can contribute to inflammatory bowel diseases that increase fistula risk.
  • Complete Treatment: Ensure the initial fistula treatment is thorough and effective.
  • Address Underlying Conditions: Treat conditions like Crohn’s Disease or other inflammatory bowel diseases.
  • Maintain Hygiene: Practice good anal hygiene to minimize infection risk.
  • Follow Post-Op Instructions: Adhere strictly to your doctor’s post-operative care instructions.

The outlook for individuals with recurrent anal fistulas depends on several factors, including:

  • Underlying Cause: The presence of conditions like Crohn’s Disease can influence treatment outcomes.
  • Fistula Complexity: Complex fistulas may be more challenging to treat effectively.
  • Treatment Approach: The chosen treatment method (e.g., surgery, Ksharsutra) plays a crucial role.

With appropriate treatment and careful follow-up, many individuals can achieve successful outcomes and experience long-term relief from symptoms.

Yes, Ksharsutra demonstrates high efficacy in treating recurrent anal fistula.

Recurrent anal fistulas occur when previous treatments fail to completely heal the fistula tract. Ksharsutra offers a minimally invasive solution.

  • Precise Targeting: Meticulous examination guides placement of the medicated thread, ensuring it reaches all parts of the fistula tract.
  • Medicinal Debridement: The thread releases medicine that dissolves infected tissue, promoting healing and reducing recurrence risk.
  • Deep Penetration: Ksharsutra’s self-spreading properties allow for deep and complete treatment of the fistula tract.
  • Adaptive Healing: If any untreated areas remain, the medicine can stimulate new openings for further treatment.

This comprehensive approach makes Ksharsutra highly effective for treating recurrent anal fistulas.

  • Minimally Invasive: Less invasive than surgery, with minimal discomfort and a faster recovery time.
  • Effective for Complex Cases: Successful even when previous treatments have failed.
  • Reduced Recurrence: Gradual healing minimizes the risk of the fistula returning.
  • Minimal Side Effects: Fewer side effects and complications compared to surgery.
  • Suitable for All Ages: Can be used to treat patients of all ages, including those unsuitable for surgery.

Multiple Visits: Requires several visits to the doctor for thread replacement, which can be inconvenient for some patients.

Ksharsutra may be suitable for most individuals with anal fistulas, regardless of age or gender. However, it’s particularly beneficial for:

  •  Recurrent Fistulas: Ideal for those with fistulas that have not responded to prior surgeries.
  • Complex Fistulas: Suitable for complex tracts and unusual anatomy.
  • Less Invasive Option: Preferred by those seeking a less invasive treatment.

Ksharsutra treatment can be effective for many cases of recurrent anal fistula. However, it’s crucial to consult with an experienced Ayurvedic proctologist to determine if it’s the right approach for your specific situation.

Categories
Fistula

Can Ayurveda Cure Fistula in Ano? Here’s What You Need to Know

Fistula-in-Ano (Anal Fistula): Understanding and Managing this Condition

Fistula-in-ano, also called an anal fistula or Bhagandar, is a connection that forms between the anal canal (end of the bowel) and the skin surrounding the anus. It frequently develops after an anal abscess. A fistula in ano has two openings: one on the skin near the anus and another inside the rectum or anal canal. Discover information on different options for fistula in ano.

Anal Fistula Treatment: Effective Solutions for Healing

While spontaneous healing of anal fistulas is rare, and oral medications are ineffective, effective treatment options do exist. Let’s explore these treatments to understand how to cure an anal fistula and achieve lasting relief.

Anal Fistula Treatment with Seton Drainage: A Minimally Invasive Approach

A seton is a non-absorbable suture (typically silk or nylon) inserted into the fistula tract to treat anal fistulas. This procedure serves two main purposes:

  • Drainage: The seton keeps the tract open, allowing pus to drain and relieving pressure, pain, and swelling.
  • Healing (Cutting Seton): A cutting seton is gradually tightened over time, slowly cutting through the fistula tract and promoting healing without extensive surgery. This process induces controlled tissue necrosis (pressure necrosis), encouraging the fistula to close.

This minimally invasive approach offers an alternative to more invasive surgical procedures for certain types of anal fistulas.

