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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
Based on 127 reviews
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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...
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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.

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All Fistula

Can Ayurveda Cure Fistula in Ano? Here’s What You Need to Know

Fistula-in-Ano (Anal Fistula): Understanding and Managing this Condition

Fistula-in-ano, also called an anal fistula or Bhagandar, is a connection that forms between the anal canal (end of the bowel) and the skin surrounding the anus. It frequently develops after an anal abscess. A fistula in ano has two openings: one on the skin near the anus and another inside the rectum or anal canal. Discover information on different options for fistula in ano.

Anal Fistula Treatment: Effective Solutions for Healing

While spontaneous healing of anal fistulas is rare, and oral medications are ineffective, effective treatment options do exist. Let’s explore these treatments to understand how to cure an anal fistula and achieve lasting relief.

Anal Fistula Treatment with Seton Drainage: A Minimally Invasive Approach

A seton is a non-absorbable suture (typically silk or nylon) inserted into the fistula tract to treat anal fistulas. This procedure serves two main purposes:

  • Drainage: The seton keeps the tract open, allowing pus to drain and relieving pressure, pain, and swelling.
  • Healing (Cutting Seton): A cutting seton is gradually tightened over time, slowly cutting through the fistula tract and promoting healing without extensive surgery. This process induces controlled tissue necrosis (pressure necrosis), encouraging the fistula to close.

This minimally invasive approach offers an alternative to more invasive surgical procedures for certain types of anal fistulas.

Benefits of Seton Placement for Anal Fistulas Seton Procedure Risks: Incontinence, Recurrence, and Persistence
  •  Setons provide a comfortable, pain-free solution for managing anal fistulas by ensuring continuous drainage of pus and preventing closure of the fistula tract. 
  • In some cases, a cutting seton can effectively treat fistula-in-ano.

Fistulotomy: The Lay Open Technique for Anal Fistula Treatment

A fistulotomy is a surgical procedure where the fistula tract is opened and laid flat. A probe is inserted into the fistula, and the overlying tissue is divided, converting the tract into an open wound that heals from the inside out. This is a common and effective treatment for anal fistulas.

Benefits of Fistulotomy (the Lay Open Technique)
 Fistulotomy: Incontinence Risk (25-35%)
  •  If you have a simple anal fistula—defined as a non-recurrent fistula affecting less than 30% of the external sphincter, not located anteriorly in women, and without prior continence issues—this procedure may be an effective treatment.

Fistulectomy with Primary Sphincter Repair: A Surgical Solution for Anal Fistulas

This surgical procedure treats anal fistulas by removing the fistula tract. The surgeon makes an incision from the internal opening of the fistula to the external opening, allowing for complete removal of the infected tract. In cases involving the sphincter muscle, a primary sphincter reconstruction is performed to repair and strengthen the muscle, minimizing the risk of incontinence.

Fistulectomy with Sphincter Reconstruction: Benefits & Recovery Incontinence Risk with Fistulectomy and Primary Sphincter Repair
  •  Fistulectomy with primary sphincter reconstruction offers significant advantages, including immediate ambulation, minimal wound care, and a relatively short recovery period of 4-6 weeks before resuming normal physical activity.

Fibrin Sealant Treatment for Anal Fistula

The Fibrin Sealant procedure involves initial debridement of the tract followed by irrigation with saline or hydrogen peroxide to ensure thorough cleaning. The sealant is then gradually injected into the internal opening and allowed to solidify. Once the clot stabilizes at the main opening, the sealant is injected further to completely obliterate the tract. The clot is left to solidify for five to ten minutes.

Advantages of Fibrin Sealant Treatment for Fistula Fibrin Sealant for Fistula: Recurrence Rates and Limitations
  • Minimally Invasive Procedures: Fibrin Sealant is an outpatient procedure, reducing hospital stays and associated costs.
  • Reduced Risk of Incontinence: By preserving the integrity of the sphincter muscle, Fibrin Sealant significantly minimizes the risk of incontinence.

Fistula Plug Procedure: A Minimally Invasive Treatment for Anal Fistula

The fistula plug procedure offers a minimally invasive approach to treating anal fistulas. During the procedure, a surgeon identifies the fistula tract using a standard fistula probe and performs curettage (cleaning) of the tract. A specially designed fistula plug, which can be synthetic or biological, is then attached to the probe and carefully pulled through the tract. The plug is trimmed internally to match the mucosal level and secured with absorbable sutures. Externally, the plug is cut flush with the skin. Importantly, the external opening is left partially open to allow drainage, preventing pressure buildup. This technique avoids distal suturing of the plug. The choice of plug material (synthetic or biological) is determined based on individual patient needs.

