Tag: SymptomsOfPilesAndFistula

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

Post author By Dr. Ravinder Sharma
Post date October 22, 2024
No Comments on Piles in Young People: Causes and Signs You Shouldn’t Ignore

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

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

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

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

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

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

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

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

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

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

External Hemorrhoids in Young Adults: Recognizing Signs and Symptoms

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

Key Symptoms of External Hemorrhoids in Young Adults:

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

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

Thrombosed Hemorrhoids: Recognizing the Symptoms

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

Key Symptoms of a Thrombosed Hemorrhoid:

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

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

When to See a Doctor for Hemorrhoids in Young Adults

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

Consult your Piles doctor if:

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

Important Note:

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

By seeking prompt medical attention, you can:

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

What Causes Hemorrhoids in Young Adults?

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

Common Causes of Hemorrhoids in Young Adults:

Straining during bowel movements: Chronic constipation or diarrhea can lead to excessive straining, increasing pressure on the anal veins.
Prolonged sitting: Spending extended periods sitting, especially on the toilet, can put undue pressure on the anal area.
Obesity: Excess weight increases pressure within the abdomen, contributing to hemorrhoid development.
Pregnancy: Hormonal changes and the weight of the growing fetus can increase pressure on pelvic veins.
Anal sex: Repetitive anal intercourse can irritate and inflame the delicate tissues around the anus.
Low-fiber diet: A diet lacking in fiber can lead to constipation, increasing the risk of straining and hemorrhoid development.
Heavy lifting: Regular heavy lifting can increase intra-abdominal pressure, contributing to hemorrhoid formation.
Sedentary lifestyle: Lack of physical activity can weaken pelvic floor muscles, increasing the risk of hemorrhoids.

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

Hemorrhoid Complications in Young Adults: A Rare but Serious Concern

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

Anemia: Persistent bleeding from hemorrhoids can occasionally result in anemia. This occurs when the body lacks sufficient healthy red blood cells to transport oxygen, leading to fatigue, weakness, and other health issues.
Strangulated Hemorrhoids: Internal hemorrhoids can become strangulated when their blood supply is cut off while they remain prolapsed. This condition is extremely painful and requires immediate medical attention.
Thrombosed Hemorrhoids: Blood clots can form within hemorrhoids, a condition known as thrombosis. Although not life-threatening, thrombosed hemorrhoids can cause significant discomfort and may require medical drainage.

Prevent Piles (Hemorrhoids) in Young Adults: Essential Tips

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

1. Fiber Up:

Eat a Fiber-Rich Diet: Load up on whole grains, fruits, and vegetables. This increases stool bulk and softness, making bowel movements easier and reducing straining.
Gradual Increase: Introduce fiber gradually to avoid gas and bloating.

2. Hydrate Effectively:

Drink Plenty of Fluids: Aim for 6-8 glasses of water and other fluids daily to keep stools soft and prevent constipation.
Limit Alcohol: Alcohol can dehydrate you, making constipation more likely.

3. Consider Fiber Supplements:

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

4. Avoid Straining:

Gentle Bowel Movements: Straining and holding your breath during bowel movements increase pressure on rectal veins, worsening hemorrhoids.

5. Stay Active:

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

6. Limit Prolonged Sitting:

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

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

Conclusion

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

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

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Fissure Fistula General Piles Pilonidal Sinus

Best Proctologist in South Delhi

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

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.
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.
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.

Piles To Smiles

5.0

Based on 131 reviews

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Rishita Rohilla

16:37 15 Mar 25

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

sanjeev Goyat

07:56 13 Mar 25

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

Mahipal Kashyap

02:04 11 Mar 25

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

Rahul Gautam

11:25 08 Mar 25

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

SHIVAS MEDIRATTA

14:03 05 Mar 25

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

ashish sharma

15:12 03 Mar 25

Well maintained facility and amazing doctor with great knowledge

Sanjay Kumar

17:21 02 Mar 25

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

Sushma Laut

17:17 02 Mar 25

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

gaurav bhatnagar

15:42 01 Mar 25

Best Treatment in the townMy problems were resolved completely

aman sharma

09:04 01 Mar 25

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

Vinod Kumar

06:46 01 Mar 25

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

pawan kumar

14:36 28 Feb 25

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...

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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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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Fissure Fistula General Piles Pilonidal Sinus

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

Post author By Dr. Ravinder Sharma
Post date May 11, 2024

Beyond Piles: Unraveling the Mystery of Anorectal Health

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

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

Decoding Anal Pain: A Comprehensive Guide

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

Common Causes of Anal Pain

Several factors can contribute to anal pain:

Anal Fissure

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

Perianal Abscess

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

Fistula-in-Ano

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

Ulcerative Colitis

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

Fungal Infection

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

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

Bleeding from the Anal Region: Understanding the Causes

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

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

Hemorrhoids

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

Anal Fissure

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

Ulcerative Colitis

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

Recto Anal Cancer

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

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

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

Understanding Anorectal Masses: More Than Just Piles

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

Common Causes of Anorectal Masses:

Hemorrhoids:

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

External Hemorrhoids:

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

Rectal Prolapse:

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

Anal Fissure with Sentinel Tag:

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

Anal Polyp:

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

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

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

Understanding Anorectal Discharge: Beyond the Basics

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

Common Causes of Anorectal Discharge:

Fistula-in-Ano:

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

Perianal Abscess:

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

Hemorrhoids:

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

Inflammatory Bowel Diseases (IBD):

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

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

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

Disclaimer:

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

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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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Fistula

Ksharsutra Treatment for Fistula- What you need to Know?

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

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

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

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

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

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

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

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

The Preparation of Ksharsutra: A Rigorous Process

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

Key Ingredients:

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

Preparation Process:

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

Sterilization:

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

Modern Preparation Techniques:

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

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

A Timeless Remedy: The Ancient Origins of Ksharsutra

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

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

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

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

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

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

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

Healing Timeline for Ksharsutra Treatment

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

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

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

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

Are There Any Contraindications for Ksharsutra Treatment?

While describing Ksharsutra treatment; Acharya Sushruta says:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

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

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

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

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

Managing Discomfort During Ksharsutra Treatment

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

To manage this discomfort, several strategies can be employed:

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

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

During Ksharsutra Treatment: Patient Care

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

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

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

The Secret to Ksharsutra’s High Success Rate

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

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

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

Factors Affecting Healing Time with Ksharsutra

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

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

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

Ksharsutra vs. Surgery: A Comparative Analysis

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

Lower Recurrence Rate

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

Lower Risk of Complications

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

Minimally Invasive Approach

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

Faster Recovery Time

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

Improved Quality of Life

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

Anesthesia related Complications

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

Cost-Effective Treatment

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

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

Ksharsutra: A Solution for Recurrent Fistula-in-Ano

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

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

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

Preserving Sphincter Function: A Key Advantage of Ksharsutra

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

Preservation of Sphincter Muscles:

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

Additional Factors:

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

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

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