Benefits of Seton Placement for Anal FistulasSeton Procedure Risks: Incontinence, Recurrence, and Persistence
  •  Setons provide a comfortable, pain-free solution for managing anal fistulas by ensuring continuous drainage of pus and preventing closure of the fistula tract. 
  • In some cases, a cutting seton can effectively treat fistula-in-ano.

Fistulotomy: The Lay Open Technique for Anal Fistula Treatment

A fistulotomy is a surgical procedure where the fistula tract is opened and laid flat. A probe is inserted into the fistula, and the overlying tissue is divided, converting the tract into an open wound that heals from the inside out. This is a common and effective treatment for anal fistulas.

Benefits of Fistulotomy (the Lay Open Technique)
 Fistulotomy: Incontinence Risk (25-35%)
  •  If you have a simple anal fistula—defined as a non-recurrent fistula affecting less than 30% of the external sphincter, not located anteriorly in women, and without prior continence issues—this procedure may be an effective treatment.

 

Fistulectomy with Primary Sphincter Repair: A Surgical Solution for Anal Fistulas

This surgical procedure treats anal fistulas by removing the fistula tract. The surgeon makes an incision from the internal opening of the fistula to the external opening, allowing for complete removal of the infected tract. In cases involving the sphincter muscle, a primary sphincter reconstruction is performed to repair and strengthen the muscle, minimizing the risk of incontinence.

Fistulectomy with Sphincter Reconstruction: Benefits & RecoveryIncontinence Risk with Fistulectomy and Primary Sphincter Repair
  •  Fistulectomy with primary sphincter reconstruction offers significant advantages, including immediate ambulation, minimal wound care, and a relatively short recovery period of 4-6 weeks before resuming normal physical activity.

Fibrin Sealant Treatment for Anal Fistula

The Fibrin Sealant procedure involves initial debridement of the tract followed by irrigation with saline or hydrogen peroxide to ensure thorough cleaning. The sealant is then gradually injected into the internal opening and allowed to solidify. Once the clot stabilizes at the main opening, the sealant is injected further to completely obliterate the tract. The clot is left to solidify for five to ten minutes.

Advantages of Fibrin Sealant Treatment for FistulaFibrin Sealant for Fistula: Recurrence Rates and Limitations
  • Minimally Invasive Procedures: Fibrin Sealant is an outpatient procedure, reducing hospital stays and associated costs.
  • Reduced Risk of Incontinence: By preserving the integrity of the sphincter muscle, Fibrin Sealant significantly minimizes the risk of incontinence.

Fistula Plug Procedure: A Minimally Invasive Treatment for Anal Fistula

The fistula plug procedure offers a minimally invasive approach to treating anal fistulas. During the procedure, a surgeon identifies the fistula tract using a standard fistula probe and performs curettage (cleaning) of the tract. A specially designed fistula plug, which can be synthetic or biological, is then attached to the probe and carefully pulled through the tract. The plug is trimmed internally to match the mucosal level and secured with absorbable sutures. Externally, the plug is cut flush with the skin. Importantly, the external opening is left partially open to allow drainage, preventing pressure buildup. This technique avoids distal suturing of the plug. The choice of plug material (synthetic or biological) is determined based on individual patient needs.

Advantages of Fistula Plug Surgery for Anal FistulasFistula Plug Disadvantages: High Failure and Recurrence Rates
  • Reduced Risk of Incontinence: Fistula plug surgery is a sphincter-saving procedure, meaning it doesn’t require cutting the sphincter muscles. This significantly lowers the risk of post-operative incontinence, a common concern with traditional fistula surgeries.
  • Minimally Invasive Procedure: Fistula plug placement is a relatively simple and minimally invasive procedure, often performed on an outpatient basis. This translates to less pain, a shorter recovery period, and a faster return to normal activities for patients.
  • While fistula plugs offer a minimally invasive treatment option, success rates vary widely (24-88%). This means a significant chance of failure (12-76%) and potential fistula recurrence. 

Endorectal Advancement Flap Surgery for Anal Fistula Repair

The advancement flap procedure is a surgical approach used in the treatment of fistulas. This technique involves a detailed examination of the fistula tract, including probing to identify any additional tracts that could compromise the outcome.