Advantages of Fistula Plug Surgery for Anal Fistulas Fistula Plug Disadvantages: High Failure and Recurrence Rates
  • Reduced Risk of Incontinence: Fistula plug surgery is a sphincter-saving procedure, meaning it doesn’t require cutting the sphincter muscles. This significantly lowers the risk of post-operative incontinence, a common concern with traditional fistula surgeries.
  • Minimally Invasive Procedure: Fistula plug placement is a relatively simple and minimally invasive procedure, often performed on an outpatient basis. This translates to less pain, a shorter recovery period, and a faster return to normal activities for patients.
  • While fistula plugs offer a minimally invasive treatment option, success rates vary widely (24-88%). This means a significant chance of failure (12-76%) and potential fistula recurrence. 

Endorectal Advancement Flap Surgery for Anal Fistula Repair

The advancement flap procedure is a surgical approach used in the treatment of fistulas. This technique involves a detailed examination of the fistula tract, including probing to identify any additional tracts that could compromise the outcome.

The surgeon creates a partial-thickness flap, ensuring a wide base (at least twice the width of the apex) to maintain proper blood flow. This flap is carefully dissected to cover the internal opening without tension. The fistula tract is thoroughly cleaned through curettage to remove granulation tissue and debris. The internal opening is then closed by removing the tip of the flap and suturing the flap into its new position.

Two variations of this procedure exist:

  • Endorectal Advancement Flap: This is the standard technique, involving tissue from within the rectum.
  • Dermal Advancement Flap: This variation uses skin as the flap.

This surgical approach offers an effective solution for fistula repair.

Anal Fistula Surgery: Advancement Flap Benefits (Crohn’s, Stenosis) Advancement Flap Surgery for Anal Fistula: Risks, Disadvantages & Recurrence
  • Crohn’s Disease and Rectovaginal Fistulas: Rectorectal flaps are effective for these complex conditions.
  • Anal Stenosis: Dermal flaps are beneficial when anal stenosis coexists with the fistula.

LIFT Procedure for Anal Fistula: Minimally Invasive Treatment for Anal Fistulas

The LIFT procedure, or Ligation of Intersphincteric Fistula Tract, is a surgical treatment for complex anal fistulas. During the LIFT procedure, a probe is inserted into the fistula tract to identify its path. The surgeon then dissects the space between the internal and external sphincter muscles. The fistula tract is divided and sutured on both sides. In some cases, a portion of the fistula tract may be removed. To promote drainage and healing, the external opening is widened, and the LIFT incision is loosely closed. This minimally invasive approach aims to preserve sphincter muscle function and reduce the risk of incontinence.

Advantages of LIFT for Anal Fistula Treatment: Preserving Continence While Promoting Healing  LIFT Surgery Complications and Success Rates
  • High initial healing rates
  • Minimal risk of incontinence
  • Potential to improve future healing outcomes.

A significant disadvantage of LIFT is the potential for fistula recurrence.

Minimally Invasive Anal Fistula Surgery: Video-Assisted Anal Fistula Therapy (VAAFT)

VAAFT is a modern surgical technique for treating anal fistulas. This minimally invasive procedure involves inserting a small camera into the fistula tract, allowing for direct visualization and precise treatment. The surgeon seals the fistula’s internal opening, cleans the tract to remove infection and debris, and promotes healing.

VAAFT for Anal Fistula: Key Advantages & Benefits  Potential Limitations of Video-Assisted Anal Fistula Therapy (VAAFT)
  • Benefits of VAAFT may include reduced pain, faster recovery, and less scarring compared to traditional surgery.

Fistula Laser Closure (FiLaC): Minimally Invasive Treatment for Anal Fistula

The Fistula Laser Closure (FiLaC) procedure uses a ceramic diode laser to effectively treat fistulas. A laser fiber is inserted through the external opening of the fistula tract and guided to the internal opening. The laser energy then causes the fistula tract to contract and close, offering a minimally invasive treatment option.

FiLaC: Sphincter-Saving Fistula Treatment with Reduced Incontinence Risk FiLaC Laser Fistula Closure: Understanding the Limitations
  • Fistula Laser Closure (FiLaC) offers a minimally invasive approach to fistula treatment with a reduced risk of incontinence.

Ksharsutra Treatment for Fistula: A Minimally Invasive Ayurvedic Approach

Ksharsutra therapy offers a minimally invasive treatment option for fistula. The procedure begins with precise identification of the fistula tract using probing or an MRI fistulogram. A medicated thread (Ksharsutra) is then carefully inserted into the tract using a specialized probe. This medicated thread works to debride the fistula and promote natural healing from within. The Ksharsutra is replaced every 7-10 days until complete healing is achieved, as its medicinal properties last for approximately 5-7 days. Consider Ksharsutra for a non-surgical approach to fistula treatment.

