Tag: SymptomsOfAAnalFistula

Can a Fissure Turn into a Fistula?

Post author By Dr. Ravinder Sharma
Post date June 13, 2024
No Comments on Can a Fissure Turn into a Fistula?

Fissure vs. Fistula: Understanding the Difference

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

What is an Anal Fissure?

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

What is an Anal Fistula?

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

The Connection Between Fissures and Fistulas

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

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

Seeking Relief from Anal Fissure or Fistula?

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

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

Understanding Anal Fissures: A Common Anorectal Issue

Anal Fissure: A Painful Tear

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

Common Symptoms of Anal Fissures:

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

Types of Anal Fissures:

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

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

Understanding the Causes of Anal Fissures

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

Common Causes of Anal Fissures:

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

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

Healing Anal Fissures: A Comprehensive Guide

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

Conservative Treatments

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

Medical Interventions

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

Ayurvedic Approach: Ksharsutra Treatment

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

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

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

Understanding Anal Fistula: A Complex Condition

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

Anal Fistula: Recognizing the Symptoms

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

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

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

Understanding the Causes of Anal Fistula

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

Key Factors Contributing to Anal Fistula:

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

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

Effective Treatments for Anal Fistula

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

Medical Treatment

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

Surgical Interventions

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

Ayurvedic Treatment: Ksharsutra Therapy

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

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

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

Can an Anal Fissure Turn into a Fistula?

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

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

Why might a fissure turn into a fistula?

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

The Importance of Timely Treatment

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

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

Conclusion

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

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

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

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

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All Fistula

Why Ksharsutra for Fistula-in-Ano

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

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All Fistula

Everything about Fistula-in-Ano

Post author By Dr. Ravinder Sharma
Post date May 10, 2024

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:

Intersphincteric Fistula: This type of fistula passes between the internal and external anal sphincter muscles.
Transphincteric Fistula: This fistula extends through both the internal and external anal sphincter muscles.
Suprasphincteric Fistula: This type of fistula passes above the internal and external anal sphincter muscles.
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:

Precise Diagnosis: The fistula tract is carefully mapped using a probe or advanced imaging techniques like MRI fistulogram.
Medicated Thread Placement: A specially prepared medicated thread, known as Ksharsutra, is inserted into the fistula tract.
Gradual Healing: The Ksharsutra gradually dissolves the unhealthy tissue, promoting healing from within the fistula tract.
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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Piles To Smiles

5.0

Based on 130 reviews

review us on

Rishita Rohilla

16:37 15 Mar 25

I was suffering from fistula in Ano for last 10 to 12 years. Tried all kinds of treatments even surgery but the fistula did not cure. Finally after searching the web I came across Dr Ravinder Sharma. I visited his clinic. He assured me that it will be cured within 4-6 sittings. Kshar sutra was inserted on 15 Mar and changed weekly. As assured by him the fistula totally cured within stipulated time. Dr Ravinder has vast experience in curing fistula and other related diseases. His staff is very cooperative. I recommend Ravinder for treatment of fistula. One year almost over now and I am perfectly fine now. I recollect Dr Ravinder's last conversation when he said go eat anything and enjoy. I have really forgotten that I had this disease. Thank Dr Ravinder sir

sanjeev Goyat

07:56 13 Mar 25

I recently had a great experience at Piles to Smiles Clinic in Delhi. Dr. Ravinder Sharma and his team were highly professional, skilled, and compassionate throughout my treatment. Their expertise and care made the entire process smooth and comfortable. I truly appreciate their dedication and would highly recommend them to anyone in need of quality treatment.

Mahipal Kashyap

02:04 11 Mar 25

I recently underwent treatment for a fistula and I couldn’t be more grateful for the care I received from Dr. Ravinder from the very first consultation, Doctor took the time to thoroughly explain my condition, the treatment options available, and what to expect during the recovery process. I was going through a truma and was very depressed but suddenly I came to know about Piles to Smiles clinic, I went there all my worries gone after meeting Dr. Ravinder and his team.The ksharsutra treatment was performed with great skill, and I felt comfortable and reassured throughout the entire process. Dr. Ravindra and their staff were always professional, compassionate, and available for any questions I had, both before and after the procedure.My recovery has gone smoothly, and I am now feeling much better. I truly appreciate Dr. Ravinder expertise and commitment to my well-being. I highly recommend Piles to smiles to anyone seeking treatment for fistula or similar condition.