The surgeon creates a partial-thickness flap, ensuring a wide base (at least twice the width of the apex) to maintain proper blood flow. This flap is carefully dissected to cover the internal opening without tension. The fistula tract is thoroughly cleaned through curettage to remove granulation tissue and debris. The internal opening is then closed by removing the tip of the flap and suturing the flap into its new position.

Two variations of this procedure exist:

  • Endorectal Advancement Flap: This is the standard technique, involving tissue from within the rectum.
  • Dermal Advancement Flap: This variation uses skin as the flap.

This surgical approach offers an effective solution for fistula repair.

Anal Fistula Surgery: Advancement Flap Benefits (Crohn’s, Stenosis)Advancement Flap Surgery for Anal Fistula: Risks, Disadvantages & Recurrence
  • Crohn’s Disease and Rectovaginal Fistulas: Rectorectal flaps are effective for these complex conditions.
  • Anal Stenosis: Dermal flaps are beneficial when anal stenosis coexists with the fistula.

LIFT Procedure for Anal Fistula: Minimally Invasive Treatment for Anal Fistulas

The LIFT procedure, or Ligation of Intersphincteric Fistula Tract, is a surgical treatment for complex anal fistulas. During the LIFT procedure, a probe is inserted into the fistula tract to identify its path. The surgeon then dissects the space between the internal and external sphincter muscles. The fistula tract is divided and sutured on both sides. In some cases, a portion of the fistula tract may be removed. To promote drainage and healing, the external opening is widened, and the LIFT incision is loosely closed. This minimally invasive approach aims to preserve sphincter muscle function and reduce the risk of incontinence.

Advantages of LIFT for Anal Fistula Treatment: Preserving Continence While Promoting Healing LIFT Surgery Complications and Success Rates
  • High initial healing rates
  • Minimal risk of incontinence
  • Potential to improve future healing outcomes.

 

A significant disadvantage of LIFT is the potential for fistula recurrence.

Minimally Invasive Anal Fistula Surgery: Video-Assisted Anal Fistula Therapy (VAAFT)

VAAFT is a modern surgical technique for treating anal fistulas. This minimally invasive procedure involves inserting a small camera into the fistula tract, allowing for direct visualization and precise treatment. The surgeon seals the fistula’s internal opening, cleans the tract to remove infection and debris, and promotes healing.

VAAFT for Anal Fistula: Key Advantages & Benefits Potential Limitations of Video-Assisted Anal Fistula Therapy (VAAFT)
  • Benefits of VAAFT may include reduced pain, faster recovery, and less scarring compared to traditional surgery.

Fistula Laser Closure (FiLaC): Minimally Invasive Treatment for Anal Fistula

The Fistula Laser Closure (FiLaC) procedure uses a ceramic diode laser to effectively treat fistulas. A laser fiber is inserted through the external opening of the fistula tract and guided to the internal opening. The laser energy then causes the fistula tract to contract and close, offering a minimally invasive treatment option.

FiLaC: Sphincter-Saving Fistula Treatment with Reduced Incontinence RiskFiLaC Laser Fistula Closure: Understanding the Limitations
  • Fistula Laser Closure (FiLaC) offers a minimally invasive approach to fistula treatment with a reduced risk of incontinence.

 

Ksharsutra Treatment for Fistula: A Minimally Invasive Ayurvedic Approach

Ksharsutra therapy offers a minimally invasive treatment option for fistula. The procedure begins with precise identification of the fistula tract using probing or an MRI fistulogram. A medicated thread (Ksharsutra) is then carefully inserted into the tract using a specialized probe. This medicated thread works to debride the fistula and promote natural healing from within. The Ksharsutra is replaced every 7-10 days until complete healing is achieved, as its medicinal properties last for approximately 5-7 days. Consider Ksharsutra for a non-surgical approach to fistula treatment.

Ksharsutra Treatment for Fistula: 96.77% Success Rate, Minimal ComplicationsDisadvantages of Ksharsutra Treatment for Fistula
    • Time Commitment: Ksharsutra treatment requires a significant time commitment due to the nature of the procedure.
    • Surgeon Dependency: The effectiveness of Ksharsutra is highly dependent on the surgeon’s skill and experience in accurately locating and treating the fistula tract.
       

