What is Perianal Abscess?

An illness called a perianal abscess collects pus in the tissues next to the anus. The anal glands, which are small glands adjacent to the anus that secrete mucus to lubricate the anal canal, are typically the cause of it.

The anal glands can get infected when they plug up with bacteria. This infection results in the formation of an abscess, which is a pus-filled pocket, while the body’s immune system fights the infection.

All ages, including infants, kids, and adults, are susceptible to developing perianal abscesses. They could be brought on by a number of things, such as:

Blocked Anal Glands:  An environment favourable to bacterial development and infection is produced when the anal glands become closed.

Anal Fissures: These are minute tears or fissures in the anal canal’s lining. They may aid in the formation of an abscess if they contract an infection.

Crohn’s disease: Due to the persistent inflammation and immune system malfunction brought on by this inflammatory bowel disease, people with Crohn’s disease are more likely to develop perianal abscesses.

Typical signs of a perianal abscess include:

• Redness and swelling around the anus.

• Tenderness and pain in the affected area.

• In certain situations, fever and overall malaise.

• Trouble sitting or discomfort when going to the toilet.

A fistula, a tiny tube connecting the abscess to the skin close to the anus, can develop into a perianal abscess if it is not treated. Constant discharge and recurring infections are two effects of fistulas.

What is Emergency Case of Perianal Abscess?

When a perianal abscess develops severe and needs rapid medical attention, it is referred to be an emergency case. A small collection of pus that develops close to the anus or rectum is known as a perianal abscess. It frequently results from an infection that is brought on by the anal glands becoming blocked or obstructed.

A perianal abscess may occasionally develop into an emergency for the following reasons:

Extreme Pain: An abscess may produce excruciating pain that makes it impossible for the individual to sit, walk, or carry out daily tasks.

Rapidly Worsening Symptoms: If the abscess’s swelling, redness, and soreness suddenly get worse, it could be a sign that the infection is spreading or that complications are developing.

High fever, chills, and general malaise: These symptoms point to a systemic infection that may need immediate medical attention.

Stool or Urine Passing Difficulties: If the abscess grows and exerts pressure on the adjacent structures, it may become difficult to pass stools or urine. This can indicate a deeper, more serious problem.

Spreading Infection: In some situations, an abscess-related infection can spread to nearby tissues or the bloodstream, resulting in sepsis. Sepsis is a potentially fatal illness that needs quick medical attention.

If you suspect you have a perianal abscess that has to be treated right away or show any of the symptoms listed above, you must seek medical attention right once. A medical professional can assess the situation, provide the necessary care, and help to prevent complications because of the abscess.

Treatment for perianal abscess

A mix of medicinal and surgical procedures are frequently used to treat a perianal abscess. The major objectives of treatment are to promote healing, drain the abscess, and get rid of the infection. Here are some typical methods:

• Drainage and Incision
• Antibiotics and pain relief
• Post-Procedure Care

A tiny incision is typically used to drain the pus from a perianal abscess. A general and laparoscopic surgeon usually does this. If there is evidence of a severe infection or if a fistula is present, antibiotics may occasionally be recommended.

If you think you may have a perianal abscess, you should contact a doctor right away since timely care can ease your symptoms, stop more problems, and speed up the healing process.

Haemorrhoids are inflamed or swollen veins in the lowest part of anus and lower rectum. It is a very common problem among men’s and women. If Haemorrhoids occur inside the rectum they are known as internal haemorrhoids or If they develop under the skin of anus, then it is known as external haemorrhoids.

External haemorrhoids can cause severe pain, swelling and inflammation if blood gets clotted in these vessels. Clotted piles usually lead to unbearable pain and discomfort, the blood clot can be removed with surgical treatments to relieve the symptoms.

So, today point is about to Discuss about “How do you get rid of external haemorrhoids?”

According to Research¹, Hemorrhoidal disease is ranked first amongst diseases of the rectum and large intestine, and the estimated worldwide prevalence ranges from 2.9% to 27.9%, of which more than 4% are symptomatic.

