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Piles in Young People: Causes and Signs You Shouldn’t Ignore

Piles in Young Adults: Causes, Symptoms, & When to See a Doctor

Hemorrhoids, often referred to as piles, are a common condition affecting young people, characterized by swollen and inflamed veins in the lower rectum and anus. This can lead to a variety of uncomfortable symptoms, including bleeding during bowel movements, itching, pain, and discomfort. Understanding the causes and recognizing the signs of hemorrhoids in young individuals is crucial for prompt management and effective treatment.

There are two primary types of hemorrhoids: internal and external. Internal hemorrhoids develop within the anal canal, while external hemorrhoids form beneath the skin surrounding the anus. The specific symptoms experienced can vary depending on the type and severity of the hemorrhoids.

A variety of treatment options are available for hemorrhoids in young people. Many individuals find relief through conservative approaches such as increasing fiber intake, drinking plenty of fluids, and maintaining a healthy weight. These lifestyle modifications can significantly improve bowel health and reduce the discomfort associated with hemorrhoids. In some cases, medical interventions may be necessary, including medications, minimally invasive procedures, or surgery.

Piles in Young Adults: Identifying Bleeding, Pain, and Other Key Symptoms

Early pile treatment relies on prompt symptom recognition. Hemorrhoid symptoms vary significantly based on their type. Identifying and addressing these symptoms promptly is crucial for effective management.

Experiencing Bright Red Blood During a Bowel Movement? You Might Have Internal Hemorrhoids

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), internal hemorrhoids are located within the anal canal and often go unnoticed due to the absence of discomfort. Unlike their external counterparts, they are hidden from sight and touch. However, their presence can manifest through the following:

  • Painless Bleeding: This is frequently the first and most subtle sign. Blood may appear bright red on toilet paper or in the toilet bowl. Since it’s painless, many individuals remain unaware of the issue until they visually observe the blood.
  • Prolapsed Hemorrhoids: In some cases, internal hemorrhoids may protrude through the anal opening. This can cause discomfort, irritation, and even a mucus discharge.
  • Mucus Discharge: Prolapsed piles can irritate the anal passages, leading to the discharge of mucus, which can further aggravate the surrounding skin.

Don’t ignore these subtle signs! If you experience any of these symptoms, consult a healthcare professional for proper diagnosis and treatment.

External Hemorrhoids in Young Adults: Recognizing Signs and Symptoms

According to the Mayo Clinic, external hemorrhoids, located beneath the skin around the anus, can manifest in young adults with the following symptoms:

Key Symptoms of External Hemorrhoids in Young Adults:

  • Anal Itching and Irritation: Constant itching and discomfort around the anus are common.
  • Pain and Discomfort: You may experience pain, especially when sitting or passing stool.
  • Inflammation and Swelling: Noticeable swelling and inflammation around the anal area.
  • Bleeding: Bright red blood may be visible on toilet paper after bowel movements.

If you suspect you have external hemorrhoids, consult a healthcare professional for proper diagnosis and treatment.

Thrombosed Hemorrhoids: Recognizing the Symptoms

According to the Mayo Clinic, a thrombosed hemorrhoid occurs when blood clots within an external hemorrhoid. This can cause significant discomfort and noticeable changes in the affected area.

Key Symptoms of a Thrombosed Hemorrhoid:

  • Intense Pain: This is often the most prominent symptom.
  • Swelling: The affected area becomes noticeably enlarged.
  • Inflammation: Redness and irritation are common.
  • A Firm Lump: A distinct, often bluish or purplish lump forms near the anus.

Don’t suffer in silence. If you suspect you have a thrombosed hemorrhoid, consult a healthcare professional for proper diagnosis and treatment options.

When to See a Doctor for Hemorrhoids in Young Adults

Hemorrhoids are a common condition, but it’s crucial to know when to seek professional medical advice.

Consult your Piles doctor if:

  • You experience bleeding during bowel movements. Even minor bleeding warrants a check-up.
  • Your hemorrhoids don’t improve after a week of home care. This could indicate a more serious underlying issue.
  • You notice any changes in your bowel habits. This includes diarrhea, constipation, or a change in stool consistency or color.
  • You experience severe rectal bleeding. This includes significant blood loss, lightheadedness, dizziness, or fainting.

Important Note:

Never assume that rectal bleeding is always caused by hemorrhoids. Conditions like anal fissures, anal fistulas, and even colorectal cancer can also present with rectal bleeding.

By seeking prompt medical attention, you can:

  • Receive an accurate diagnosis.
  • Get appropriate treatment.
  • Reduce the risk of complications.

What Causes Hemorrhoids in Young Adults?

Hemorrhoids occur when the veins and tissues surrounding the anus swell and become inflamed. While often associated with aging, young adults are also susceptible to this condition.

Common Causes of Hemorrhoids in Young Adults:

Note: While aging is a significant risk factor for hemorrhoids in general, it’s less common as a primary cause in young adults.

Hemorrhoid Complications in Young Adults: A Rare but Serious Concern

While less common in younger individuals, hemorrhoids can still lead to serious complications:

Prevent Piles (Hemorrhoids) in Young Adults: Essential Tips

Hemorrhoids, often referred to as piles, can be uncomfortable and inconvenient. While common, they are largely preventable, especially in young adults. Here’s how to keep those pesky piles at bay:

1. Fiber Up:

2. Hydrate Effectively:

3. Consider Fiber Supplements:

  • Boost Fiber Intake: If your diet lacks fiber, supplements like methylcellulose or psyllium can help.
  • Hydration is Key: Remember to drink plenty of water when taking supplements to prevent constipation.

4. Avoid Straining:

5. Stay Active:

  • Regular Exercise: Physical activity and Yoga promotes regular bowel movements and reduces pressure on veins. 
  • Weight Management: Exercise can help you maintain a healthy weight, which can alleviate pressure on the rectal area.

6. Limit Prolonged Sitting:

  • Minimize Sitting Time: Avoid prolonged sitting, especially on the toilet. This reduces pressure on the veins in the anus.

By incorporating these lifestyle changes, young adults can significantly reduce their risk of developing hemorrhoids and enjoy a more comfortable life.

Conclusion

Hemorrhoids, or piles, are a common condition that can affect young adults, causing discomfort and even complications. Understanding the causes, recognizing the symptoms, and implementing preventative measures are crucial for managing this condition. By maintaining a high-fiber diet, staying hydrated, avoiding excessive straining, and engaging in regular physical activity, young individuals can significantly reduce their risk of developing hemorrhoids. If symptoms arise, it’s essential to consult a healthcare professional for proper diagnosis and treatment. Early intervention can prevent complications and ensure a swift return to a comfortable and healthy lifestyle.