 

Can Ayurveda Cure Fistula-in-Ano? Exploring Ksharsutra Treatment

Numerous treatments for anal fistula have been proposed over the years. Among them, Ayurveda, with its Ksharsutra treatment, offers a promising solution. By carefully considering the advantages and disadvantages of the top ten available treatments, it’s evident that Ayurveda can effectively cure fistula. Notably, the Ksharsutra method ensures complete healing without complications like incontinence, a common side effect of fistula surgery.

What is Ksharsutra Treatment for Fistula? An Ayurvedic Explanation

Ksharsutra is a time-tested Ayurvedic treatment for fistula. This minimally invasive procedure uses a medicated thread (“sutra”) coated with potent herbal extracts called Kshar (alkaline). This medicated thread is placed in the fistula tract, allowing targeted medication delivery. The Kshar, derived from plants like Apamarga, Yava, and Til Naal, aids in healing. The Ksharsutra delivers the medication directly to the fistula, promoting healing.

Ksharsutra Treatment for Fistula-in-Ano: ICMR Approved Ayurvedic Therapy

Is Ksharsutra treatment effective for fistula-in-ano? Yes, this Ayurvedic therapy has received clinical approval from the Indian Council of Medical Research (ICMR). In 1991, the ICMR conducted a clinical evaluation at prestigious institutions like PGI Chandigarh and AIIMS New Delhi. The results showed that Ksharsutra treatment offers a more convenient and effective solution for patients with fistula-in-ano compared to conventional surgery. This ICMR approval validates Ksharsutra as a viable and effective treatment option.

How is Ksharsutra Treatment Performed? A Step-by-Step Guide

Ksharsutra treatment is a minimally invasive Ayurvedic procedure for managing anorectal conditions like fistula-in-ano. This guide explains the Ksharsutra treatment procedure, from initial diagnosis to the healing process.

Diagnosis and Pre-Treatment Evaluation:

Before starting Ksharsutra therapy, a thorough examination is conducted. A Ksharsutra specialist will perform standard tests and carefully assess the patient’s overall health, considering any existing conditions such as diabetes, hypertension, tuberculosis, or ulcerative colitis. Accurate diagnosis is crucial for effective treatment.

A key part of the evaluation involves precisely mapping the fistula tract. This includes determining its:

  • Length: The total distance of the fistula tract.
  • Depth: How far the tract extends into the surrounding tissues.
  • Branching Pattern: Whether the tract has any side branches.

Typically, a soft, malleable metallic probe is used to explore the fistula tract. In cases where the fistula is deep or the branching pattern is complex, advanced imaging techniques like MRI fistulogram or ultrasound may be recommended for a more detailed assessment.

Ksharsutra Insertion and Application:

Once the fistula tract is clearly defined, the Ksharsutra procedure begins. The Ksharsutra, a medicated thread coated with herbal extracts, is carefully inserted into the fistula tract through the external opening near the anus. The two ends of the Ksharsutra are then tied together, forming a loop within the tract.

The herbal medications on the Ksharsutra work to:

  • Debride: Cleanse and remove infected tissue within the fistula tract.
  • Promote Healing: Stimulate the growth of healthy tissue and close the fistula.

Ksharsutra Changes and Treatment Duration:

The medicinal coating on the Ksharsutra typically remains effective for five to seven days. Therefore, the Ksharsutra is replaced with a fresh one every week or ten days. This process is repeated until the fistula heals completely.

The number of Ksharsutra changes required depends on the fistula’s length, depth, and complexity. With each change, the specialist measures the length of the used Ksharsutra to monitor the healing progress.

Monitoring Healing and Treatment Progress:

The fistula is observed to heal approximately 0.5 to 1 cm with each Ksharsutra change. For example, a 3 cm long fistula tract may require four to six Ksharsutra changes, spaced a week or ten days apart. Regular monitoring ensures the treatment is progressing effectively.

Fistula Treatment in Delhi Without Surgery: Ksharsutra Therapy at Piles To Smiles

Fistula-in-ano presents a significant treatment challenge. Traditional fistula surgery often leads to recurrence or complications like fecal incontinence, making it a difficult condition to manage surgically. 

However, there’s hope. Ksharsutra treatment offers a highly effective and minimally invasive solution for fistula in Delhi. At Piles To Smiles, we specialize in Ksharsutra therapy, providing a proven alternative to conventional surgery.