In today era lot of people suffer from haemorrhoids and it’s mainly due to poor dietary habits and bad lifestyle and most over-the-counter medicines aren’t enough to treat this condition.

Home Remedies for Piles/Haemorrhoids

1. Increase the intake of fiber-rich food

2. Sip more fluids

3. Take warm baths with some Epsom salt

5. Say no to toilet paper

6. Apply ice pack

7. Avoid spicy food

8. Have some ointments to the rescue

9. Do not hold or force!

Surgical Procedure/Treatment

There are many types of procedure apart from home remedies

• Conventional surgery
• Laser Treatment,

Laser treatment is a very effective treatment with very few complications its practically a day care surgery with faster recovery rate. Surgery might be a better long-term choice, especially if your condition is leading to discomfort and pain or if there is troublesome bleeding.

Laser Haemorrhoid surgery is very safe and effective treatment procedure, and now a days most of the qualified piles surgeon choose this procedure.

Although after the surgery you have to follow doctors diet plan, and lead a healthier lifestyle, avoid constipation, and take care of your bottom to help prevent any recurrence.

We advise you to consult with our Proctologist, before you decide on any surgery.

Read About: Who is Proctologist and what they treat?

Hemorrhoidectomy

Now, what is Hemorrhoidectomy?

The surgical process to remove haemorrhoids is called Hemorrhoidectomy.

A hemorrhoidectomy is performed in the following conditions:

• In Symptomatic grade III, grade IV, or mixed internal and external hemorrhoids
• Where there are additional anorectal conditions that require surgery
• Strangulated internal hemorrhoids
• Some thrombosed external hemorrhoids
• Where patients who cannot tolerate or fail minimally invasive procedures

In this surgical process your doctor makes small cuts around the anus to slice them away.

You may get Regional anaesthesia (the area being operated on is numb, and you’re awake though relaxed) or general anesthesia (you’re put to sleep). Hemorrhoidectomy is often an outpatient procedure, and you can usually go home the same day.

Recovery After the Hemorrhoids surgery?

After the surgery recovery most often takes about 1 week to 2 weeks, but it can take as long as 4 to 6 weeks depending upon the general condition of the patient, co-morbidities, procedure opted for and expertise of the surgeon.

Some follow-up Advice after the surgery:

• Rest at home for 5 days.
• Sitz bath twice a day (after motion) `
• Avoid heavy exercise for 6 weeks
• Avoid oily and spicy food as advised.

Planning for Surgery of External Hemorrhoids

1.     Make sure you inform your doctor about medications you are taking, including vitamins, supplements and blood thinners

2.     Do not eat or drink anything after mid night the night before your surgery planned

3.     If you are a smoker or take alcohol, we recommend that you stop smoking and imbibing alcohol a month before surgery for optimal outcome.

4.     Make sure that you have someone to give you a ride home from the hospital

5.     We do not prescribed enemas or rectal suppository before surgery, but we encourage patient to pass stool naturally before coming to the hospital.

Note : Reference Sources

 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4315650

2: https://surgery.ucsf.edu/conditions--procedures/hemorrhoidectomy.aspx

[What is the difference between the piles, fissure, fistula, and pilonidal sinus?]

बहुत से लोगो में ये भ्रम की स्थिति होती है की पाइल्स किसे कहते हैं? , फिशर किसे कहते हैं? फिस्टुला किसे कहते हैं? और पायलोनिडल साइनस किसे कहते हैं?

समान्यतः लोगो में यही धारणा है की इन सभी बिमारिओं का नाम सिर्फ पाइल्स ही होता है। लेकिन ये चारो अलग तरह की बीमारियां होतीं हैं  इनके होने के अलग अलग कारण होते हैं और  इनका ईलाज भी अलग तरह से किया जाता है।

तो सबसे पहले जानेंगे की ,

पाइल्स किसे कहते हैं?

