Tag: MostCommonTypeOfAnalFistula

Can a Fissure Turn into a Fistula?

Post author By Dr. Ravinder Sharma
Post date June 13, 2024
No Comments on 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.

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Fistula

Top 10 treatments for Fistula-in-Ano

Post author By Dr. Ravinder Sharma
Post date May 11, 2024

Fistula-in-Ano: Understanding the Condition

A Fistula-in-Ano is an abnormal tunnel that forms between the anal canal and the skin around the anus. This inflammatory tract is lined with unhealthy tissue and can cause significant discomfort, including pain, swelling, and drainage.

Over the years, various treatment options have been explored to address Fistula-in-Ano, each with varying degrees of success.

Seton Treatment for Fistula-in-Ano: A Closer Look

Seton treatment is a surgical technique used to manage fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves inserting a non-absorbable thread, typically made of nylon or silk, into the fistula tract.

How Seton Treatment Works:

Draining the Fistula: The primary purpose of the seton is to keep the fistula tract open, allowing for drainage of pus and reducing inflammation.
Promoting Healing: In some cases, the seton is gradually tightened over time to cut through the tissue of the fistula tract, stimulating healing.

Advantages of Seton Treatment:

Effective Drainage: Seton treatment is highly effective in draining the fistula, reducing pain, and preventing abscess formation.
Minimal Discomfort: The procedure is relatively painless and can be performed under local anesthesia.

Disadvantages of Seton Treatment:

Limited Success Rate:
- 100% persistence of fistula in seton treatments when it is a draining seton^[1].
- One of the key limitations of seton treatment lies in its mechanism of action. The process of cutting the seton relies on tissue necrosis, which is the death of tissue. This approach, however, does not effectively debride or remove unhealthy tissue from the fistula tract. As a result, the success rate of seton treatment can be quite low, with approximately 20% of cases experiencing failure^[2].
Risk of Incontinence: There is a risk of fecal incontinence, especially with long-term seton placement – about 30%^[2]

Fistulotomy and Lay-Open Technique: A Surgical Approach to Fistula-in-Ano

Fistulotomy and lay-open technique is a surgical procedure used to treat fistula-in-ano. It involves cutting open the fistula tract to allow it to heal naturally.

How Fistulotomy and lay-open technique Works:

Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
Incision: The surgeon makes an incision along the fistula tract, cutting through the overlying tissue.
Laying-Open the Fistula: The fistula tract is opened, creating an open wound.
Healing Process: The wound is left open to heal naturally, often with packing or drainage tubes.

Advantages of Fistulotomy and Lay-Open Technique:

Effective for Simple Fistulas: This technique is suitable for simple, low-risk fistulas.
Quick Procedure: It’s a relatively quick surgical procedure.

Disadvantages of Fistulotomy and Lay-Open Technique:

Risk of Incontinence: One significant drawback of the Fistulotomy and Lay-Open Technique is the risk of fecal incontinence, which can range from partial to complete loss of bowel control. Approximately 25-35% of patients who undergo Fistulotomy and Lay-Open Technique may experience this side effect, especially for fistulas that involve the anal sphincter.^[3]

Fistulectomy with Primary Sphincter Reconstruction: A Surgical Solution for Fistula-in-Ano

Fistulectomy with primary sphincter reconstruction is a surgical procedure used to treat fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves removing the abnormal fistula tract and repairing the damaged anal sphincter muscles.

How Fistulectomy with primary sphincter reconstruction Works:

Incision: A surgical incision is made from the internal opening of the fistula to the anal verge.
Excision of Fistula Tract: The abnormal fistula tract is carefully removed, ensuring complete excision.
Sphincter Repair: The damaged anal sphincter muscles are repaired to minimize the risk of fecal incontinence.

Advantages of Fistulectomy with Primary Sphincter Reconstruction:

Minimal Discomfort: Post-operative pain is generally mild and can be managed with medication.
Rapid Recovery: Patients can usually resume normal activities within a few weeks.
Low Risk of Recurrence: This technique has a relatively low recurrence rate.

Disadvantages of Fistulectomy with Primary Sphincter Reconstruction:

Risk of Incontinence: Studies have shown that approximately 23% of patients who undergo seton treatment may experience some degree of incontinence.^[1]

Fibrin Sealant Treatment for Fistula-in-Ano

Fibrin sealant is a minimally invasive technique for treating fistula-in-ano. It involves injecting a biological adhesive into the fistula tract to seal it off.