Ksharsutra Treatment for Fistula: 96.77% Success Rate, Minimal Complications Disadvantages of Ksharsutra Treatment for Fistula
    • Time Commitment: Ksharsutra treatment requires a significant time commitment due to the nature of the procedure.
    • Surgeon Dependency: The effectiveness of Ksharsutra is highly dependent on the surgeon’s skill and experience in accurately locating and treating the fistula tract.
       

Can Ayurveda Cure Fistula-in-Ano? Exploring Ksharsutra Treatment

Numerous treatments for anal fistula have been proposed over the years. Among them, Ayurveda, with its Ksharsutra treatment, offers a promising solution. By carefully considering the advantages and disadvantages of the top ten available treatments, it’s evident that Ayurveda can effectively cure fistula. Notably, the Ksharsutra method ensures complete healing without complications like incontinence, a common side effect of fistula surgery.

What is Ksharsutra Treatment for Fistula? An Ayurvedic Explanation

Ksharsutra is a time-tested Ayurvedic treatment for fistula. This minimally invasive procedure uses a medicated thread (“sutra”) coated with potent herbal extracts called Kshar (alkaline). This medicated thread is placed in the fistula tract, allowing targeted medication delivery. The Kshar, derived from plants like Apamarga, Yava, and Til Naal, aids in healing. The Ksharsutra delivers the medication directly to the fistula, promoting healing.

Ksharsutra Treatment for Fistula-in-Ano: ICMR Approved Ayurvedic Therapy

Is Ksharsutra treatment effective for fistula-in-ano? Yes, this Ayurvedic therapy has received clinical approval from the Indian Council of Medical Research (ICMR). In 1991, the ICMR conducted a clinical evaluation at prestigious institutions like PGI Chandigarh and AIIMS New Delhi. The results showed that Ksharsutra treatment offers a more convenient and effective solution for patients with fistula-in-ano compared to conventional surgery. This ICMR approval validates Ksharsutra as a viable and effective treatment option.

How is Ksharsutra Treatment Performed? A Step-by-Step Guide

Ksharsutra treatment is a minimally invasive Ayurvedic procedure for managing anorectal conditions like fistula-in-ano. This guide explains the Ksharsutra treatment procedure, from initial diagnosis to the healing process.

Diagnosis and Pre-Treatment Evaluation:

Before starting Ksharsutra therapy, a thorough examination is conducted. A Ksharsutra specialist will perform standard tests and carefully assess the patient’s overall health, considering any existing conditions such as diabetes, hypertension, tuberculosis, or ulcerative colitis. Accurate diagnosis is crucial for effective treatment.

A key part of the evaluation involves precisely mapping the fistula tract. This includes determining its:

  • Length: The total distance of the fistula tract.
  • Depth: How far the tract extends into the surrounding tissues.
  • Branching Pattern: Whether the tract has any side branches.

Typically, a soft, malleable metallic probe is used to explore the fistula tract. In cases where the fistula is deep or the branching pattern is complex, advanced imaging techniques like MRI fistulogram or ultrasound may be recommended for a more detailed assessment.

Ksharsutra Insertion and Application:

Once the fistula tract is clearly defined, the Ksharsutra procedure begins. The Ksharsutra, a medicated thread coated with herbal extracts, is carefully inserted into the fistula tract through the external opening near the anus. The two ends of the Ksharsutra are then tied together, forming a loop within the tract.

The herbal medications on the Ksharsutra work to:

  • Debride: Cleanse and remove infected tissue within the fistula tract.
  • Promote Healing: Stimulate the growth of healthy tissue and close the fistula.

Ksharsutra Changes and Treatment Duration:

The medicinal coating on the Ksharsutra typically remains effective for five to seven days. Therefore, the Ksharsutra is replaced with a fresh one every week or ten days. This process is repeated until the fistula heals completely.

The number of Ksharsutra changes required depends on the fistula’s length, depth, and complexity. With each change, the specialist measures the length of the used Ksharsutra to monitor the healing progress.

Monitoring Healing and Treatment Progress:

The fistula is observed to heal approximately 0.5 to 1 cm with each Ksharsutra change. For example, a 3 cm long fistula tract may require four to six Ksharsutra changes, spaced a week or ten days apart. Regular monitoring ensures the treatment is progressing effectively.

Fistula Treatment in Delhi Without Surgery: Ksharsutra Therapy at Piles To Smiles

Fistula-in-ano presents a significant treatment challenge. Traditional fistula surgery often leads to recurrence or complications like fecal incontinence, making it a difficult condition to manage surgically. 