Experience comprehensive and expert hemorrhoid management with Dr. Ravinder Sharma of Piles To Smiles, a leading piles specialist in Delhi. Dr. Sharma offers personalized care and innovative treatment options tailored to your specific needs. As a top-rated piles doctor in Delhi, he ensures efficient hemorrhoid relief, making him the preferred choice for young adults seeking the best piles treatment in the city. Schedule your consultation today and discover a path to a comfortable and hemorrhoid-free life.

Categories
Fissure Fistula General Piles Pilonidal Sinus

Best Proctologist in South Delhi

Finding the Best Piles Doctor in South Delhi: Your Guide

Are you tired of the constant battle with piles (hemorrhoids)? Experiencing symptoms like:

  • Constipation
  • Pain in the anal region
  • Swelling or lumps near the anus
  • Bleeding or discharge
  • Swelling or lumps near the anus
  • Lower abdominal discomfort

Despite trying over-the-counter remedies, you’re still not finding relief? You’re not alone. Many people suffer from piles in silence due to embarrassment or not knowing where to turn for help.

If you live in Vasant Kunj, South Delhi and are struggling with these debilitating symptoms, consulting a proctologist could be the answer you’ve been searching for.

Comprehensive Hemorrhoid & Anorectal Treatment at Piles To Smiles

Suffering from piles (hemorrhoids), fissures, fistulas, or pilonidal sinus? Our team of experienced proctologists provides expert diagnosis and treatment for all ano-rectal conditions.

We offer a holistic approach combining modern medical techniques with traditional Ayurvedic treatments to ensure you receive the best possible care for your individual needs.

Schedule a consultation today and find relief from your discomfort.

Finding the Best Proctologist in South Delhi: Your Guide to Expert Anorectal Care

Finding the ideal proctologist in South Delhi is paramount for the successful and comfortable treatment of anorectal conditions. As a medical hub, South Delhi boasts numerous specialists. To make the best choice, prioritize the proctologist’s expertise in your specific condition (e.g., piles, fissures, fistula, pilonidal sinus), meticulously review patient testimonials, assess the clinic’s infrastructure and hygiene standards, and evaluate the doctor’s communication and bedside manner. Before making your decision, carefully consider following factors to ensure personalized and effective care for your unique anorectal needs:

What is a Proctologist?

A proctologist is a medical or surgical specialist who diagnoses and treats conditions of the lower digestive tract, specifically the colon, rectum, and anus. They are also known as colorectal surgeons or colon & rectal surgeons.

What does a Proctologist do?

Proctologists provide a wide range of services, including:

  • Diagnosis and treatment of conditions: This includes conditions like hemorrhoids (piles), anal fissures, anal fistulas, rectal prolapse, colorectal cancer, inflammatory bowel disease (IBD), and diverticular disease.
  • Surgical procedures: Proctologists perform a variety of surgical procedures, including minimally invasive surgeries like sclerotherapy, rubber band ligation, Kshar Karma and Ksharsutra etc.
  • Non-surgical treatments: Many proctologists also offer non-surgical treatments, such as medications, and lifestyle changes.

Looking for an expert proctologist in South Delhi?

Dr. Ravinder Sharma, founder and medical director of Piles To Smiles, is a renowned proctologist in South Delhi. He specializes in both non-surgical and minimally invasive surgical treatments. Dr. Sharma is also a leading expert in Ayurvedic proctology, offering effective and pain-free treatments like Kshara Karma and Ksharsutra.

When to See a Proctologist for Piles (Hemorrhoids)

Experiencing discomfort or changes in your anal or rectal area warrants a visit to a qualified proctologist. These symptoms could indicate underlying health issues that require professional attention.

Seek immediate consultation if you notice:

  • Anal or rectal pain: This can range from mild discomfort to severe, throbbing pain.
  • Burning or itching: Persistent irritation in the anal area can significantly impact your quality of life.
  • Bleeding from the anus: Any blood in your stool, whether bright red or dark, warrants immediate medical attention.
  • Swelling or lumps: Noticeable bumps or growths near the anus could indicate a serious underlying condition.
  • Changes in bowel habits: These include diarrhea, constipation, or a change in the consistency or shape of your stools.

Don’t delay seeking professional help. Early diagnosis and treatment can significantly improve your quality of life and prevent complications. Schedule a consultation with an experienced proctologist in your area today. 

What Conditions Do Proctologists Treat?

Proctologists specialize in the diagnosis and treatment of conditions affecting the rectum, anus, and colon. Some of the most common conditions treated by proctologists include:

  • Hemorrhoids: Swollen and inflamed veins in the lower rectum and anus, often causing bleeding, itching, and discomfort.
  • Anal Fissures: Small tears in the lining of the anus, typically caused by the passage of hard stools, leading to pain during and after bowel movements.
  • Anal Fistulas: Abnormal tunnels or passages that connect the inside of the anus to the skin around it, often resulting in drainage of pus or blood.
  • Peri anal Abscesses: Collections of pus near the anus, often causing significant pain and swelling.
  • Rectal Prolapse: A condition where part of the rectum protrudes through the anus.
  • Anal Warts: Small, fleshy growths around the anus caused by the human papillomavirus (HPV).
  • Pilonidal Disease: A condition characterized by the formation of a cyst or abscess in the cleft of the buttocks.
  • Fecal Incontinence: Difficulty controlling bowel movements, leading to accidental leakage of stool.
  • Constipation: Difficulty or infrequent passage of stool.

It’s crucial to consult with a qualified proctologist for timely diagnosis and treatment. Early intervention can help prevent complications and improve your overall quality of life.

Finding the Best Proctologist in South Delhi for Your Specific Condition

When seeking treatment for a proctological issue, finding the right specialist is paramount. Not all proctologists specialize in the same areas, so finding one with expertise in your specific condition is crucial.

Here’s how to find the best proctologist in South Delhi:

  1. Personal Recommendations:

    • Consult with trusted sources: Ask family, friends, or other healthcare providers for recommendations.
    • Visit your primary care physician: He may be able to refer you to a qualified proctologist.
  2. Online Research:

    • Verify credentials: Ensure the proctologist is licensed and has a valid practice license.
    • Check for availability: Select a proctologist with convenient location and hours, especially crucial for urgent cases.
    • Review experience: Look for a proctologist with extensive experience treating your specific condition.
    • Read patient reviews: Gain insights into patient satisfaction and the quality of care.
  3. Consultation:

    • Schedule a consultation: Meet with potential proctologists to discuss your concerns and treatment options.
    • Assess communication: Choose a doctor who makes you feel comfortable and answers your questions honestly and comprehensively.
    • Transparency: Seek a doctor who openly discusses potential risks, side effects, and recurrence rates associated with treatment options.