How Fibrin Sealant Treatment Works:

Debridement: The fistula tract is cleaned to remove infected tissue.
Injection: A fibrin sealant, that promotes blood clotting, is injected into the fistula’s internal opening.
Clot Formation: The sealant forms a clot, sealing off the fistula tract.

Pros of Fibrin Sealant Treatment:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Quick Recovery: Patients typically experience a faster recovery time with minimal discomfort.
Low Risk of Incontinence: This technique preserves the anal sphincter muscles, reducing the risk of fecal incontinence.
No Need for Antibiotics: Antibiotics are usually not required, minimizing the risk of antibiotic resistance.

Cons of Fibrin Sealant Treatment:

High Recurrence Rate: Studies have shown a significant recurrence rate of around 36.95%, indicating that the fistula may reoccur after treatment.^[4]
Lower Long-Term Success Rate: The long-term overall success rate of fibrin sealant treatment is approximately 63.04%.^[4]

Fistula Plug Treatment: A Minimally Invasive Approach

Fistula plug treatment is a minimally invasive technique for treating fistula-in-ano. It involves inserting a plug into the fistula tract to promote healing.

How Fistula Plug Treatment Works:

Identification of the Fistula Tract: The fistula tract is identified using a probe.
Insertion of the Plug: The plug is inserted into the tract and secured.
Healing Process: The plug stimulates the body’s natural healing process, leading to the closure of the fistula.

Pros of Fistula Plug Treatment:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
Quick Recovery: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of Fistula Plug Treatment:

Variable Success Rates: The success rate of fistula plug treatment can vary, with some studies reporting success rates between 24% and 88%^[5].

Advancement Flap: A Surgical Option for Fistula-in-Ano

Advancement flap is a surgical technique used to treat fistula-in-ano. It involves creating a flap of tissue from the rectal lining or the skin and advancing it to cover the fistula tract.

How Advancement Flap for Fistula Works:

Identification of the Fistula Tract: The fistula tract is carefully identified and probed.
Creation of the Flap: Depending on the specific technique, a flap of tissue is raised from the rectal lining or the skin.
Advancement of the Flap: The flap is advanced to cover the fistula’s internal opening.
Closure of the Flap: The flap is sutured in place to promote healing.

Types of Advancement Flaps:

Endorectal Advancement Flap: A flap of tissue is raised from the rectal lining.
Dermal Advancement Flap: A flap of skin is raised and advanced to cover the fistula tract.

Pros of Advancement Flap:

Effective in Complex Cases: This technique can be useful in complex cases, such as fistula with Crohn’s disease or rectovaginal fistulas.
Minimal Disruption of Anal Sphincter: The procedure avoids cutting the sphincter muscles, reducing the risk of incontinence.

Cons of Advancement Flap:

High Recurrence Rate: The recurrence rate of fistula-in-ano after advancement flap surgery can be significant, ranging from 30% to 50%^[1] .
Technical Difficulty: The procedure requires advanced surgical skills and can be challenging to perform.

Ligation of Intersphincteric Fistula Tract (LIFT)

LIFT is a minimally invasive surgical technique used to treat fistula-in-ano, particularly for intersphincteric fistulas.

How LIFT Works:

Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
Dissection: A groove is created between the internal and external sphincter muscles to expose the fistula tract.
Ligation: The fistula tract is ligated (tied off) above and below.
Division of the Tract: If the fistula tract is long, a portion of it may be excised.
Wound Closure: The wound is closed loosely to allow for drainage.

Advantages of LIFT:

Minimally Invasive: LIFT is a less invasive procedure compared to traditional techniques, leading to faster recovery.
Lower Risk of Incontinence: By avoiding division of the sphincter muscles, LIFT reduces the risk of fecal incontinence.

Cons of LIFT:

High recurrence Rates: LIFT has shown promising results, with success rates ranging from 57%^[6] to 76.5%^[5]. That means fistula recurrence is observed in 23.5% to 43% of cases after LIFT treatment.

Video-Assisted Anal Fistula Treatment (VAAFT): A Minimally Invasive Approach

Video-Assisted Anal Fistula Treatment (VAAFT) is a minimally invasive procedure that uses advanced imaging techniques to visualize and treat fistula-in-ano.

How VAAFT Works:

Visualization of the Fistula Tract: A tiny camera is inserted into the fistula tract, allowing the surgeon to visualize the internal anatomy directly.
Cleaning the Tract: Any debris or infection is removed from the fistula tract.
Closing the Internal Opening: The fistula’s internal opening is closed using specialized techniques, such as laser therapy or suture.