पाइल्स या बवासीर एक खास प्रकार की बीमारी होती है जिसमे मलद्वार (Anus) के आस पास जो रक्त वाहिकाएं (Blood Vessels) जब सूज जाती है , तब इसे  पाइल्स कहते हैं।

पाइल्स होने के मुख्य तीन कारण हैं

• आनुवांशिक कारक (Genetical factor)
• गुरुत्वाकर्षण (Gravity)
• बढ़ती उम्र  (Age)

पाइल्स होने के अन्य कारण

• पुरानी कब्ज या दस्त (Chronic constipation or diarrhea)
• लंबे समय तक टॉयलेट सीट पर बैठे रहे (Prolonged sitting on a toilet seat)
• धुम्रपान और शराब (Smoking & Alcohol)
• अस्वास्थ्यकारी आहार (Unhealthy Diet)
• अधिक वजन होना  (Being overweight)

फिशर किसे कहते हैं?

फिशर एक खास प्रकार की मलद्वार (Anus) की बीमारी है जिसमे मलद्वार (Anus) के किसी भाग में यदि कट या दरार लग जाये तो उसे फिशर कहते हैं।

• ये कट या दरार सामान्यतः 6 ‘O ‘ Clock के पोजीशन पर लगता है।
• लेकिन ये कट या दरार गर्भवती महिलााओं को ये 12 ‘O ‘ Clock पोजीशन पर लगता है।

फिशर के लक्षण

मल त्याग करते वक्त दर्द होना, जलन होना  या कभी कभी रक्ततस्राव होना 

फिशर होने के कारण

• तनाव (Stress)
• लंबे समय तक टॉयलेट सीट पर बैठे रहना  (Prolonged sitting on a toilet seat)
• कब्ज़ (Constipation)
• तथा, मल त्याग करते वक्त बहुत जोर लगाना  (Too much force during bowel movements)

भगंदर (एनल फिस्टुला) किसे कहते हैं ?

गुदा द्वार के आसपास एक छेद बन जाता है। जिससे की गुदा के अंदर संक्रमण फ़ैल जाता है , और ये मलद्वार से नितंब के रास्ते बाहर निकलने की कोशिश करता है , इसे ही भगंदर (एनल फिस्टुला) कहते हैं।

पायलोनिडल साइनस किसे कहते हैं ?

पायलोनिडल साइनस  एक छोटा सिस्ट या फोड़ा होता है, जोकि नितंबों के ऊपरी हिस्सों में या बीच में हो सकता है । यह ज्यादातर उन पुरुषों को होता है और साथ ही युवाओं में ज्यादा आम होता है जिनके नितम्बों के बीच में ज्यादा बाल होते हैं। 

पायलोनिडल साइनस होने के कारण

• नितम्बों के बीच में ज्यादा बाल होना
• घर्षण (जो लोग ज्यादा देर तक बैठे रहते हैं )
• अधिक वजन या मोटापा होना

अगर आपको इनमे से कोई समस्या है तो आप हम से मिल सकते हैं , हमे कॉल करें इस नंबर पर , +91 8882 521 281

The Basic Difference

Anal fissures and fistulas are often mistaken as the same anal disorders. However, the fissure is a term that means a tear in the skin. Whereas, fistula refers to tube-like passages between organs. Therefore, an anal fissure is a small cut or a tear in the lining of your anus. This tiny cut causes severe pain and bright red blood during and after passing a stool.

On the other hand, an anal fistula is an infected tunnel between the skin and the anus. In easier words, it is a type of opening in the anal area filled with pus.

As for the piles, they inflamed veins in the anus and lower rectum. Hemorrhoids are another common term for piles. This problem can occur inside the rectum or develop around the anus. They can also become painful clots near the anus.

Now, let us tell about each of these disorders in detail. In this blog, you will find everything you need to know about Anal Fistula, Piles, and Anal Fissures. Right from their symptoms, treatment to all other important details, and how they are different from each other – you will find it all in this article.