Dr. Ravinder Sharma, a renowned proctologist with over 17 years of experience, specializes in treating anorectal conditions like fistula, fissure, piles, and pilonidal sinus at Piles To Smiles. He holds an MS (Ayurveda) and has dedicated his career to advancing Ksharsutra treatment, an ancient Ayurvedic technique. 

Dr. Sharma’s expertise stems from extensive research, including his postgraduate thesis on “Preclinical Evaluation of Standard Ksharsutra Ingredients on Causative Organisms of Bhagandara and Comparative Study of Efficacy of Modified & Standard Ksharsutra on Bhagandara W.S.R To Fistula-In-Ano.” This in-depth study has significantly contributed to his understanding of Ksharsutra and its application in treating various anorectal disorders.

Driven by a commitment to patient care, Dr. Sharma continually strives to enhance the convenience and effectiveness of Ksharsutra treatment. He focuses on providing personalized care and ensuring optimal outcomes for patients seeking relief from debilitating anorectal conditions.

5.0
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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
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)..
Very good experience.Am very satisfied.Piles smile is good for treatment of piles.
jagmati vats
11:58 29 Dec 24
Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.
Kullu Noel
09:47 22 Dec 24
Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄
Alka Bisht Bisht
08:48 22 Dec 24
Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.
med Jayant
09:02 18 Dec 24
Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.
Kiran Grover
06:05 13 Dec 24
One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏
Mandy Sandhu
17:40 29 Nov 24
Highly impressed by the service received by the doctor and the staff at Piles to Smiles.An absolute fabulous treatment with reasonable price.I recommend people to visit Piles to Smiles clinic for an efficient treatment.
Devdutt Dev
07:20 26 Nov 24
Best place for fistula treatment...
Md Shamim Ansari
14:18 25 Nov 24
Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.
Komal Tanwar
18:41 17 Nov 24
i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.
Nikita Verma
17:51 06 Nov 24
I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️
Akash Chaubey
15:32 05 Nov 24
My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...
deepika singh
14:04 22 Oct 24
Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...
Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.
Monika
12:43 16 Oct 24
I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.
Ravi Lagga
08:27 12 Oct 24
There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.
Lalita Bhandari
13:27 07 Oct 24
My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏I will give him five star for this treatment.
mahipal kathayat
13:40 27 Sep 24
PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir
Who Yogisingla
01:14 25 Sep 24
Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.I’ll highly recommend.
Rameshwari Singh
01:59 20 Sep 24
Good experience,best docter for painless ayurvedic treatment for piles....
Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....
Shashi Devi
12:08 09 Sep 24
Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏
Priya Vats
18:01 28 Jul 24
A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...
Amarjeet Cagten
03:57 25 Jul 24
"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"
Nidhi Bhardwaj
07:02 19 Jul 24
I would 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...

Piles To Smiles: Pain-Free Treatment for Piles, Fissures, & Fistulas in South Delhi

Experience cutting-edge anorectal care at Piles To Smiles, South Delhi’s premier proctology clinic. Founded by Dr. Ravinder Sharma, we specialize in treating a wide range of conditions, including piles (hemorrhoids), fissures, fistulas, pilonidal sinus, and prolapse rectum. Our focus lies in providing the safest and most effective treatment options, minimizing the need for invasive surgeries and prioritizing patient comfort.

 

Ksharsutra Therapy for Anorectal Problems: Find Lasting Relief

At Piles To Smiles, we offer safe and effective treatments for hemorrhoids, fissures, Pilonidal sinus, fistula-in-ano, and other anorectal conditions, all designed to minimize side effects like post-operative stool incontinence or fistula recurrence. Our expertise lies in Ksharsutra therapy, an ancient Ayurvedic technique that provides effective treatment for anorectal disorders with minimal pain and discomfort. Experience reliable and affordable treatment for your anorectal concerns at South Delhi’s leading proctology clinic.

Experience Pain-Free Relief: Why Choose Piles To Smiles in South Delhi

Piles To Smiles: Your Trusted Partner for Anorectal Health in Vasant Kunj, South Delhi

At Piles To Smiles, we’re not just a proctology clinic; we’re your path to a life free from anorectal discomfort. As a leading specialist in South Delhi, we prioritize personalized care and cutting-edge treatments to deliver exceptional outcomes for our patients.

Why Choose Piles To Smiles?

  • Minimally Invasive Treatments: Experience the latest advancements in proctology, including non-surgical and minimally invasive procedures for a faster recovery and minimal discomfort.
  • Skilled & Experienced Specialists: Our team of highly qualified proctologists brings years of expertise and a compassionate approach to every patient.
  • Traditional Ksharsutra Treatment: Benefit from the proven effectiveness of traditional Ksharsutra treatment, a safe and effective option for various anorectal conditions.
  • Customized Treatment Plans: We understand that every patient is unique. Our personalized treatment plans are tailored to your specific needs and medical history.
  • Quick Recovery & Minimal Downtime: Get back to your daily routine quickly with our minimally invasive procedures and focus on healing and recovery.
  • Improved Quality of Life: Say goodbye to discomfort and regain confidence in your daily activities.
  • Affordable & Accessible Care: We offer competitive pricing and flexible payment options to make quality proctology care accessible to all.

Experience the Piles To Smiles Difference

  • Unmatched Patient Care: Our dedicated team provides compassionate and supportive care throughout your entire treatment journey.
  • Comfortable & Discreet Setting: Our clinic offers a comfortable and discreet environment where you can feel at ease discussing your concerns.

Don’t Suffer Any Longer. Schedule Your Consultation Today!

Contact us to schedule a consultation with one of our expert proctologists. We’re here to help you find the best solution for your anorectal health needs.

Conclusion

Finding the right proctologist in South Delhi is crucial for successful treatment of anorectal conditions. Prioritize expertise in your specific condition, review patient testimonials, assess the clinic’s infrastructure, and consider the doctor’s communication style. A proctologist specializes in diagnosing and treating conditions of the lower digestive tract, including hemorrhoids, fissures, fistulas, and colorectal cancer. They offer a range of services, from non-surgical treatments like medication and lifestyle changes to surgical procedures like minimally invasive surgeries.

Dr. Ravinder Sharma, founder of Piles To Smiles, is a renowned proctologist specializing in both non-surgical and minimally invasive surgical treatments. He is a leading expert in Ayurvedic proctology, offering effective and pain-free treatments like Kshara Karma and Ksharsutra. Consult a proctologist immediately if you experience anal or rectal pain, bleeding, swelling, or changes in bowel habits. Early diagnosis and treatment can significantly improve your quality of life and prevent complications.