However, there’s hope. Ksharsutra treatment offers a highly effective and minimally invasive solution for fistula in Delhi. At Piles To Smiles, we specialize in Ksharsutra therapy, providing a proven alternative to conventional surgery.

Benefits of Ksharsutra Treatment at Piles To Smiles:

  • High Success Rate: We have a proven track record of achieving 100% positive outcomes with Ksharsutra treatment for fistula.
  • Minimally Invasive: No major surgery, incisions, or general anesthesia required.
  • Reduced Recurrence: Significantly lower risk of fistula recurrence compared to traditional surgery.
  • No Incontinence Risk: Minimizes the risk of damaging sphincter muscles, preventing fecal incontinence.
  • No Hospitalization: Outpatient procedure allowing patients to continue their daily routines.
  • Safe and Effective: A time-tested Ayurvedic treatment with minimal side effects.

Fistula Treatment in Delhi: Choose Piles To Smiles

At Piles To Smiles in Delhi, we specialize in Ksharsutra treatment for fistula-in-ano. Our experienced practitioners provide personalized care and achieve high success rates. If you’re seeking effective and safe fistula treatment in Delhi, contact Piles To Smiles today.

Piles To Smiles: FAQs on Best Fistula Treatment Without Surgery in Delhi

An anal fistula can cause a range of uncomfortable symptoms. You should consult a doctor if you notice any of the following:

  • Persistent pain around the anus: This is a common symptom and can range from mild to severe.
  • Swelling and redness: Inflammation in the anal area can indicate a fistula.
  • Discharge of pus or blood: This is a key sign of an infected fistula.
  • Recurrent anal abscesses: Repeated abscesses in the same area often suggest an underlying fistula.
  • Painful bowel movements: Passing stool can become extremely painful due to the fistula.
  • Changes in bowel habits: This can include diarrhea, constipation, or other irregularities.
  • Fever or chills: These may indicate a more serious infection.

If you experience any of these symptoms, especially if they persist or worsen, it’s crucial to seek medical advice for proper diagnosis and treatment.

Ksharsutra treatment for fistula is performed under local anesthesia, so you’ll be awake but comfortable. You may feel a few pinches when the anesthetic is administered, but the procedure itself is generally painless and takes only 15-20 minutes.

After Ksharsutra treatment, you can typically resume eating and drinking immediately. You’ll be able to move around and get out of bed shortly after the procedure. Some discomfort is normal, but this can be effectively managed with over-the-counter or prescribed pain medication.

Most patients can return to their normal daily activities within a short period, although specific recovery times may vary.

One of the key advantages of Ksharsutra treatment for fistula is the minimal downtime. Because the procedure is performed under local anesthesia, there’s no need for an overnight hospital stay. You’ll be monitored for a few hours post-procedure, and once you’re comfortable and have passed urine, you’ll be discharged—usually within 2-4 hours. 

We recommend having someone drive you home and stay with you for the first 24 hours, if possible, for added support.

Maintaining a healthy, high-fiber diet is advised both before and during your Ksharsutra treatment for a fistula. This helps promote regular bowel movements and aids in the healing process. You do not need to follow a special or restrictive diet.

While Ksharsutra treatment is highly effective for fistula-in-ano, there are several things you can do to optimize healing:

  • Stay Active: Regular walking (3-4 kilometers daily) promotes blood circulation and healing.
  • Sitz Baths: Soaking the affected area in warm water (Sitz baths) 2-3 times a day, particularly after bowel movements, helps cleanse the area, reduce inflammation, and promote comfort.
  • Maintain Hygiene: Keeping the area clean is crucial to prevent infection. 
  • Eat a High-Fiber Diet: A diet rich in fiber softens stools, making bowel movements easier and reducing strain on the healing fistula.

In most cases, yes. 

One of the advantages of Ksharsutra treatment is that it allows you to maintain your normal lifestyle, including travel. You can generally travel immediately after your Ksharsutra procedure. However, for long or strenuous journeys, it is advisable to consult with your doctor. They can provide guidance on managing any potential discomfort and ensuring a smooth travel experience.

No, You do not need a doughnut or any special pillow after the Ksharsutra treatment.

During Ksharsutra treatment for fistula-in-ano, sitting naturally is recommended. This position facilitates better drainage of any discharge from the fistula tract, which can enhance comfort and promote faster healing.

The healing time with Ksharsutra treatment depends on the fistula’s size and complexity. Typically, fistulas heal at a rate of 0.5 to 1 cm per week with each Ksharsutra change. A 3 cm fistula may take 4-6 weeks to heal completely.

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