What is Piles?

Piles (Another name is – hemorrhoids or Bawaseer) is one of the most common diseases among adults in today’s time. Owing to the sedentary and chair-ridden lifestyle that we live; piles have become a household name.

As mentioned above, piles are swollen veins in the terminal part of the anal tract. Bleeding in stools and feeling pain during bowel movement is among the first symptoms of piles. If you witness any of these symptoms, you must immediately visit a doctor.

In general, piles is not dangerous or life-threatening. However, if you ignore the condition for a prolonged period, severe complications may occur. At an initial stage, piles can even be cured at home with some lifestyle changes. However, at mild or higher stages, it requires proper medical treatment.

Moreover, it is only the doctor who can tell you about the stage of piles. Hence, consulting a doctor is a MUST if you witness any of the mentioned symptoms. We must also add that bleeding and pain while passing stools are not the only symptoms. There are many other symptoms of piles. They are mentioned below.

Piles Symptoms

A lump around the anus: There are two types of piles – external and internal. The external piles come with a swollen lump-like structure in or around the anus. It causes severe pain while passing the stool. The lump is mostly hard and might contain blood.

Pain during passing stool: Feeling pain or discomfort regularly during bowel movement might be a key sign that you have piles. Both external and internal piles can cause high-grade pain. 

Bright red blood while passing stool: Seeing bright red blood in the stool or drips in the toilet is one of the most common symptoms of piles, as already mentioned. However, if the bleeding occurs only once – chances are that you had a spicy meal. However, if the bleeding persists for more than 2 days, it is likely to be a symptom of piles.

Slimy mucus discharge from the anus after passing the stool: Discharge of mucus after passing the stool is one of the most prominent symptoms of piles that you must not ignore.

Feeling bowels even after excreting out the stools: If you feel the urge to poop more or feel that the bowel is full even after passing stools, it is another symptom of piles.

Piles Causes

There are many causes that can lead to piles. They are as followed:

• Prolonged constipation
• Pregnancy
• Lifting heavyweights
• Prolonged sitting
• Anal intercourse
• Age factor
• Eating Low fiber diet
• Persistent diarrhea or coughing

Piles Treatment

The treatment of piles depends on the stage of the piles that the patient has. In the first stage, you can get rid of piles with dietary and lifestyle changes. For the advanced stages, the doctor may suggest a medicinal course or surgery. However, you must refrain from assuming the stage of piles without consulting a doctor. Doing so may lead to severe complications. 

Losing weight, eating a fiber-rich diet, not lifting heavy weights are some of the common things one must do while suffering from piles. As for medicines and treatment, doctors may suggest painkillers, laxatives, ointment or piles-relieving pads.

However, when it comes to piles of surgery, there are several methods. The most preferred one is laser hemorrhoidectomy. Sclerotherapy, banding, open surgery, hemorrhoid stapling are among other surgical treatments for piles.

Also Read :

What are the 6 best benefits of Laser Hemorrhoidectomy for the Treatment of Piles or Bawaseer?

Anal Fistula

Anal Fistula is a passage in the anal area filled with pus. It mostly occurs to the person who has had an anal abscess before. The anal glands get infected and start oozing pus. The anal fistulas are actually the tunnel connecting the infected anal gland to the abscess.

Symptoms of Anal Fistula

• Pain in the anal area: Much like piles and other anal issues, fistulas also cause severe pain. You may experience excruciating pain while passing motion.
• Redness and swelling around the anus: This are another common symptom of anal fistulas. They cause redness and inflammation around the anus.
• Bleeding: Anal fistulas also lead to bleeding from the rectum.
• Fever: The infection in the anal gland lead to fever. If you witness the above-mentioned symptoms along with fever, you might be diagnosed with anal fistulas.
• Discharge of pus through the fistula (wet feeling in the anal area): In this condition, there is a discharge of pus through the fistula. Mostly the discharge is not directly felt but you may experience a wet feeling.
• Difficulty in controlling bowel movement

Anal Fistula Causes:

According to the National Health Service of United Kingdom, “Anal fistulas are usually the result of an infection near the anus causing a collection of pus (abscess) in the nearby tissue. When the pus drains away, it can leave a small channel behind.”

