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What is Proctology & Who is a Proctologist ?

Post author By Dr. Ravinder Sharma
Post date May 21, 2024
No Comments on What is Proctology & Who is a Proctologist ?

Proctology: The Science of Anorectal Health

Proctology is a specialized branch of medicine that focuses on the diagnosis and treatment of disorders affecting the rectum, anus, and colon. The term “proctology” is derived from the Greek words “proktos,” meaning “anus,” or “hind parts” and “logia,” meaning “study.”

Dr. Ravinder Sharma, a leading proctologist, explains, “Proctology is a specialized field of surgery focusing on the prevention, diagnosis, and treatment of disorders affecting the rectum, colon, and anus. This includes hemorrhoids, fistula, fissures, polyps, and pilonidal sinus. Proctologists utilize a comprehensive approach, employing medical treatments and surgical procedures to manage these anorectal diseases effectively.”

Who is a Proctologist? Your Expert in Anorectal Health

A proctologist is a medical doctor specializing in the diagnosis, treatment, and prevention of disorders affecting the colon, rectum, and anus. This includes conditions such as hemorrhoids, anal fissures, anal fistulas, colorectal cancer, and inflammatory bowel diseases.

Proctologists have the expertise to perform medical and surgical procedures to address these conditions effectively. They are trained to diagnose and treat a wide range of anorectal disorders, offering comprehensive care to their patients.

What Does a Proctologist Do?

A proctologist is a specialized medical professional who diagnoses and treats disorders of the lower digestive tract, including the colon, rectum, and anus. Here are some common conditions that a proctologist addresses:

Anorectal Conditions

Hemorrhoids: Swollen veins in the anal area that can cause pain, bleeding, and itching.
Anal Fissures: Small tears in the lining of the anus, often leading to pain and bleeding.
Anal Fistula: An abnormal tunnel between the anal canal and the skin near the anus, causing drainage and discomfort.
Anal Abscess: A painful, pus-filled infection near the anus.
Pilonidal Disease: A chronic infection in the skin near the tailbone.
Anal Skin Tags: Small, non-cancerous growths around the anus. They can cause discomfort or irritation.

Colon and Rectal Conditions

Colon Polyps: Abnormal growths in the colon that can sometimes become cancerous.
Colon Cancer: Cancer that develops in the colon.
Rectal Cancer: Cancer that develops in the rectum.
Inflammatory Bowel Disease (IBD): Chronic inflammatory conditions of the digestive tract, including Crohn’s disease and ulcerative colitis.
Irritable Bowel Syndrome (IBS): A common disorder affecting the large intestine, causing symptoms like abdominal pain, bloating, and changes in bowel habits.

Other Conditions

Sexual Transmitted Infections (STIs): Proctologists can diagnose and treat STIs, including chlamydia, gonorrhea, syphilis, and genital herpes.
Rectal Prolapse: A condition where the rectum protrudes through the anus.
Fecal Incontinence: The inability to control bowel movements.

If you’re experiencing any symptoms related to these conditions, it’s important to consult with a proctologist for a proper diagnosis and treatment plan.

When to Seek a Proctologist: A Comprehensive Guide

Many individuals hesitate to discuss anorectal issues due to embarrassment. However, timely consultation with a proctologist is crucial for addressing these concerns and maintaining optimal health. Here are common situations that warrant a visit to a proctologist:

Persistent Bowel Problems:
- Difficulty passing stool
- Constipation or diarrhea
- Changes in bowel habits
Anal Discomfort:
- Itching, burning, or pain around the anus or rectum
- Bleeding or discharge from the anus
Visible Changes:
- Warts, bumps, or other abnormalities in the anal region
- Changes in the appearance of stool
Incontinence:
- Difficulty controlling bowel movements
- Accidental leakage of stool

If you experience any of these symptoms, don’t hesitate to seek professional help. A proctologist can accurately diagnose your condition and recommend appropriate treatment options.

Regular Proctological Check-ups

Even if you’re not experiencing any symptoms, regular check-ups with a proctologist are recommended, especially for:
- Individuals over 45 or those with a family history of colorectal cancer
- People with a sedentary lifestyle or those who frequently lift heavy weights
- Individuals who have undergone previous anorectal surgeries

Don’t delay seeking professional help. Early diagnosis and treatment can significantly improve your quality of life.