Piles To Smiles offers cutting-edge anorectal care in Vasant Kunj – South Delhi, specializing in treating piles, fissures, fistulas, and pilonidal sinus. We prioritize minimally invasive treatments, skilled specialists, and traditional Ksharsutra therapy. Our focus is on providing personalized care, quick recovery, and improved quality of life for our patients. Experience the Piles To Smiles difference with compassionate care, a comfortable setting, and affordable treatment options. Schedule your consultation today and take the first step towards a life free from anorectal discomfort.

Categories
Fissure Fistula

Can a Fissure Turn into a Fistula?

Fissure vs. Fistula: Understanding the Difference

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

What is an Anal Fissure?

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

 

What is an Anal Fistula?

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

The Connection Between Fissures and Fistulas

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

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

Seeking Relief from Anal Fissure or Fistula?

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

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

Understanding Anal Fissures: A Common Anorectal Issue

Anal Fissure: A Painful Tear

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

Common Symptoms of Anal Fissures:

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

Types of Anal Fissures:

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

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

Understanding the Causes of Anal Fissures

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

Common Causes of Anal Fissures:

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

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

Healing Anal Fissures: A Comprehensive Guide

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

Conservative Treatments

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

Medical Interventions

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

Ayurvedic Approach: Ksharsutra Treatment

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

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

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

Understanding Anal Fistula: A Complex Condition

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

Anal Fistula: Recognizing the Symptoms

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

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

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

Understanding the Causes of Anal Fistula

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

Key Factors Contributing to Anal Fistula:

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

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

Effective Treatments for Anal Fistula

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

Medical Treatment

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

Surgical Interventions

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

Ayurvedic Treatment: Ksharsutra Therapy

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

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

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

Can an Anal Fissure Turn into a Fistula?

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

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

Why might a fissure turn into a fistula?

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

The Importance of Timely Treatment

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

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

Conclusion

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

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

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

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

Categories
Fissure Fistula General Piles Pilonidal Sinus

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.

Categories
Fistula

Why Ksharsutra for Fistula-in-Ano

Ksharsutra Treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula*

*Indian Council of Medical Research (ICMR)

What is Fistula-in-Ano?

A Fistula-in-Ano is a painful condition characterized by an abnormal tunnel or passageway that forms between the anal canal and the skin around the anus. This abnormal tract can lead to discomfort, swelling, and chronic discharge.

Understanding the Causes

While the exact cause of Fistula-in-Ano remains unclear, several factors can contribute to its development, including:

  • Anal Abscess: An untreated or poorly treated anal abscess can lead to fistula formation.
  • Inflammatory Bowel Disease: Conditions like Crohn’s disease and ulcerative colitis can increase the risk of fistula development.
  • Tuberculosis: In rare cases, tuberculosis can cause fistulas in the anal region.
  • Trauma: Injury to the anal area can sometimes result in fistula formation.

Treatment Options for Fistula-in-Ano

Common treatment options for fistula-in-ano include:

Surgical Procedures for fistula:

  • Fistulotomy: This procedure involves cutting open the fistula tract to allow it to heal from the inside out. It’s suitable for simple, low-lying fistulas.
  • Fistulectomy: This is a surgical procedure where a surgeon completely removes a fistula.
  • Seton Placement: A rubber band or thread is inserted into the fistula tract to promote drainage and healing. 
  • Advancement Flap: This advanced surgical technique involves using tissue from the anal canal to repair the fistula tract. 
  • Fibrin Sealant: A biological adhesive is injected into the fistula tract to seal it off and promote healing.
  • Fistula Plug: A plug is inserted into the fistula tract to stimulate healing.

Minimally Invasive Techniques for Fistula:

  • Video-Assisted Anal Fistula Treatment (VAAFT): This minimally invasive procedure uses a camera to guide the insertion of a laser fiber to treat the fistula.
  • Laser Therapy: This modern technique uses a laser to cauterize the fistula tract, reducing inflammation and promoting healing. It’s often less painful and has a quicker recovery time compared to traditional surgery.
  • Ksharsutra Treatment: This ancient Ayurvedic technique involves inserting a medicated thread into the fistula tract to promote healing. It’s a minimally invasive procedure with a high success rate and minimal side effects.

Why Choose Ksharsutra for Fistula Treatment?

With various treatment options available for fistula-in-ano, choosing the right approach can be challenging. Ksharsutra treatment, an ancient Ayurvedic technique, offers several advantages over other methods:

Safer Treatment

While describing usefulness of Ksharsutra Treatment Acharya Sushruta writes:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |
क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

An intelligent surgeon prefers Ksharsutra treatment over any surgical intervention to treat a patient suffering from a Fistula/ sinus or other similar problem who is emaciated/ weak/ fearful/ timid/ whose fistula or sinus is in a vulnerable area.

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

So Ksharsutra treatment offers a valuable alternative for patients who are not suitable candidates for traditional surgical procedures. This makes it a particularly beneficial option for individuals with underlying health conditions or those who prefer a less invasive approach.

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

A groundbreaking study conducted by the Indian Council of Medical Research (ICMR) in collaboration with renowned institutions like AIIMS New Delhi, PGIMER Chandigarh, and others, revealed a significant finding: Ksharsutra treatment is not only more convenient but also more effective than traditional surgical methods in treating anal fistula. This ancient Ayurvedic technique has stood the test of time, offering a gentle and effective solution for this persistent condition.

Higher Success Rate

Ksharsutra treatment stands out as a superior option for treating fistula-in-ano, particularly due to its significantly higher success rate. While modern surgical techniques like laser and VAAFT have their place, they often struggle with high recurrence rates of around 25-30%. In contrast, Ksharsutra treatment boasts a remarkable success rate of approximately 96.77%, making it a reliable and effective choice for patients. This ancient Ayurvedic technique has proven its efficacy even in complex cases where multiple surgeries have failed.

By choosing Ksharsutra treatment, patients can increase their chances of a complete and lasting recovery from fistula-in-ano. 

Minimizing Complications: A Key Advantage of Ksharsutra

One significant advantage of Ksharsutra treatment over traditional surgical procedures is the reduced risk of complications, particularly fecal incontinence. Surgical interventions for fistula-in-ano often involve cutting or damaging the sphincter muscles, which can lead to partial or complete loss of bowel control.

In contrast, Ksharsutra therapy is a minimally invasive technique that preserves the integrity of the sphincter muscles, minimizing the risk of post-operative incontinence. This makes it a safer and more effective option for Fistula-in-Ano.

