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All Fissure Fistula General Piles Pilonidal Sinus

What is Proctology & Who is a Proctologist ?

What is Proctology? 

Similarly, to most medical notions, the word proctology is derived from the Greek, and contains the words proktos, which means “anus” or “hind parts”, and logia, which is known as “science”. 

Dr. Ravinder Sharma, a leading proctologist explains “Proctology is a highly specialized area of general surgery dealing with the prevention, diagnosis, and treatment of rectum, colon, and anus disorders. Hemorrhoids, fistula, fissures, polyps, and pilonidal sinus are a few diseases that are included in this domain. It involves treating anorectal diseases via medicines or various procedures.”

Who is a Proctologist?

A proctologist is a medical doctor specializing in diagnosing and treating disorders of the colon, rectum, and anus. 

What does a Proctologist do?

Proctologists treat many conditions of the lower digestive system which includes the colon, rectum, anal canal, and perianal area. These conditions are:

  • Hemorrhoids – Swollen veins that can occur internally and externally around the anus
  • Fistula-in-ano – infected tunnel between the skin and anus
  • Peri-Anal Abscesses – Formation and accumulation of pus in the area surrounding the anus
  • Fissure-in-ano – small tear in the lining of the anus
  • Pilonidal Cysts/ Sinus – Swelling with a collection of pus at the tailbone that contains hair
  • Anal skin tags – non-cancerous skin growths.
  • Rectal Prolapse – a condition when the rectum slips out through the anal opening
  • Bowel Incontinence – inability to hold stool resulting in slippage of feces unconsciously.
  • Inflammatory Bowel Disease – Crohn’s and Ulcerative Colitis
  • Irritable bowel syndrome (IBS) –  A chronic condition that causes bloating, pain, constipation, and diarrhea.
  • Colon polyps – Small, benign clumps of growths in the colon that have the potential to turn cancerous.
  • Colon, rectal, and anal cancers – Cancers that originate in these regions.
  • Sexually transmitted infections (STIs)  Infections in the genital and anal area include:
  • Chlamydia
  • Syphilis
  • Gonorrhea
  • Genital herpes
  • Condyloma (warts)

When should you consult with a proctologist?

Often people search for the Best Proctologist near me online as they are too embarrassed to tell anyone, even their doctor, about their issues with the anus. Here are the main health conditions that require consulting an expert proctologist:

  • Bowel difficulty
  • Uncomfortable sensations/ itching/ burning or pain around the anus or rectum
  • Bleeding or other discharge from the anus/ near anus
  • Warts or bumps in the anal region
  • Change in bowel habits or changes in the stool
  • Difficulty controlling bowel movements, like fecal incontinence
  • Existence of warts, bumps, or foreign bodies near the anal area
  • Persistent constipation
  • Screening for a colonoscopy (Starts at age 45 or younger if any bleeding, family history of polyps or colorectal cancer)
  • Any other changes to the anus and rectal area that are concerning. 

People with excessive weight, as well as people with prolonged sitting, or systematic lifting of weights, should periodically consult a specialist proctologist for preventive purposes.

People who have undergone proctologic surgeries are also advised to visit a medical examination. 

Proctologists perform different procedures to correct the colon, rectum, or anus. Anyone with these diseases and symptoms can see the best proctologist in Delhi NCR for estimation, diagnosis, and treatment.

Diagnostic and treatment procedures performed by Proctologists

An experienced Proctologist uses diagnostic procedures and treatment options for patient’s health and quality of life. 

Diagnostic Procedures

Diagnostic procedures are to identify conditions affecting the rectum and anus. These broadly refer to a variety of rectum and colon examinations:

  • External examination
  • Digital Rectal examination
  • Anoscopy
  • Proctoscopy
  • Sigmoidoscopy
  • Colonoscopy
  • Ultrasound of abdominal cavity
  • X-ray and endoscopic examination
Treatment Options

The treatment option varies depending on the specific condition and its severity. Non-surgical options include medications, lifestyle changes, and physical therapy. Minimal Surgical options include Kshar Karma, Ksharsutra Treatment, Rubber Band Ligation, Sclerotherapy, Open Hemorrhoidectomy, Closed Hemorrhoidectomy, Closed Lateral Internal Sphincterotomy, Incision and Drainage, etc. Here Kshar Karma and Ksharsutra are specialized ayurvedic treatments that are designed by our best ayurvedic proctologist according to the disease condition of the fellow. 

We at Piles To Smiles, have the best proctologist in Delhi, who can help you with prevention, diagnosis, and ayurvedic treatment of Anorectal health problems.

How to find the best proctologist near me in Delhi NCR?

Here are some important things to consider when looking for an experienced proctologist:

  • Is the proctologist Govt.-certified?
  • Is he licensed to practice?
  • Can you have a consultation to get to know your nearby proctologist prior to having any procedures done?
  • What are their locations and hours?
  • If you’re having particular symptoms or procedures, what’s the doctor’s previous experience with disease and conditions?
  • Does your experienced proctologist make you feel safe and secure?
  • Does he answer your questions honestly, and 
  • Is he subtle in addressing your concerns?

If the answers to the above question come to be “satisfactory” then he is the best proctologist for you. 

How our Best Proctologist for hemorrhoids treats at Piles To smiles: 

The relationship between patient and proctologist is cardinal. Due to the nature of proctological examination and treatment, establishing trust and ensuring patient comfort is vital. Dr. Ravinder notes, “Our approach always prioritizes patient dignity and comfort.”