Diagnostic and Treatment Procedures Performed by Proctologists

A skilled proctologist utilizes various diagnostic tools and treatment options to ensure optimal patient care.

Diagnostic Procedures

To accurately diagnose anorectal conditions, proctologists employ various diagnostic techniques:

Physical Examination: A thorough external examination of the anal and perianal region.
Digital Rectal Examination (DRE): A manual examination of the rectum to assess for abnormalities.
Anoscopy: A visual examination of the anal canal using an anoscope.
Proctoscopy: A visual examination of the lower rectum using a proctoscope.
Sigmoidoscopy: A visual examination of the lower colon using a sigmoidoscope.
Colonoscopy: A comprehensive examination of the entire colon using a colonoscope.
Ultrasound: Imaging of the abdominal cavity to assess organ health and identify potential issues.
X-ray and Endoscopic Examination: Imaging techniques to visualize internal structures and diagnose abnormalities.

Treatment Options

The treatment approach for anorectal conditions varies depending on the specific diagnosis and severity. Proctologists offer a range of treatment options, including:

Non-Surgical Treatments:
- Medications: Topical creams, ointments, or oral medications to alleviate symptoms.
- Lifestyle Modifications: Dietary changes, increased fiber intake, and regular exercise.
- Physical Therapy: Exercises to strengthen pelvic floor muscles and improve bowel function.
Minimal Invasive Procedures:
- Kshar Karma: A traditional Ayurvedic technique using herbal medications to treat hemorrhoids and fistulas.
- Ksharsutra Treatment: A minimally invasive procedure involving the placement of a medicated thread to promote healing.
- Rubber Band Ligation: A procedure to treat hemorrhoids by cutting off the blood supply.
- Sclerotherapy: A procedure to shrink hemorrhoids by injecting a sclerosing agent.
- Open and Closed Hemorrhoidectomy: Surgical procedures to remove hemorrhoids.
- Closed Lateral Internal Sphincterotomy: A procedure to relieve anal fissure pain.
- Incision and Drainage: A procedure to drain abscesses.

At Piles To Smiles, our expert proctologists in Delhi are dedicated to providing comprehensive care for anorectal disorders. We combine modern medical techniques with traditional Ayurvedic therapies to offer effective and personalized treatment plans.

How to Find the Best Proctologist Near You in Delhi NCR

When seeking a skilled proctologist in Delhi NCR, consider the following factors:

Credentials and Expertise:

Certification and Licensing: Ensure the proctologist is certified by a recognized medical board and licensed to practice in India.
Experience and Specialization: Look for a proctologist with extensive experience in diagnosing and treating a wide range of anorectal conditions.
Hospital Affiliations: Consider the proctologist’s affiliations with reputable hospitals in Delhi NCR.

Consultations and Accessibility:

Initial Consultation: Prioritize a doctor who offers initial consultations. This allows you to discuss your concerns, understand treatment options, and build trust.
Location and Hours: Consider a proctologist with convenient clinic locations and flexible appointment timings.

Expertise and Experience:

Specialized Knowledge: Ensure the doctor has extensive experience in diagnosing and treating anorectal conditions like hemorrhoids, fissures, fistula-in-ano, and colorectal cancer.
Patient Reviews and Testimonials: Research online reviews and testimonials to gauge the doctor’s reputation and patient satisfaction.

Patient Comfort and Communication:

Empathetic Approach: A good proctologist should be empathetic and understanding, making you feel comfortable and at ease.
Open Communication: The doctor should be willing to listen to your concerns, answer your questions honestly, and provide clear explanations.

Trust and Confidence:

Trustworthy Relationship: A strong doctor-patient relationship is crucial for effective treatment.
Reassurance and Support: A good proctologist will provide reassurance and support throughout your treatment journey.

By carefully considering these factors, you can find a qualified and experienced proctologist in Delhi NCR who can provide the best possible care for your anorectal health needs.

How Our Expert Proctologist for Hemorrhoids treat at Piles To Smiles

Trust and Comfort in Proctology: A Delicate Balance

The relationship between a patient and their proctologist is uniquely sensitive. Due to the nature of proctological examinations and treatments, establishing trust and ensuring patient comfort is paramount.

As Dr. Ravinder Sharma emphasizes, “Our approach always prioritizes patient dignity and comfort.” This commitment to patient well-being is essential in creating a supportive and understanding environment, allowing for open communication and effective treatment.