Minimal Disruption to Your Daily Life

Ksharsutra treatment is an outpatient procedure, typically performed under local anesthesia. This means you can return home on the same day, minimizing the need for hospitalization and extended bed rest. This non-invasive approach allows you to maintain your daily activities with minimal disruption.

Minimal Invasiveness and Patient Safety: Ksharsutra Treatment

Ksharsutra treatment is a minimally invasive procedure performed under local anesthesia. This approach significantly reduces the risk of complications associated with general or spinal anesthesia, such as:

  • Backache
  • Headache
  • Altered brain function
  • Urinary retention

By opting for local anesthesia, Ksharsutra treatment prioritizes patient safety and comfort, making it a preferred choice for many individuals seeking relief from Fistula-in-Ano and other anorectal problems.

Minimal Pain and Complications with Ksharsutra Treatment

Ksharsutra treatment for fistula-in-ano stands out for its minimal invasiveness and low risk of complications. Unlike traditional surgical procedures that involve cutting tissues, Ksharsutra therapy uses a medicated thread to heal the fistula tract gently.

Key Benefits:

  • Minimal Pain: The procedure is relatively painless, with minimal discomfort during the insertion and replacement of the Ksharsutra thread.
  • Reduced Risk of Bleeding: As there’s no cutting involved, the risk of bleeding is significantly reduced.
  • Lower Infection Risk: The use of medicated threads helps to prevent infections.

While some patients may experience mild burning sensation or irritation during Ksharsutra treatment, these side effects are usually manageable with simple measures like warm water sitz baths or topical anesthetics.

Convenience and Minimal Disruption

One of the significant advantages of Ksharsutra treatment is the reduced need for frequent hospital visits. Unlike surgical interventions that often require daily dressing changes, Ksharsutra therapy involves periodic replacement of the medicated thread at intervals of 7-10 days. This minimal disruption to your routine allows for a more convenient and comfortable healing process.

Cost-Effective Treatment

Ksharsutra treatment offers a cost-effective solution for fistula-in-ano compared to traditional surgical procedures. The treatment is typically spread out over weekly visits, making it more financially manageable for patients. 

By considering these advantages, individuals suffering from fistula-in-ano can make informed decisions about their treatment options and choose the most suitable approach for their specific needs.

Categories
Fissure Fistula General Piles Pilonidal Sinus

Why Prefer Piles To Smiles?

Piles to Smiles: Your Trusted Partner in Anorectal Health

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

The Sacred Doctor-Patient Relationship

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

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

– सुश्रुत संहिता (Sushruta Samhita)

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

Exclusive Ayurvedic Treatment for Anorectal Problems

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

We offer advanced treatments for conditions such as:

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

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

Expert Care for Complex Anorectal Conditions

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

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

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

A Harmonious Blend of Ancient Wisdom and Modern Technology

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

Committed to Excellence and Innovation

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

Round-the-Clock Care, Personalized Solutions

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

Personalized Care and Patient Education

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

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

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

Affordable and Accessible Healthcare

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

Giving Back to the Community

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

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

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

Experience the Piles To Smiles Difference

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

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

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

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

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

5.0
Based on 131 reviews
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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
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)..
Very good experience.Am very satisfied.Piles smile is good for treatment of piles.
jagmati vats
11:58 29 Dec 24
Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.
Kullu Noel
09:47 22 Dec 24
Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄
Alka Bisht Bisht
08:48 22 Dec 24
Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.
med Jayant
09:02 18 Dec 24
Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.
Kiran Grover
06:05 13 Dec 24
One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏
Mandy Sandhu
17:40 29 Nov 24
Highly impressed by the service received by the doctor and the staff at Piles to Smiles.An absolute fabulous treatment with reasonable price.I recommend people to visit Piles to Smiles clinic for an efficient treatment.
Devdutt Dev
07:20 26 Nov 24
Best place for fistula treatment...
Md Shamim Ansari
14:18 25 Nov 24
Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.
Komal Tanwar
18:41 17 Nov 24
i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.
Nikita Verma
17:51 06 Nov 24
I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️
Akash Chaubey
15:32 05 Nov 24
My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...
deepika singh
14:04 22 Oct 24
Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...
Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.
Monika
12:43 16 Oct 24
I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.
Ravi Lagga
08:27 12 Oct 24
There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.
Lalita Bhandari
13:27 07 Oct 24
My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏I will give him five star for this treatment.
mahipal kathayat
13:40 27 Sep 24
PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir
Who Yogisingla
01:14 25 Sep 24
Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.I’ll highly recommend.
Rameshwari Singh
01:59 20 Sep 24
Good experience,best docter for painless ayurvedic treatment for piles....
Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....
Shashi Devi
12:08 09 Sep 24
Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏
Priya Vats
18:01 28 Jul 24
A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...
Amarjeet Cagten
03:57 25 Jul 24
"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"
Nidhi Bhardwaj
07:02 19 Jul 24
I would 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...
Categories
Fissure Fistula General Piles Pilonidal Sinus

Why Choose Ayurveda For AnoRectal Problems?

Ayurveda: The Ancient Science of Healing

Ayurveda, an ancient Indian system of medicine, is a holistic approach to health and well-being that has been practiced for thousands of years. It emphasizes the interconnectedness of the mind, body, and spirit, and aims to balance these elements to achieve optimal health.

Ayurveda offers a holistic approach to treating anorectal disorders. By addressing the root cause of the problem rather than just the symptoms, Ayurveda can provide long-lasting relief and improved overall health.

Here are some compelling reasons why Ayurveda is a preferred choice for treating anorectal health problems:

  • A Holistic Approach to Healing

    Unlike conventional medicine, which often focuses on treating symptoms, Ayurveda delves deeper to address the root cause of the problem. Considering your unique constitution, lifestyle, and diet, Ayurvedic practitioners can tailor a personalized treatment plan to restore balance and harmony within your body.

  • Minimal Side Effects

    या हि उदीरणं शमयति नान्यं व्याधिं करोति च |

    सा क्रिया; न तु या व्याधिं हरति अन्यं उदीरयेत् ||

     i.e. The ideal treatment is one that does not cause any complications while treating a disease, not one that results in another disease while treating one. 

    – सुश्रुत संहिता (Sushruta Samhita)

    This philosophy ensures that Ayurvedic treatments, particularly for anorectal conditions, are minimally invasive and have fewer side effects compared to conventional surgical procedures. This makes them a safer and more gentle option for many individuals seeking relief from these conditions.

  • High Success Rate

    Ksharsutra therapy, a time-tested Ayurvedic technique, has demonstrated exceptional efficacy in treating fistula-in-ano, boasting an impressive success rate of approximately 96.77%. This traditional approach offers a reliable and effective solution for this common anorectal condition.