Below mentioned are some of the common causes of Anal Fistulas

• Crohn’s disease: It is a long-term condition in which the digestive system is inflamed.
• Colon infection
• Side-effect of radiation
• Prolonged sitting
• Obesity
• Infection caused due to TB or HIV
• The complication caused after a surgery near the anal area

Anal Fistulas Treatment:

Antibiotics are among the most successful treatment for anal fistulas. However, some patients may also require surgery to completely get rid of anal fistulas. Fistulotomy is one such surgical method to treat anal fistulas. It involves cutting open the entire length of the fistula in order to heal into a flat scar. The more advanced treatment is laser fistula treatment. It is a painless and hassle-free treatment option.

When it comes to fistulas, seton procedures are also common. In this procedure, a surgical thread called seton is placed and left in the fistula for some weeks. It helps heal the fistula and a further procedure is carried out to treat it.

Anal Fissure

An anal fissure is a tear or a cut around the anus. It goes without saying that is very painful. While passing a stool, if you feel that you are passing through broken glass – it might be a symptom of anal fissure. Just like anal fistula and piles, anal fissures also cause bleeding and one can see blood spots in the stool.

Moreover, when a person is suffering from an anal fissure, they may feel a burning sensation even hours after a poo. An anal fissure is mostly visible around the anal and comes with a skin tag.

Anal Fissure Symptoms

An anal fissure is not a rare problem. In fact, it is quite a common issue among adults. Here are the symptoms that will help you identify if you have an anal fissure:

• A lump of skin around the anus: As mentioned above, anal fissures is accompanied by a skin tag or a lump of skin.

• Sharp pain: Feeling sharp pain during bowel movement is one of the first and most prominent symptoms of anal fissure.

• Blood spots: If you often see blood spots in the stool or on the toilet paper, you might have an anal fissure.

• Itching or burning sensation: Persistent burning sensation around the anus is also a common symptom of anal fissure.

Causes of Anal Fissure

According to NHS, the causes of an anal fissure are as followed:

• Crohn’s disease or any other inflammatory bowel disease
• Having tight anal sphincter muscles – In this case, the tension the anal canal is increased which makes the anus more susceptible to tearing
• Persistent diarrhea
• Pregnancy – Anal fissures are common among pregnant women
• An anal fissure is also often a symptom of Sexually Transmitted Infections such as syphilis or herpes

Anal Fissure Treatment

Most of the anal fissure cases are not dangerous and can be treated at home. But first, you must visit a doctor who can examine the condition and accordingly advise the suitable course of treatment. The doctor may suggest some lifestyle and diet changes. In some cases, medicines such as ointment, injection or calcium channel blockers are also suggested.

In serious cases of anal fissure, some patients may also require surgery. Several studies have shown that surgeries are the most effective treatment for chronic anal fissures. The surgery to treat an anal fissure is called lateral internal sphincterotomy (LIS). The name may sound scary, but it is a simple surgery and causes minimal pain (lesser pain than the fissure itself).

Conclusion

Anal fissure, piles, and anal fistulas might have some common symptoms like pain around the anal area or bleeding in stools, but all three are completely different from each other and require different treatment.

Reference:

https://www.mayoclinic.org/diseases-conditions/anal-fissure/symptoms-causes/syc-20351424

https://www.nhs.uk/conditions/anal-fissure/

What is proctology?

Proctology is a branch of medicine that deals and focuses on the diseases of anal area, rectum and colon. Abscesses and Fistula, piles, anal fissure and constipation – we are sure you must have heard at least two of these names. Well, these diseases and their treatment fall under proctology.