Benefits of Ksharsutra Treatment at Piles To Smiles:

  • High Success Rate: We have a proven track record of achieving 100% positive outcomes with Ksharsutra treatment for fistula.
  • Minimally Invasive: No major surgery, incisions, or general anesthesia required.
  • Reduced Recurrence: Significantly lower risk of fistula recurrence compared to traditional surgery.
  • No Incontinence Risk: Minimizes the risk of damaging sphincter muscles, preventing fecal incontinence.
  • No Hospitalization: Outpatient procedure allowing patients to continue their daily routines.
  • Safe and Effective: A time-tested Ayurvedic treatment with minimal side effects.

Fistula Treatment in Delhi: Choose Piles To Smiles

At Piles To Smiles in Delhi, we specialize in Ksharsutra treatment for fistula-in-ano. Our experienced practitioners provide personalized care and achieve high success rates. If you’re seeking effective and safe fistula treatment in Delhi, contact Piles To Smiles today.

 

Piles To Smiles: FAQs on Best Fistula Treatment Without Surgery in Delhi

An anal fistula can cause a range of uncomfortable symptoms. You should consult a doctor if you notice any of the following:

  • Persistent pain around the anus: This is a common symptom and can range from mild to severe.
  • Swelling and redness: Inflammation in the anal area can indicate a fistula.
  • Discharge of pus or blood: This is a key sign of an infected fistula.
  • Recurrent anal abscesses: Repeated abscesses in the same area often suggest an underlying fistula.
  • Painful bowel movements: Passing stool can become extremely painful due to the fistula.
  • Changes in bowel habits: This can include diarrhea, constipation, or other irregularities.
  • Fever or chills: These may indicate a more serious infection.

If you experience any of these symptoms, especially if they persist or worsen, it’s crucial to seek medical advice for proper diagnosis and treatment.

Ksharsutra treatment for fistula is performed under local anesthesia, so you’ll be awake but comfortable. You may feel a few pinches when the anesthetic is administered, but the procedure itself is generally painless and takes only 15-20 minutes.

After Ksharsutra treatment, you can typically resume eating and drinking immediately. You’ll be able to move around and get out of bed shortly after the procedure. Some discomfort is normal, but this can be effectively managed with over-the-counter or prescribed pain medication.

Most patients can return to their normal daily activities within a short period, although specific recovery times may vary.

One of the key advantages of Ksharsutra treatment for fistula is the minimal downtime. Because the procedure is performed under local anesthesia, there’s no need for an overnight hospital stay. You’ll be monitored for a few hours post-procedure, and once you’re comfortable and have passed urine, you’ll be discharged—usually within 2-4 hours. 

We recommend having someone drive you home and stay with you for the first 24 hours, if possible, for added support.

Maintaining a healthy, high-fiber diet is advised both before and during your Ksharsutra treatment for a fistula. This helps promote regular bowel movements and aids in the healing process. You do not need to follow a special or restrictive diet.

While Ksharsutra treatment is highly effective for fistula-in-ano, there are several things you can do to optimize healing:

  • Stay Active: Regular walking (3-4 kilometers daily) promotes blood circulation and healing.
  • Sitz Baths: Soaking the affected area in warm water (Sitz baths) 2-3 times a day, particularly after bowel movements, helps cleanse the area, reduce inflammation, and promote comfort.
  • Maintain Hygiene: Keeping the area clean is crucial to prevent infection. 
  • Eat a High-Fiber Diet: A diet rich in fiber softens stools, making bowel movements easier and reducing strain on the healing fistula.

In most cases, yes. 

One of the advantages of Ksharsutra treatment is that it allows you to maintain your normal lifestyle, including travel. You can generally travel immediately after your Ksharsutra procedure. However, for long or strenuous journeys, it is advisable to consult with your doctor. They can provide guidance on managing any potential discomfort and ensuring a smooth travel experience.

No, You do not need a doughnut or any special pillow after the Ksharsutra treatment.

During Ksharsutra treatment for fistula-in-ano, sitting naturally is recommended. This position facilitates better drainage of any discharge from the fistula tract, which can enhance comfort and promote faster healing.

The healing time with Ksharsutra treatment depends on the fistula’s size and complexity. Typically, fistulas heal at a rate of 0.5 to 1 cm per week with each Ksharsutra change. A 3 cm fistula may take 4-6 weeks to heal completely.

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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