  • A Hospital-Free Approach: The Ayurvedic Advantage

    One key benefit of Ayurvedic treatment for anorectal problems is the minimal need for hospitalization. Many procedures, such as Kshar karma and Ksharsutra treatment, can be performed as outpatient procedures, reducing the burden of extended hospital stays. This makes Ayurvedic treatment a convenient and less stressful option for patients.

  • Ayurveda: A Natural Approach to Anorectal Health

    Ayurveda emphasizes using natural remedies, including herbs, minerals, and healing oils. By avoiding harsh chemicals and synthetic drugs, Ayurvedic treatments minimize the risk of adverse reactions and promote long-term health.

  • Long-Term Benefits

    Ayurveda goes beyond treating the immediate symptoms of anorectal problems. It focuses on preventive measures and lifestyle modifications to enhance overall well-being and reduce the risk of recurring issues. By adopting Ayurvedic principles, you can cultivate a healthier lifestyle and improve your digestive health.

  • Personalized Care for Anorectal Health

    Ayurvedic practitioners take a holistic approach to healthcare, tailoring treatment plans to the individual’s unique needs. In the case of anorectal issues, this personalized care might involve a combination of:

    • Herbal Remedies: Targeted herbal formulations to soothe inflammation, reduce pain, and promote healing.
    • Dietary Modifications: Dietary recommendations to optimize digestion, reduce constipation, and support overall gut health.
    • Lifestyle Changes: Lifestyle adjustments, such as stress management techniques and regular exercise, to improve overall well-being.
    • Yoga and Meditation: Specific yoga practices, like Mulabandhasana and Ardha Matsyendrasana, can strengthen the pelvic floor muscles, improve digestion, and alleviate symptoms.
  • Minimal Disruption to Daily Life

    One of the significant advantages of Ayurvedic treatment for anorectal problems is the minimal requirement for bed rest. In most cases, patients can continue their daily routines without significant interruption, making it a convenient and patient-friendly approach.

  • Cost-Effective and Accessible Care

    Ayurvedic treatments, particularly Ksharsutra therapy, are often more affordable than conventional medical treatments. This makes them an accessible option for many people, regardless of their socioeconomic background. Unlike conventional treatments that may involve expensive surgeries and medications, Ayurveda offers a cost-effective solution without compromising efficacy.

If you’re struggling with anorectal issues, consider exploring the benefits of Ayurvedic treatment. Combining ancient wisdom with modern scientific knowledge, Ayurveda can provide a safe, effective, and natural solution to your health concerns.

Categories
Fistula

Top 10 treatments for Fistula-in-Ano

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:

  1. Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
  2. Incision: The surgeon makes an incision along the fistula tract, cutting through the overlying tissue.
  3. Laying-Open the Fistula: The fistula tract is opened, creating an open wound.
  4. 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:

  1. Incision: A surgical incision is made from the internal opening of the fistula to the anal verge.
  2. Excision of Fistula Tract: The abnormal fistula tract is carefully removed, ensuring complete excision.
  3. 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:

  1. Debridement: The fistula tract is cleaned to remove infected tissue.
  2. Injection: A fibrin sealant, that promotes blood clotting, is injected into the fistula’s internal opening.
  3. 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:

  1. Identification of the Fistula Tract: The fistula tract is identified using a probe.
  2. Insertion of the Plug: The plug is inserted into the tract and secured.
  3. 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:

  1. Identification of the Fistula Tract: The fistula tract is carefully identified and probed.
  2. Creation of the Flap: Depending on the specific technique, a flap of tissue is raised from the rectal lining or the skin.
  3. Advancement of the Flap: The flap is advanced to cover the fistula’s internal opening.
  4. 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:

  1. Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
  2. Dissection: A groove is created between the internal and external sphincter muscles to expose the fistula tract.
  3. Ligation: The fistula tract is ligated (tied off) above and below.
  4. Division of the Tract: If the fistula tract is long, a portion of it may be excised.
  5. 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:

  1. Visualization of the Fistula Tract: A tiny camera is inserted into the fistula tract, allowing the surgeon to visualize the internal anatomy directly.
  2. Cleaning the Tract: Any debris or infection is removed from the fistula tract.
  3. 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:

  1. Identification of the Fistula Tract: The fistula tract is identified using a probe.
  2. Laser Fiber Insertion: A laser fiber is inserted into the fistula tract.
  3. 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:

  1. Identification of the Fistula Tract: The fistula tract is carefully mapped using a probe or advanced imaging techniques such as an MRI fistulogram.
  2. Insertion of the Ksharsutra: A specially prepared medicated thread is inserted into the fistula tract.
  3. Gradual Healing: The Ksharsutra gradually dissolves, promoting healing from within the fistula tract.
  4. 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.
  1. 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.
  2. https://www.medscape.com/answers/190234-82310/what-is-the-efficacy-of-seton-placement-for-the-treatment-of-fistula-in-ano-anal-fistula
  3. https://link.springer.com/chapter/10.1007/978-1-4614-9014-2_9
  4. 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
  5. Limura E, Giordano P. Modern management of anal fistula. World J Gastroenterol. 2015;21(1):12-20. doi:10.3748/wjg.v21.i1.12
  6. 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.
  7. 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.
Categories
Fissure Fistula General Piles Pilonidal Sinus

Pain/ Bleeding/ Pus discharge from anus – is it PILES?

Beyond Piles: Unraveling the Mystery of Anorectal Health

It’s a common misconception that all anal problems are “piles” or hemorrhoids. While hemorrhoids are indeed a prevalent condition, they’re just one of many health issues that can affect the anus and its surrounding area.

This article aims to shed light on different anorectal conditions, their symptoms, and why accurate diagnosis is essential. By understanding the nuances of these conditions, you can seek appropriate medical attention and improve your overall health.

Decoding Anal Pain: A Comprehensive Guide

Anal pain is a common complaint that can significantly impact your quality of life. It can range from mild discomfort to severe pain, often associated with bowel movements. While it can be a symptom of various underlying conditions, understanding the causes and seeking appropriate treatment is crucial.

Common Causes of Anal Pain

Several factors can contribute to anal pain:

Anal Fissure

  • Sharp, tearing pain is the hallmark symptom, especially during and after bowel movements.
  • Bleeding: Bright red blood on stool or toilet paper.
  • Muscle spasms: The anal sphincter may contract involuntarily, making bowel movements even more painful.

Perianal Abscess

  • Severe, throbbing pain: The pain is often constant and can worsen with bowel movements.
  • Swelling: A noticeable lump or swelling near the anus.
  • Fever: A sign of infection.
  • Pus discharge: In some cases, pus may drain from the abscess.