Conquering Anxiety: A Gentle Approach to Proctology

Understandably, proctological exams can cause anxiety for many. At Piles To Smiles, our compassionate and highly skilled proctologists are dedicated to putting your mind at ease.

“Clear communication and empathy are key to alleviating patient fears,” says Dr. Ravinder. Our team is trained to create a comfortable and reassuring environment, ensuring you feel informed and supported throughout your treatment journey.

Sensitivity and Expertise: Addressing Female Patients’ Concerns

Proctologists often encounter situations where female patients express a preference for a female specialist due to the sensitive nature of anorectal conditions. This highlights the need for empathy, understanding, and a patient-centered approach.

Dr. Ravinder Sharma, a renowned proctologist, emphasizes the importance of a compassionate and professional approach. He explains, “While gender preference is understandable, the primary focus should be on the medical expertise and compassionate care provided. As healthcare professionals, we prioritize patient comfort and well-being, regardless of gender. You can be assured that we will handle your concerns with the utmost care and sensitivity, just as a female proctologist would.”

By nurturing a supportive and non-judgmental environment, proctologists can help alleviate anxiety and ensure that female patients receive the highest quality care.

Children’s Anorectal Health: A Specialized Approach

Children and adolescents often experience anorectal symptoms, which are frequently treated with medications by pediatricians. However, for severe or chronic conditions, a specialized evaluation by a pediatric proctologist is recommended.

Our team of expert proctologists in Delhi is highly skilled in pediatric proctology, ensuring the best possible care for young patients. We understand the unique needs of children and tailor our approach to provide gentle and effective treatment.

Experience the Difference with Piles To Smiles

At Piles To Smiles, we’re committed to providing advanced, minimally invasive treatments for anorectal conditions. With our team of expert proctologists in Delhi, you can focus on your recovery while we handle the rest. Our goal is to offer you a comfortable and effective treatment experience, minimizing discomfort and maximizing results.

Preventing and Managing Proctological Conditions

Proctological conditions, such as hemorrhoids, fissures, and fistula-in-ano, can be effectively managed through a combination of lifestyle modifications and medical interventions.

Lifestyle Changes:

Weight Management: Maintaining a healthy weight can alleviate pressure on the anal veins, reducing the risk of hemorrhoids.
Dietary Fiber: Incorporating a fiber-rich diet, including fruits, vegetables, and whole grains, promotes regular bowel movements and prevents constipation.
Regular Exercise: Engaging in regular physical activity, such as walking, jogging, or swimming, can promote bowel regularity and reduce strain during bowel movements.
Hydration: Drinking plenty of water helps soften stools and eases bowel movements.
Avoid Straining: Avoid straining during bowel movements to prevent damage to the anal tissues.

Minimally Invasive Solutions for Optimal Anorectal Health

While lifestyle modifications can often alleviate mild anorectal conditions, more advanced medical interventions may be necessary for severe or persistent symptoms. At Piles To Smiles, our experienced proctologists offer a range of minimally invasive treatments to address various anorectal disorders which include; Kshar Karma and Ksharsutra Treatment, Rubber Band Ligation, Sclerotherapy, Open and Closed Hemorrhoidectomy, Closed Lateral Internal Sphincterotomy, Incision and Drainage etc.

These minimally invasive procedures offer several advantages:

Quick Recovery Time: Minimal downtime and faster return to normal activities.
Reduced Pain: Less postoperative pain and discomfort.
Minimal Scarring: Less visible scarring.
High Success Rates: Effective treatment of anorectal conditions.

Experience the Best Anorectal Care

If you’re seeking expert proctology care in Delhi, book an appointment at Piles To Smiles. Our dedicated team of experienced proctologists is committed to providing personalized treatment plans and ensuring optimal patient outcomes.

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Fissure Fistula General Piles Pilonidal Sinus

Why Prefer Piles To Smiles?

Post author By Dr. Ravinder Sharma
Post date May 11, 2024
No Comments on 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.

Piles To Smiles

5.0

Based on 131 reviews

review us on

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 townMy 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

LikeI 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 definitelyrecommend this hospital tofamily 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 abeautiful environment, verynice and clean. Thecommunity needs thisservice.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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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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Fistula

Ksharsutra Treatment for Fistula- What you need to Know?