Rahul Gautam

11:25 08 Mar 25

Dr. Ravinder Sharma is an outstanding expert in the treatment of anorectal conditions, and my experience at Piles to Smile exceeded all expectations. From the moment I arrived, I was impressed by Dr. Sharma's professionalism and his genuine care for his patients. He took the time to thoroughly listen to my concerns, ensuring that I felt heard and comfortable at every step. His ability to explain the treatment process clearly and his compassionate approach made a world of difference. The entire experience was seamless, stress-free, and left me feeling completely confident in my treatment. Dr. Ravinder Sharma is truly one of a kind – a rare combination of expertise, empathy, and dedication. I highly recommend him to anyone seeking top-notch care for anorectal issues. His level of care is unparalleled!Thank you 😊

SHIVAS MEDIRATTA

14:03 05 Mar 25

Sir is very polite and listen properly.Happy with the treatment.

ashish sharma

15:12 03 Mar 25

Well maintained facility and amazing doctor with great knowledge

Sanjay Kumar

17:21 02 Mar 25

Thanks a lot sir for the treatment of fistula with ksharsutra treatment without any complication,I am very satisfied with the treatment with proper healing and 100 percent cure,thanks a lot sir for this...☺️

Sushma Laut

17:17 02 Mar 25

Sir treated me well from fissures, he is very expert in dealing with fissure without surgery from Ayurvedic treatment.... Thanks a lot sir

gaurav bhatnagar

15:42 01 Mar 25

Best Treatment in the townMy problems were resolved completely

aman sharma

09:04 01 Mar 25

Visited Doctor Ravinder with severe pain and infection in peri-anal area. Was given a thorough treatment that lasted 3 weeks and was super helpful in the recovery process. Highly recommended

Vinod Kumar

06:46 01 Mar 25

Very satisfied with the treatment and guidance of doctors, my wife have a serious problem and they treat her and cure the problem. In present condition she is in very good condition.

pawan kumar

14:36 28 Feb 25

UPRNN Ltd Medical College Unit New Delhi

12:55 28 Feb 25

I visited the dr Ravindra Sharma ji with the problem of acute pain, he diagnosed me with the fissure and treated me. Now I am totally fine. Apart from his diagnosis, he is very nice and humble human being also. I wish him all the best.🙏🏻

Mithu Kumar

12:52 27 Feb 25

Gaurav Sharma

05:38 26 Feb 25

Thanks a lot Doctor for helping me in my tratment. Now i am feeling much better!!Thanks for all your support

Rajesh Sachdeva

03:59 26 Feb 25

Very good experience with the doctor.he was empathetic for my pain and helped it get away by giving right medicines

shalini goel

05:39 23 Feb 25

LikeI recommend this doctor!Before 4 months i dignosed with Fissure , i visited many doctors and hospital everywhere i get same solution thats A surgery but mentally i not prepared for this.Finally i find Piles to smile ( Dr. Ravindra ) from Google. and i visited there. Dr Ravindra is a good , humble and experienced Doctor and he have magical treatment. After regular medication of 2 months i m perfectly fine. i feel like i was never suffered with the same.i recommed to Piles to smiles for all piles related issues.Thanks Piles to Smile..Thanks Dr Ravindra. :)

Gajendra Singh

02:20 16 Feb 25

Good experience ,Dr Ravinder sharma is very expert in handling anorectal problems,he is having good knowledge ,clinic is very clean and neat,thanks a lot sir...

Ambrish

18:37 14 Feb 25

"I had an excellent experience at Piles To Smiles Ayurvedic Clinic. Dr. Ravinder sir is highly knowledgeable and provide effective Ayurvedic treatment with a personalized approach. The staff is friendly, and the clinic maintains great hygiene. My health has improved significantly after following their treatment plan. Highly recommended for anyone looking for natural and holistic healing!"

Narendra Teotia

08:01 11 Feb 25

Very good experience

R.K. Sharma

15:35 04 Feb 25

Very good experience, Dr. Ravinderji is so humble and experienced.Thanks and regards

Pawan Seth

12:55 03 Feb 25

I lost my hope of recovery without operation. But after getting treatment from piles to smile I am OK now. Dr ravinder sharma is very friendly and polite to there patient. Thanks to dr ravinder sharma ji

Preeti Sehrawat

07:06 29 Jan 25

Professional environment. I felt very looked after and comfortable. I was given all necessary information and had a good experience. Proper hygiene was also maintained.

VIKASH SHARMA

15:03 26 Jan 25

Dr. Ravindra is an exceptional doctor who truly cares about their patients. He is knowledgeable, patient, and take the time to explain everything clearly. The staff is friendly, and the overall experience was seamless. Highly recommend for anyone seeking excellent care!"

sucharit narang

11:41 26 Jan 25

Had consulted with Dr. Ravinder, we were initially very apprehensive of Ayurveda and the doctor. But the doctor was very patient, helpful and our problem was solved by him.When most of the hospitals had suggested surgery, He gave us time and explained us things very patiently. Highly recommended the clinic and dr Ravinder in particular. Such doctors are God send.Thank you so much from the bottom of our hearts.

roshan kumar

08:49 19 Jan 25

"I had a great experience at Piles to Smiles Clinic. The doctor ravinder sharma was very professional, knowledgeable, and made me feel comfortable throughout the treatment. Highly recommend this clinic for anyone seeking expert care!"