Fistula-in-Ano

  • Recurrent pain and swelling: These symptoms often alternate.
  • Discharge: Pus or blood may drain from the fistula opening.
  • Itching and irritation: The surrounding skin may become irritated.

Ulcerative Colitis

  • Persistent diarrhea: Frequent, loose stools.
  • Rectal bleeding: Blood in the stool.
  • Abdominal pain and cramping: Often located in the lower abdomen and anal region.
  • Fatigue and weight loss: Due to chronic inflammation and malabsorption.

Fungal Infection

  • Intense itching: The primary symptom.
  • Rash: Red, irritated skin around the anus.
  • Pain: May occur, especially with severe infections.

If you’re experiencing any of these symptoms, it’s crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Bleeding from the Anal Region: Understanding the Causes

Bleeding from the anal region can be a concerning symptom, often associated with various underlying conditions. While it’s tempting to attribute all such cases to hemorrhoids, a deeper understanding of the potential causes is essential for accurate diagnosis and appropriate treatment.

Here are some common conditions that can lead to bleeding from the anal region:

Hemorrhoids

  • Painless Bleeding: Often, the primary symptom of hemorrhoids is painless bleeding during bowel movements.
  • Underlying Causes: Straining during bowel movements, prolonged sitting, and constipation can contribute to hemorrhoid development.

Anal Fissure

  • Painful Bleeding: Anal fissures, small tears in the delicate skin lining the anus, often cause sharp pain, especially during bowel movements, accompanied by bright red blood.

Ulcerative Colitis

  • Bloody Diarrhea: Ulcerative colitis is an inflammatory bowel disease that can cause frequent, bloody diarrhea, along with other symptoms like fatigue and weight loss.

Recto Anal Cancer

  • Persistent Bleeding: Anal cancer can present with persistent bleeding, even in the absence of bowel movements. Other symptoms may include pain, changes in bowel habits, and a feeling of incomplete bowel emptying.

If you experience any of these symptoms, it’s crucial to consult a healthcare professional for a proper diagnosis and treatment plan. Early detection and intervention are key to managing these conditions and preventing complications.

Remember, self-diagnosis can be misleading. A qualified healthcare provider can accurately assess your symptoms and recommend appropriate treatment options.

Understanding Anorectal Masses: More Than Just Piles

A common concern among many individuals is the appearance of a mass protruding from the anus. While hemorrhoids or “piles” are a frequent culprit, it’s important to recognize that other conditions can also cause such symptoms.

Common Causes of Anorectal Masses: 

Hemorrhoids:

  • Symptoms: Painless bleeding during bowel movements, itching, and a feeling of incomplete evacuation.
  • Protrusion: Hemorrhoidal masses may protrude from the anus, especially during bowel movements, and retract spontaneously or require manual reduction.

External Hemorrhoids:

  • Symptoms: Painful, swollen lumps near the anus that may not retract on their own.
  • Cause: Blood clots in the hemorrhoids due to excessive straining or prolonged sitting.

Rectal Prolapse:

  • Symptoms: A significant protrusion of the rectal tissue through the anus, which may be painful or uncomfortable.
  • Appearance: The prolapsed rectum appears as a red, fleshy mass that may be difficult to manually reduce.

Anal Fissure with Sentinel Tag:

  • Symptoms: Severe pain, especially during bowel movements, and bright red bleeding.
  • Protrusion: A small, fleshy tag of skin may develop at the lower end of the fissure.

Anal Polyp:

  • Symptoms: Often asymptomatic, but may cause bleeding, mucus discharge, or changes in bowel habits.
  • Protrusion: Polyps can protrude from the anus, especially during bowel movements.

It’s crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Self-diagnosis and home remedies may not be sufficient for complex anorectal issues. A qualified healthcare provider can assess your specific condition and recommend the best course of action.

Remember, early diagnosis and intervention can significantly improve outcomes and prevent complications.  

Understanding Anorectal Discharge: Beyond the Basics

Anorectal discharge, characterized by the release of fluid or pus from the anus or surrounding areas, can be a distressing symptom of various underlying health conditions. Let’s delve deeper into common causes and treatment options.

Common Causes of Anorectal Discharge:

Fistula-in-Ano:

  • What is it? An abnormal tunnel connecting the anal canal to the skin near the anus.
  • Symptoms: Intermittent discharge of pus or blood from a small opening near the anus.

Perianal Abscess:

  • What is it? A painful, pus-filled infection near the anus.
  • Symptoms: Swelling, pain, and pus discharge from the affected area.

Hemorrhoids:

  • What are they? Watery discharge, especially when hemorrhoids prolapse.
  • Symptoms: Watery discharge, especially when hemorrhoids prolapse.

Inflammatory Bowel Diseases (IBD):

  • What are they? Chronic inflammatory bowel conditions like Crohn’s disease and ulcerative colitis.
  • Symptoms: Discharge can vary depending on the specific condition and severity.

In this article, we’ve explored some of the common anorectal problems, including Hemorrhoids, Anal Fissure, Perianal Abscess, Anal Fistula, External Hemorrhoids, Pruritus Ani, Rectal polyp, Inflammatory bowel conditions like IBS/ Crohn’s disease, Rectal Prolapse, Recto Anal Cancer .

It’s important to remember that self-diagnosis can be misleading. If you’re experiencing any symptoms related to anal health, it’s crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early detection and intervention can significantly improve outcomes and prevent complications.

Disclaimer:

This article is intended for informational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.

Categories
Fistula

Everything about Fistula-in-Ano

What is a Fistula-in-Ano?

A fistula is a tube-like passage that connects two openings. In the case of a Fistula-in-Ano, this abnormal passage forms between the anal canal and the skin around the anus.

  • External Opening: This is the visible opening on the skin near the anus.
  • Internal Opening: This is the less visible opening located inside the anal canal.

A Fistula-in-Ano can often be a result of an untreated anal abscess. It can cause significant discomfort, including pain, swelling, and drainage.

Symptoms of Fistula-in-Ano

Individuals with a Fistula-in-Ano may experience the following symptoms:

  • Persistent Discharge: A recurring discharge of pus or blood from the external opening near the anus.
  • Chronic Pain: Intermittent or constant pain around the anal area.
  • Swelling: Noticeable swelling or a lump near the anus.
  • Skin Irritation: The surrounding skin may become irritated due to the discharge.
  • Discomfort: Difficulty sitting or performing daily activities.

If you experience any of these symptoms, it’s crucial to consult a healthcare professional for accurate diagnosis and appropriate treatment.