Post author By Dr. Ravinder Sharma
Post date April 24, 2024

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

Ksharsutra is an ancient Ayurvedic technique that involves using a medicated thread to treat various ailments, including fistula-in-ano. The term “Ksharsutra” is a combination of two Sanskrit words:

Kshar: An alkaline substance derived from specific plants.
Sutra: Thread

In the context of fistula-in-ano, a Ksharsutra is a specialized thread impregnated with medicinal substances. This thread is carefully inserted into the fistula tract, where it gradually dissolves the infected tissue and promotes healing.

This minimally invasive procedure offers a natural and effective solution for fistula-in-ano, reducing the need for surgical intervention and associated complications.

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

A landmark 1991 study by the Indian Council of Medical Research (ICMR), involving leading institutions such as AIIMS New Delhi and PGIMER Chandigarh, demonstrated the superior efficacy and convenience of Ksharsutra treatment over conventional surgical approaches for anal fistula. This time-honored Ayurvedic technique provides a gentle yet powerful solution for this challenging condition.

The Preparation of Ksharsutra: A Rigorous Process

Ksharsutra, a traditional Ayurvedic remedy, requires a precise and standardized preparation process to ensure its efficacy. The following steps outline the meticulous preparation of this therapeutic tool:

Key Ingredients:

Apamarga Kshar: An alkaline substance derived from the ashes of Achyranthus aspera.
Snuhi Ksheer: Latex extracted from the Euphorbia nerrifolia plant.
Haridra: Turmeric powder.

Preparation Process:

Initial Coating: The thread is repeatedly coated with Snuhi Ksheer, typically 11 times.
Medicinal Coatings: Subsequent layers involve a combination of Snuhi Ksheer and Apamarga Kshar, applied 7 times.
Final Coatings: The final three layers consist of a mixture of Snuhi Ksheer and Haridra.

Sterilization:

To maintain sterility and prevent infection, the prepared Ksharsutra is sterilized using ultraviolet radiation.

Modern Preparation Techniques:

In contemporary times, Ksharsutra preparation often involves specialized cabinets equipped with facilities for hanging, heating, and ultraviolet sterilization. This ensures standardized quality and consistency.

By adhering to this rigorous preparation process, Ksharsutra is produced with optimal therapeutic properties, making it a valuable tool in traditional Ayurvedic medicine.

A Timeless Remedy: The Ancient Origins of Ksharsutra

The roots of Ksharsutra treatment for fistula-in-ano can be traced back to ancient Ayurvedic texts. Acharya Sushruta, a renowned Ayurvedic physician, extensively described Ksharsutra in his seminal work, the Sushruta Samhita, around 500 BC. He recognized its efficacy in treating various conditions, including fistula-in-ano, hemorrhoids, and sinus tracts.

While Acharya Charaka, another prominent Ayurvedic physician, also mentioned Ksharsutra, it was Acharya Chakradutta who provided detailed insights into its preparation and application.

In recent times, Dr. Deshpande from Banaras Hindu University (BHU) has made significant contributions to the standardization of Ksharsutra preparation. His research has led to a validated and approved method by the Central Council for Research in Ayurvedic Sciences (CCRAS). This standardization ensures the efficacy and safety of Ksharsutra treatment.

The Ksharsutra Treatment Process: A Step-by-Step Guide

The Ksharsutra treatment for fistula-in-ano involves a precise procedure:

Diagnosis and Assessment:
- A qualified healthcare provider will carefully examine the fistula tract, determining its depth, direction, and any branching patterns.
- In complex cases, an MRI fistulogram may be recommended for a more detailed assessment.
Ksharsutra Insertion:
- The Ksharsutra, a medicated thread, is carefully attached to a probe.
- The probe is inserted into the external opening of the fistula tract and gently advanced towards the internal opening.
- As the probe is withdrawn, the Ksharsutra is placed within the fistula tract.
Healing Process:
- The medicinal properties of the Ksharsutra gradually dissolve the infected tissue lining the fistula tract.
- This promotes healing and closure of the fistula.
Regular Replacement:
- The Ksharsutra is typically replaced every 7-10 days.
- The frequency of replacement depends on the severity of the fistula and the individual’s healing response.

By following this precise procedure, Ksharsutra treatment offers a natural and effective approach to healing fistula-in-ano.