Neha rathor

05:19 19 Jan 25

Dr Ravinder is very expert in handling haemorrhoids problem with perfect ayurvedic treatment,he listens the patient problem well,and provide effective treatment for the same,I m very satisfied after his treatment and well recovered,clinic hygiene is excellent,will suggest to all those who are suffering from such problem👍

sameer subba

02:47 11 Jan 25

I am from Darjeeling and I got cured from Piles to Smile.I always used to ask Dr.Ravinder Sir when I get a smile on my face he replies soon you will get it…Now I am fully cured and thanks to Dr. Ravinder and his team.I am very Lucky and fortunate that I got Dr. Ravinder for my treatment. He is very soft spoken and he understand the feelings of patient…Thanks to Dr. Ravinder Sir and Team

ajay Kumar

06:35 10 Jan 25

Must visit piles to smiles for haemorrhoids problem,,good ayurvedic treatment and painless with 💯 percent recovery,thanks a lot sir🙏😊

Jagdish Kumar

06:32 10 Jan 25

I m giving 5 star rating according to my experience with Dr. Ravinder Sharma,he is very expert in handling fistula ,got treated well and satisfied 😊

Gora devi

08:08 09 Jan 25

Good one, satisfied with the ayurvedic treatment of piles,the treatment by the docter defines the name of the clinic i .e.piles to smiles ☺️thanks a lot sir🙏(Dr Ravinder Sharma)..

Brijesh Kumar Kanaujiya

13:55 03 Jan 25

Very good experience.Am very satisfied.Piles smile is good for treatment of piles.

jagmati vats

11:58 29 Dec 24

Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.

Kullu Noel

09:47 22 Dec 24

Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄

Alka Bisht Bisht

08:48 22 Dec 24

Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.

med Jayant

09:02 18 Dec 24

Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.

Kiran Grover

06:05 13 Dec 24

One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏

Mandy Sandhu

17:40 29 Nov 24

Highly impressed by the service received by the doctor and the staff at Piles to Smiles.An absolute fabulous treatment with reasonable price.I recommend people to visit Piles to Smiles clinic for an efficient treatment.

Devdutt Dev

07:20 26 Nov 24

Best place for fistula treatment...

Md Shamim Ansari

14:18 25 Nov 24

Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.

Komal Tanwar

18:41 17 Nov 24

i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.

Nikita Verma

17:51 06 Nov 24

I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️

Akash Chaubey

15:32 05 Nov 24

My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...

deepika singh

14:04 22 Oct 24

Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...

Debkumari Bachaspatimayum

11:53 19 Oct 24

Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.

Monika

12:43 16 Oct 24

I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.

Ravi Lagga

08:27 12 Oct 24

There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.

Lalita Bhandari

13:27 07 Oct 24

My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏I will give him five star for this treatment.

mahipal kathayat

13:40 27 Sep 24

PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir

Who Yogisingla

01:14 25 Sep 24

Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.I’ll highly recommend.

Rameshwari Singh

01:59 20 Sep 24

Good experience,best docter for painless ayurvedic treatment for piles....

RUDRAMURTHE GNANASOUNDRAMURTHI

13:54 13 Sep 24

Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....

Shashi Devi

12:08 09 Sep 24

Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏

Priya Vats

18:01 28 Jul 24

A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...

Amarjeet Cagten

03:57 25 Jul 24

"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"

Nidhi Bhardwaj

07:02 19 Jul 24

I would definitelyrecommend this hospital tofamily and friends!One of my friend had taken treatment for fistula and he’s satisfied and happy with the treatment now!All reward goes to Dr.Ravinder & It's abeautiful environment, verynice and clean. Thecommunity needs thisservice.Thank you for all you do!

Yogeeta Kadian

06:37 30 Jun 24

Dr. Ravinder is an experienced doctor. He understands the problem well and provides right solutions to cure people's suffering from intense pain. His expertise has been very helpful for my mother. I have referred him to my relatives and friends and all of them were also treated well. Apart from his expertise as doctor he is very soft spoken and kind person.

creative songs

05:23 29 May 24

I got my previous treatment done somewhere,but was not having good experience. Then I decided to visit piles to smiles,Dr Ravinder is very incredible,He explains everything in clear manner,he treated me well,best experience, will recommend to visit here for best ayurvedaic treatment for fissures...