Advantages of VAAFT:

Minimally Invasive: VAAFT is a minimally invasive procedure, causing minimal discomfort and a shorter recovery time.
Accurate Diagnosis: The use of a camera allows for precise diagnosis, identification of secondary tracts, and assessment of the fistula’s complexity.
Reduced Risk of Incontinence: By preserving the anal sphincter muscles, VAAFT minimizes the risk of fecal incontinence.

Disadvantages of VAAFT:

Higher Cost: VAAFT can be more expensive than traditional surgical techniques.
Limited Success Rate: The overall success rate is reported to be around 73.5%^[5] .

Fistula Laser Closure (FiLaC): A Minimally Invasive Approach

Fistula Laser Closure (FiLaC) is a minimally invasive technique that uses laser energy to treat fistula-in-ano.

How FiLaC Works:

Identification of the Fistula Tract: The fistula tract is identified using a probe.
Laser Fiber Insertion: A laser fiber is inserted into the fistula tract.
Laser Energy Delivery: Laser energy is delivered through the fiber to the fistula walls, causing tissue shrinkage and closure.

Pros of FiLaC:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
Quick Recovery Time: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of FiLaC:

Lower Success Rate: The overall success rate of FiLaC is around 81%, which can decrease to 71% in patients with Crohn’s disease^[5] .
Cost: The procedure can be relatively expensive.
Less Effective in Complex Cases: FiLaC may be less effective in complex fistula cases, such as those associated with Crohn’s disease.

Ksharsutra Treatment: A Traditional Approach to Fistula-in-Ano

Ksharsutra treatment is an ancient Ayurvedic technique for treating fistula-in-ano. It involves putting a medicated thread, known as Ksharsutra, into the fistula tract.

How Ksharsutra Treatment Works:

Identification of the Fistula Tract: The fistula tract is carefully mapped using a probe or advanced imaging techniques such as an MRI fistulogram.
Insertion of the Ksharsutra: A specially prepared medicated thread is inserted into the fistula tract.
Gradual Healing: The Ksharsutra gradually dissolves, promoting healing from within the fistula tract.
Regular Replacement: The Ksharsutra is replaced periodically until the fistula is completely healed.

Pros of Ksharsutra Treatment:

High Success Rate: Ksharsutra treatment has proven highly effective in treating fistula-in-ano, with a remarkable success rate of around 96.77%^[7].
Minimal Risk of Incontinence: This technique is less likely to cause incontinence, a common complication of other surgical procedures.
Minimal Invasive: Ksharsutra treatment offers a minimally invasive and holistic solution, addressing underlying imbalances and promoting overall well-being.

Cons of Ksharsutra Treatment:

Time-Consuming: The treatment process can be time-consuming, requiring regular visits to the healthcare provider.

Seyfried S, Bussen D, Joos A, Galata C, Weiss C, Herold A. Fistulectomy with primary sphincter reconstruction. Int J Colorectal Dis. 2018 Jul;33(7):911-918. doi: 10.1007/s00384-018-3042-6. Epub 2018 Apr 12. PMID: 29651553.
https://www.medscape.com/answers/190234-82310/what-is-the-efficacy-of-seton-placement-for-the-treatment-of-fistula-in-ano-anal-fistula
https://link.springer.com/chapter/10.1007/978-1-4614-9014-2_9
Maralcan G, Başkonuş I, Gökalp A, Borazan E, Balk A. Long-term results in the treatment of fistula-in-ano with fibrin glue: a prospective study. J Korean Surg Soc. 2011;81(3):169-175. doi:10.4174/jkss.2011.81.3.169
Limura E, Giordano P. Modern management of anal fistula. World J Gastroenterol. 2015;21(1):12-20. doi:10.3748/wjg.v21.i1.12
Bleier JI, Moloo H, Goldberg SM. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas. Dis Colon Rectum. 2010 Jan;53(1):43-6. doi: 10.1007/DCR.0b013e3181bb869f. PMID: 20010349.
Dr., P.S., & Prof., M.S. (2010). Efficacy of Kshar Sutra (medicated seton) therapy in the management of Fistula-in-Ano. World Journal of Colorectal surgery, 2, 6.

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Piles To Smiles

5.0

Based on 154 reviews

review us on

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

UPRNN Ltd Medical College Unit New Delhi

12:55 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

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)..

Brijesh Kumar Kanaujiya

13:55 03 Jan 25

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...

Debkumari Bachaspatimayum

11:53 19 Oct 24

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....

RUDRAMURTHE GNANASOUNDRAMURTHI

13:54 13 Sep 24

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...