Proctological exams can cause anxiety for many patients. Our top-rated Proctologists are trained to manage these anxieties, ensuring patients are informed and comfortable throughout their treatment. “Clear communication and empathy are key in alleviating patient fears,” says Dr. Ravinder.

Proctologists often face the challenge of discussing sensitive and potentially embarrassing issues especially when a female patient requests to be treated by the best female proctologist in Delhi. “It requires tact and sensitivity to discuss such personal health matters with female patients. Our gender comes later first we are Proctologists and you will find we are handling you as gently as if taken care of by the best female proctologist only” explains Dr. Ravinder.

Children and Adolescents frequently suffer from anorectal symptoms. Pediatricians commonly treat these with medications. Evaluation by a pediatric proctologist is recommended when the symptoms are severe or become chronic. Our best proctologists in Delhi are equally trained in pediatric proctology.

At Piles To Smiles, with our best proctologist in Delhi, we aim to provide non-surgical or Minimal surgical treatment for anorectal health issues, allowing you to concentrate on your recovery while we handle the rest.

Prevention and Management of Proctological Conditions

There are a few ways to prevent and manage proctological conditions. Making lifestyle changes is often the first step in managing these conditions. For example, losing weight can help reduce the risk of developing hemorrhoids if the fellow is overweight. Other changes include eating a high-fiber diet, exercising regularly, and avoiding constipation. If lifestyle changes alone cannot manage the condition, our experienced proctologist may recommend medical management. Minimal Surgery is sometimes necessary to treat proctological conditions. These include Kshar Karma, Ksharsutra Treatment, Rubber Band Ligation, Sclerotherapy, Open Hemorrhoidectomy, Closed Hemorrhoidectomy, Closed Lateral Internal Sphincterotomy, Incision and Drainage etc.

These treatments are usually minimally invasive and with less pain. Recovery is quick, letting the patient get back to his daily routine soon. For the best care, look for the best proctology center in Delhi with experienced proctologists.

Book an appointment at Piles To Smiles for the best proctology treatment in India. 

 
Categories
All Fistula

Everything about Fistula-in-Ano

Fistula means a tube with two openings. In context to Fistula-in-Ano; one opening of fistula (external opening) lies in skin around the anal opening while the 2nd one (internal opening) lies inside the anal passage.

Symptoms of Fistula-in-Ano:

Patient suffering from Fistula-in-Ano complaints of

  • Intermittent pus discharge with or without bleeding from the external opening with
  • Off and on pain; and
  • Swelling near anal opening.

Causes of Fistula-in-Ano:

Exact pathology of fistula-in-Ano is still unknown but is for sure that Fistula-in-ano is the resultant of infection in anal glands. There are certain conditions which make a person prone to Fistula-in-Ano like history of:

  • Fissure-in-Ano
  • Uncontrolled Diabetes mellitus
  • Ulcerative colitis
  • Crohn’s disease
  • Tuberculosis
  • Trauma etc.

Types of Fistula-in-Ano:

There are two sphincter muscles in our anal passage internal and external anal sphincter. According to the position of fistula tract relative to these muscles; fistula-in-Ano is divided as under:

  • Intersphincteric fistula.
  • Transphincteric fistula.
  • Suprasphincteric fistula.
  • Extrasphincteric fistula.

How to diagnose Fistula-in-Ano?

Fistula-in-Ano is suspected when someone gives history of intermittent discharge from or around anal opening with off and on swelling. In fact; swelling disappears when accumulated pus discharges to come again when pus accumulates. Patient gives history of swelling — pus discharge —swelling—- pus discharge…. and so on.  On examination, an ano rectal specialist can visualize external opening in area around anal opening. An Anorectal specialist; will confirm the diagnosis after defining the tract by probing with malleable metallic probe. In very few cases; he may also advise for MRI Fistulogram.

Treatment for Fistula-in-Ano:

First thing it is for sure that Fistula-in-Ano can not be cured by medicines only – Homeopathic/ Allopathic or Ayurvedic…… what ever it may be. Different treatments have been tried to treat Fistula-in-Ano with variable success rates. Among these main treatment options are:

  • Seton:
  • Fistulotomy & lay open technique:
  • Fistulectomy with primary sphincter reconstruction:
  • Fibrin Sealant:
  • Fistula Plug:
  • Advancement flap:
  • Ligation of Intersphincteric Fistula Tract (LIFT):
  • Video Assisted Anal Fistula Treatment (VAAFT):
  • Fistula Laser Closure (FiLaC):

Recurrence of Fistula-in-Ano after treatment and varying degree of incontinence are the complications frequently faced in above said treatments. But there is ayurvedic treatment which assures complete treatment without any complication viz Ksharsutra Treatment. Ksharsutra treatment is explained in detail in Ayurvedic text books like Sushruta Samhita etc. more than 2000 years back and still relevant in treating Fistula-in-Ano.

  • Ksharsutra Treatment for Fistula-in-Ano:

This treatment involves defining the fistula tract by probing with a malleable probe or MRI Fistulogram. After defining the fistula tract precisely; Ksharsutra specialist ligates the medicated thread i.e. Ksharsutra in the tract which is replaced by a new one at a week or 10 days intervals until fistula heals completely. Usually, no hospitalization or bed rest is required in this treatment and in most cases; patient can continue his normal routine activities from the vary first day of treatment. Complications like recurrence of Fistula-in-Ano after treatment and incontinence are usually not seen in Ksharsutra treatment for Fistula-in-Ano.

For any other concern about the Fistula-in-Ano treatment you contact us through contact us page.

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