Healing Timeline for Ksharsutra Treatment

The duration of Ksharsutra treatment for fistula-in-ano can vary depending on several factors, including:

Severity of the Fistula: The length, depth, and complexity of the fistula tract influence the healing time.
Individual Response to Treatment: Each individual’s healing rate may vary.

Generally, it’s observed that the fistula heals at a rate of 0.5 to 1 cm per Ksharsutra change. For instance, a 3 cm long fistula tract may require 4-6 Ksharsutra changes, typically spaced a week apart.

It’s important to note that these are approximate estimates, and actual healing times may vary. Regular follow-ups with a healthcare provider will help monitor the healing progress and adjust the treatment plan as needed.

Are There Any Contraindications for Ksharsutra Treatment?

While describing Ksharsutra treatment; Acharya Sushruta says:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29)

Acharya Sushruta, a renowned Ayurvedic physician, recognized the value of Ksharsutra, particularly in treating patients who may not be suitable for surgical intervention. He emphasized its suitability for individuals who are:

Emaciated: Those who are physically weakened or underweight.
Weak: Patients with general physical debility.
Fearful or Timid: Individuals who experience anxiety or fear related to surgical procedures.
Those with Fistulas in Sensitive Areas: Patients with fistulas located in delicate or sensitive areas.

In such cases, Ksharsutra offers a less invasive and more patient-friendly approach to treatment. Its gentle action and minimal tissue damage make it a preferred choice for these vulnerable patient groups. So generally speaking Ksharsutra Treatment for Fistula is a safe treatment option without any contraindications.

Managing Discomfort During Ksharsutra Treatment

While Ksharsutra treatment is generally well-tolerated, some patients may experience mild discomfort or burning sensations. This is due to the alkaline nature of the medicinal substances used in the Ksharsutra thread.

To manage this discomfort, several strategies can be employed:

Sitz Baths: Regular warm water sitz baths can help soothe the affected area and reduce pain & inflammation.
Topical Anesthetics: Applying a topical anesthetic gel, such as lidocaine, can numb the area and relieve discomfort & burning.
Pain Relievers: Over-the-counter pain relievers can help alleviate discomfort.

It’s important to consult with your healthcare provider to discuss the best pain management strategies for your specific needs.

During Ksharsutra Treatment: Patient Care

To ensure optimal healing and minimize discomfort, it’s essential to follow these guidelines during Ksharsutra treatment:

Maintain Regular Bowel Movements: A healthy bowel regimen is crucial to prevent straining and promote healing.
Practice Good Hygiene: Keep the anal area clean and dry to reduce the risk of infection.
Sitz Baths: Regular warm water sitz baths can help soothe the area, reduce inflammation, and promote healing.
Stay Active: Engaging in moderate physical activity, such as walking, can aid in the healing process and overall well-being.

By following these simple steps, you can optimize your recovery and achieve a successful outcome with Ksharsutra treatment.

The Secret to Ksharsutra’s High Success Rate

One of the key factors contributing to Ksharsutra’s high success rate in treating fistula-in-ano is its ability to effectively target and treat the entire fistula tract. Here’s how:

Precise Targeting: Before inserting the Ksharsutra, the healthcare provider carefully identifies the extent and complexity of the fistula tract. This ensures that the medicated thread reaches all affected areas.
Medicinal Action: The Ksharsutra releases medicinal substances that gradually dissolve the infected tissue lining the fistula tract. This process, known as debridement, promotes healing and prevents recurrence.
Self-Expanding Properties: The Ksharsutra’s medicinal properties allow it to penetrate deeper into the fistula tract, ensuring complete coverage and treatment.
Adaptive Healing: If any part of the fistula tract remains untreated, the Ksharsutra’s medicine can often stimulate the formation of a new opening, making it accessible for further treatment.

By combining these factors, Ksharsutra offers a comprehensive and effective approach to treating fistula-in-ano, leading to high success rates and minimal recurrence.

Factors Affecting Healing Time with Ksharsutra

The healing time for fistula-in-ano using Ksharsutra can vary between individuals and even within the same individual. This variation is primarily influenced by:

Tissue Consistency: The type of tissue involved in the fistula tract can impact healing time. Softer tissues, such as fatty tissue, tend to heal faster than harder tissues like muscle.
Complexity of the Fistula: The length, depth, and branching patterns of the fistula can affect the duration of treatment.
Individual Response: Each individual’s healing capacity and response to treatment can vary.