Who is the proctologist?

The word Proctologist aka use as the preferred term as a “colorectal surgeon” or “colon and rectal surgeon.”

As you must have understood by now, proctologists are the surgeons who diagnose and treat the diseases of the anus, rectum, colon, and the entire gastrointestinal tract.

Some of the diseases that come under proctology require surgery for treatment. Thus, the sector of surgery that deals with these diseases is termed proctology surgical medicine.

What conditions does a proctologist treat?

Here is a list of common health conditions that come under proctology and are treated by proctologists or colorectal surgeon:

• Abscesses and Fistula Treatment
• Piles (or haemorrhoids)
• Anal Fissure Surgery
• Colon Polyps
• Crohn’s disease
• Colorectal cancer
• Inflammatory bowel disease
• Irritable bowel syndrome
• Diverticulitis
• Rectal prolapse

When to see a proctologist?

Mostly, people visit a proctologist when any other doctor refers them to one. But there are certain symptoms that suggest you must visit a proctologist. They are as followed:

• Itching in the anal area
  
• Burning sensation near the anal area
  
• Bleeding or some sort of discharge from the anus

• Blood in stools

• Warts or bumps near the anal area. A sensation of a foreign body near the anus

• Anal pain or pain around the rectum
  
• Fecal incontinence (Inability to control bowel movement)

• Constipation

While seeing a proctologist, it is of utmost importance to share your issues openly. You must not shy away from sharing your symptoms. Otherwise, it will take a longer time and a series of extra tests to diagnose the real issue.

Some of the most common rectum and proctology examinations and surgical procedures include:

Anoscopy: It is a procedure to identify abnormalities or any other issues in the anus and rectum.

Colonoscopy: This procedure involves the doctor examining the overall colon and screening to detect colorectal cancer. During a colonoscopy, the doctor may also remove polyps

Sigmoidoscopy: In this, the doctor examines the lower third of your colon, which is called the sigmoid colon.

Proctoscopy: In this procedure, the doctor examines the rectum and anal area. He/she takes tissue for biopsy.

Ultrasound: An endorectal ultrasound can be performed to to help detect colorectal cancers.

External examination: At times, there are warts and bumps that can be identified with external examination itself.

What About proctology training and certification?

Proctology is a medical specialty that requires many years of training, which includes:

• 4 years of college for a bachelor’s degree
• 4 years of medical school
• Successful completion of a 5-year training program in general surgery

How to find a proctologist in your nearby Area (in Gurgaon Delhi NCR)?

Here are some important things to consider when looking for a proctologist or colorectal surgeon:

• Is the doctor or Surgeon board certified?
• Are they licensed to practice in your state?
• Can you set up a consultation to get to know your doctor prior to having any procedures done?
• What are their hospital & Clinic locations and hours?
• Where do they have hospital admitting privileges?
• If you’re having particular symptoms or procedures, what’s the doctor’s previous experience with disease and conditions?

Dr. Mir Asif Rehman an Expert proctologist in Gurgaon, with more than 16+ Years of experience. Dr. Mir Asif is a skillful, result-oriented, and accomplished general surgeon performing a wide range of surgical procedures with a strong track record of success in treating advanced conditions. 

Dr Lalmalsawma Ralte is a senior consultant surgeon with comprehensive experience and exposure to diverse minimal access and proctology procedures since 2007.A keen interest in teaching fellow professionals and new innovative procedures. Proficient in various Laser-Assisted surgical procedures.

Conclusion :

It’s important to feel comfortable with your proctologist or colorectal surgeon. Because the relationship between doctor and patient depends on open and Good communications, trust, and sensitivity with care. Always remember, initial consultation talks about surgeon expertise and experiences.

If you have any questions in your mind or have any concerns relating to proctology & related conditions, book an appointment in Gurugram, Delhi NCR, India, You can book an appointment online or connect by phone with us at +91 8882 521 281