Causes of Fistula-in-Ano

While the precise cause of Fistula-in-Ano remains unclear, it’s generally linked to infections in the anal glands. Certain factors can increase your susceptibility to developing this condition:

  • Anal Fissure: A small tear in the anal lining.
  • Uncontrolled Diabetes: High blood sugar levels can weaken the immune system and make infections more likely.
  • Inflammatory Bowel Diseases: Conditions like ulcerative colitis and Crohn’s disease can increase the risk of anal abscesses and fistulas.
  • Tuberculosis: A bacterial infection that can affect various parts of the body, including the anal region.
  • Trauma: Injury to the anal area can lead to infection and fistula formation.

If you have any of these underlying conditions or experience symptoms of a Fistula-in-Ano, it’s essential to seek medical attention for timely diagnosis and appropriate treatment.

Types of Fistula-in-Ano

Fistula-in-Ano is categorized based on the location of the fistula tract relative to the anal sphincter muscles:

  1. Intersphincteric Fistula: This type of fistula passes between the internal and external anal sphincter muscles.
  2. Transphincteric Fistula: This fistula extends through both the internal and external anal sphincter muscles.
  3. Suprasphincteric Fistula: This type of fistula passes above the internal and external anal sphincter muscles.
  4. Extrasphincteric Fistula: This fistula extends beyond the anal sphincter complex and may involve other pelvic structures.

Understanding the specific type of fistula is crucial for determining the most effective treatment approach.

Diagnosing Fistula-in-Ano

A Fistula-in-Ano is often suspected when a person experiences:

  • Recurrent Discharge: Intermittent discharge of pus or blood from the anal opening.
  • Recurring Swelling: Periodic swelling near the anal area, which may subside after drainage.

Physical Examination:

A colorectal surgeon can typically diagnose a fistula-in-ano through a physical examination. This involves:

  • Visual Inspection: Identifying the external opening of the fistula.
  • Digital Rectal Examination (DRE): A manual examination to assess the internal opening and the extent of the fistula tract.
  • Fistula Probe: A thin, flexible probe is inserted into the external opening to map the fistula tract.

Imaging Tests:

In some cases, additional imaging tests may be necessary for a more accurate diagnosis:

  • MRI Fistulogram: This advanced imaging technique provides detailed images of the fistula tract, helping to identify its complexity and relationship to the anal sphincter muscles.

By combining these diagnostic methods, healthcare professionals can accurately diagnose Fistula-in-Ano and develop an appropriate treatment plan.

Treatment for Fistula-in-Ano

It’s important to understand that Fistula-in-Ano cannot be cured solely through medication, regardless of the type (homeopathic, allopathic, or Ayurvedic).

Fistula-in-Ano is a complex condition that requires surgical intervention in most cases. The specific surgical approach will depend on the type and location of the fistula, as well as the patient’s individual circumstances. Here are some of the common surgical treatments for Fistula-in-Ano:

  • Fistulotomy: This is the most common surgical treatment for simple fistulas. The surgeon cuts open the fistula tract, allowing it to heal from the inside out.
  • Seton Placement: A rubber band or thread is inserted into the fistula tract to promote drainage and healing. Over time, the seton gradually cuts through the fistula tract, leading to its closure.
  • Ligation of Intersphincteric Fistula Tract (LIFT): This minimally invasive procedure involves ligating the blood supply to the fistula tract, causing it to shrink and heal.
  • Advancement Flap: A flap of tissue is created from the rectal wall and advanced to cover the fistula tract, promoting healing.
  • Fibrin Sealant: A biological adhesive is injected into the fistula tract to seal it off and promote healing.
  • Fistula Plug: A plug is inserted into the fistula tract to stimulate healing.
  • Video-Assisted Anal Fistula Treatment (VAAFT): This minimally invasive procedure uses a camera to guide the insertion of a laser fiber to treat the fistula.
  • Fistula Laser Closure (FiLaC): A laser is used to close the fistula tract.

It’s important to consult with a colorectal surgeon to determine the most appropriate treatment option for your individual case.

The most suitable treatment option will depend on the specific type of fistula, its location, and the individual patient’s circumstances. It’s essential to consult with a colorectal surgeon to determine the best course of action.

Complications of Surgical Fistula-in-Ano Treatment

While surgical interventions may be effective in treating Fistula-in-Ano, there are potential complications that patients may face:

  • Recurrence: One of the primary concerns is the recurrence of the fistula after treatment. This can occur due to incomplete removal of the fistula tract or underlying factors that contribute to fistula formation.
  • Fecal Incontinence: Some surgical procedures, particularly those involving the anal sphincter muscles, may lead to varying degrees of fecal incontinence. This can significantly impact a patient’s quality of life.

To minimize these complications, it’s crucial to choose an experienced surgeon who can perform the procedure with precision and minimize damage to the delicate anal sphincter muscles. Additionally, adhering to post-operative care instructions is essential for optimal healing and reducing the risk of recurrence.

Ayurvedic Treatment for Fistula-in-Ano: Ksharsutra Therapy

While modern medicine offers various surgical options for Fistula-in-Ano, Ayurvedic medicine provides a time-tested solution: Ksharsutra treatment. This ancient therapy, detailed in Ayurvedic texts like Sushruta Samhita, has been used for over 2000 years to effectively treat fistula-in-ano.

How Ksharsutra Treatment Works:

  1. Precise Diagnosis: The fistula tract is carefully mapped using a probe or advanced imaging techniques like MRI fistulogram.
  2. Medicated Thread Placement: A specially prepared medicated thread, known as Ksharsutra, is inserted into the fistula tract.
  3. Gradual Healing: The Ksharsutra gradually dissolves the unhealthy tissue, promoting healing from within the fistula tract.
  4. Regular Replacement: The Ksharsutra is replaced periodically until the fistula is completely healed.

Advantages of Ksharsutra Treatment:

  • Minimal Invasiveness: The procedure is minimally invasive, requiring no hospitalization or extended bed rest.
  • Reduced Risk of Complications: Ksharsutra treatment has a low risk of recurrence and incontinence, common complications associated with other surgical treatments.
  • Preserves Anal Sphincter Function: This Ayurvedic technique helps preserve the anal sphincter’s function, minimizing the risk of fecal incontinence.
  • Holistic Approach: Ksharsutra treatment often involves a holistic approach, addressing underlying imbalances and promoting overall well-being.

Take the First Step Towards a Healthier You

If you’re struggling with Fistula-in-Ano and seeking effective treatment, book an appointment today. Our experienced healthcare professionals are dedicated to providing comprehensive care and helping you regain your quality of life.

Don’t let this condition hold you back. Reclaim your happiness and well-being.

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