While these factors can influence the healing timeline, Ksharsutra remains a highly effective treatment option with a high success rate. By following the prescribed treatment regimen and maintaining good hygiene, patients can optimize their healing process.

Ksharsutra vs. Surgery: A Comparative Analysis

Ksharsutra treatment offers several advantages over surgical interventions for fistula-in-ano:

Lower Recurrence Rate

Ksharsutra: Predictably, Ksharsutra treatment has a significantly lower recurrence rate, often resulting in complete healing without the need for repeat procedures.
Surgery: Surgical interventions for fistula-in-ano have a higher risk of recurrence, with approximately 15-20% of cases experiencing a recurrence.

Lower Risk of Complications

Reduced Risk of Incontinence: Ksharsutra preserves the anal sphincter muscles, minimizing the risk of fecal incontinence, a common complication of surgical procedures.
Lower Infection Risk: The minimally invasive nature of Ksharsutra reduces the risk of post-operative infections.

Minimally Invasive Approach

Ksharsutra: As a minimally invasive procedure, Ksharsutra involves smaller incisions and less tissue damage, leading to faster healing and reduced pain.
Surgery: Surgical procedures for fistula-in-ano typically involve larger incisions and more extensive tissue manipulation, which can increase the risk of complications and prolong recovery time.

Faster Recovery Time

Ksharsutra: Ksharsutra is often an outpatient procedure, allowing patients to return home on the same day. The recovery period is typically shorter, enabling patients to resume normal activities quickly.
Surgery: Surgical procedures often require hospitalization and a longer recovery period. Patients may experience limitations in their daily activities for several weeks.

Improved Quality of Life

Minimal Discomfort: Ksharsutra typically results in less post-operative pain and discomfort.
Faster Return to Normal Activities: Patients can often resume their normal activities sooner after Ksharsutra treatment.

Anesthesia related Complications

Surgery: Surgical procedures for fistula-in-ano often require general or spinal anesthesia, which can lead to various side effects, including:
- Headache
- Nausea and vomiting
- Dizziness
- Temporary memory loss
- Back pain
Ksharsutra: Ksharsutra, on the other hand, typically involves local anesthesia, which is a less invasive and safer approach. Local anesthesia targets the specific treatment area, minimizing the risk of systemic side effects and allowing for a more comfortable procedure.

Cost-Effective Treatment

Lower Financial Burden: Ksharsutra is generally more affordable than surgical procedures, making it a cost-effective option for many patients.

By considering these factors, it’s evident that Ksharsutra offers a compelling alternative to surgery for fistula-in-ano, providing a safer, less invasive, and more patient-friendly approach to treatment.

Ksharsutra: A Solution for Recurrent Fistula-in-Ano

Yes, Ksharsutra treatment can be an effective solution for recurrent fistula-in-ano, even after previous surgical interventions.

Ksharsutra’s mechanism of action involves debriding the fistula tract, removing infected tissue, and promoting healing. This process is equally effective in treating recurrent fistulas. By targeting the root cause of the problem, Ksharsutra can help prevent further recurrences.

If you have experienced recurrent fistula-in-ano after surgery, consulting with a qualified healthcare provider to discuss the potential benefits of Ksharsutra treatment can be a valuable step toward finding a lasting solution.

Preserving Sphincter Function: A Key Advantage of Ksharsutra

One of the major concerns with surgical interventions for fistula-in-ano is the potential risk of fecal incontinence. Ksharsutra, however, offers a significant advantage in this regard:

Preservation of Sphincter Muscles:

Gradual Tissue Removal: Ksharsutra involves a slow and controlled process of removing infected tissue, minimizing damage to the delicate sphincter muscles.
Minimal Disruption: The procedure avoids extensive cutting or excision of tissue, reducing the risk of muscle damage.
Encouraging Natural Healing: The body’s natural healing process is stimulated, allowing the sphincter muscles to repair and regain their function.

Additional Factors:

Targeted Therapy: Ksharsutra targets the specific fistula tract, minimizing damage to surrounding healthy tissue.
Post-Treatment Care: Post-treatment care, including sphincter exercises, can further strengthen the anal sphincter muscles.

By adopting a gentle and precise approach, Ksharsutra significantly reduces the risk of fecal incontinence, offering a safer and more effective treatment option for fistula-in-ano.

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