According to Dr. Mir Asif, a renowned proctologist and laparoscopic surgeon in Gurgaon, laser excision is a minimally invasive surgical technique employed for the treatment of certain anal disorders such as sentinel tags, fissures, anal fistulas, and haemorrhoids. In this surgical video, you can see that I am utilising laser treatment, a concentrated beam of light to vaporise the afflicted tissue. This approach minimises discomfort, bleeding, and recovery time in comparison to conventional surgical procedures for patients.

Understanding the different types of conditions 

1. Sentinel tag: A diminutive, osseous proliferation that frequently forms in close proximity to the anus, commonly seen in conjunction with an anal fissure.

2. Anal Fissure: A small rupture or incision in the anal canal’s epithelial lining, frequently resulting in discomfort and blood loss.

3. Haemorrhoids: Enlarged veins in the anus and rectum, leading to pain and internal bleeding. The rectum is the terminal segment of the large intestine that articulates with the anus, the orifice at the end of the digestive tract via which feces exit the body. Furthermore, these structures also include anal cushions, among several others. Anal cushions housed within the anal canal are typically located at the 3, 7, and 11 o’clock positions.

Advantages of Laser Excision: Why We Use It Frequently

1. Laser technology is very precise, resulting in minimal pain and bleeding and minimising postoperative discomfort by causing less injury to surrounding tissues in the patient.

2. Faster recovery: Within a few days, patients frequently resume their daily activities.

3. Decreased risk of scarring: Laser excision can reduce the risk of scarring, thereby enhancing cosmetic results.

4. Outpatient procedure: Laser treatment often requires no overnight hospital stay.

During Procedure Overview

1. Preparation: You need to typically be sedated or anaesthetised for the procedure after being instructed by our medical team.

2. Laser application: As you can see in this surgical video, the laser beam vaporises the affected tissue during the procedure without seriously harming the surrounding areas.

3. Closure: If necessary, we may close the area with sutures after the surgery or allow it to heal naturally. In this video, we also used ICE to alleviate the effects of laser heating.

Postoperative Care

1. Pain management: After the surgery, we prescribed over-the-counter or prescription pain medications to help manage discomfort.

2. Hygiene: Proper hygiene practices are the most important thing to keep in mind. Proper hygiene practices are essential to prevent infection and promote healing.

3. Diet: As per our suggestion, a fibre-rich diet can help prevent constipation and strain on the anal area.

It’s important to consult with a qualified healthcare professional who is majorly experienced in laser surgery to determine if laser excision is the right treatment for your specific condition. They can assess your symptoms, medical history, and overall health to provide personalised recommendations.

Would you like to learn more about laser excision or have any questions about these conditions? Ask us

The human body is made up of trillions of cells. The body needs these cells to work together for it to function well. When the cells are not functioning well, disease occurs.

The first question you’ll ask yourself is: Okay, I know I need to lose weight, but why do I need to have weight loss surgery? And the answer is that it’s a surgical procedure for people who struggle with obesity and who can’t lose weight through other methods. If you’re someone who has tried and failed on and off again with diets for decades, then this might be the only way that you can lose the weight.

Bariatric surgery or weight loss surgery that helps people who are obese or severely overweight by either reducing the size of their stomach, making it smaller, or by creating a small pouch at the top of their stomach which can be used to hold food, so they can eat less without feeling hungry. This type of surgery also reduces how much food the intestines absorb so that calories are not absorbed as much.

Why Weight Loss Surgery?

Obesity is a chronic condition that can result from many causes. If you’re obese, you may have been diagnosed with a serious medical condition such as diabetes, high blood pressure or sleep apnea.

Benefits

• Improved cardiovascular health, 
• long-term remission of type 2 diabetes, 
• relief from depression, 
• eradication of obstructive sleep apnea, 
• alleviation of joint pain, 
• improvement of fertility, 
• alleviation of metabolic syndrome, 
• alleviation of pregnancy problems, and 
• alleviation of gallbladder disease

Weight loss surgery is the most effective treatment for obesity. In general, weight loss surgery can help you lose about 50% of your excess weight in the first year alone.

Weight loss surgeries are surgeries that involve altering the anatomy of a patient to make them either lose weight or maintain their weight loss. This is achieved by restricting food intake, changing the digestive system, or a combination of both.

In this section, we will look at how these types of weight loss surgery work and the different types available.

Weight loss surgery can give you a new lease on life. It is one of the most effective ways of losing weight quickly.

There are four popular types of weight loss surgery:

•          Adjustable gastric banding

•          Roux-en-Y gastric bypass

•          Biliopancreatic diversion with a duodenal switch

•          Vertical sleeve gastrectomy

Laparoscopic gastric banding:

A band is placed around the upper part of the stomach, creating a small pouch that limits how much food you can eat. You can still eat as much as you want, but it takes longer to feel full.

It is the most common weight loss surgery for those who are less than 100 pounds overweight. It is done by inserting a small tube through the patient’s abdomen. A band is then tightened around the upper stomach to create a small pouch that limits food intake.

The procedure has been shown to help people lose up to 50% of their excess weight within six months

The biggest risk of this type of surgery is that it can cause esophagus tears or ulcers. Patients are also at risk for having uncontrolled diabetes

Gastric bypass or Roux-en-Y Gastric Bypass:

Food moves through your digestive system more quickly, so you feel fuller sooner. The surgeon creates a small pouch at the top of your stomach so food empties more quickly into your small intestine, bypassing most of your stomach and its acid contents.

Sleeve gastroplasties

Sleeve or vertical gastrectomies are weight-loss procedures frequently carried out laparoscopically. Approximately 75% of the stomach is removed during the treatment, leaving a tube-shaped stomach roughly the size and shape of a banana. Following surgery, the stomach can hold less food, resulting in quick and efficient weight loss. Patients recover faster with sleeve gastrectomy because no foreign body is inserted (unlike the adjustable gastric band) and there is no complicated intestinal reorganisation (unlike the gastric bypass).

Bariatric surgery is usually done by laparoscopic procedures under specialist weight loss surgeon or bariatric surgeon. A few days after the operation, patients can resume their normal diet.

Some people choose to have bariatric surgery due to many different reasons. For example, they want to get healthier, feel better about their appearance, or get back into life activities that were abandoned years ago due to their weight. There are many different reasons why people choose this type of surgery.

Some people say that they are tired of not being able to walk upstairs without gasping for air or taking a deep breath while some say they are simply tired of being fat while others say they want to be able to go on long walks or play with children without feeling out of breath or uncomfortable.

Regardless of the reason why an individual chooses bariatric surgery, it is important that they research all

A thrombosed haemorrhoids/ piles is an inflamed vein which occurs as a result of blood clotting in the veins around rectum.

Thrombosed haemorrhoids is a part of the rectal and anal area, which creates a blockage in the blood vessels that supply blood to the tissues. It normally happens when a person is sitting for long hours and because of excessive pressure around anus.

A thrombosed haemorrhoids is one which has become swollen and painful, typically due to long periods of sitting or straining. It can also result from certain diseases and injuries where there may lead to blockages in the veins of pere anal area.

There are different types of thrombosed haemorrhoids including

• Internally thrombosed, and
• Externally thrombosed haemorrhoids.

.

What causes thrombosed haemorrhoids?

Many factors are responsible for thrombosed haemorrhoids, including.

• Prolonged constipation
• Prolonged sitting
• Excessive straining while defecation
• Retaining stool for a long time

When your doctor examines you, he/she will look for signs like redness, swelling and bruising in your anal area before they perform any tests to determine if it’s a thrombosed hemorrhoids or not.

How do you diagnose a thrombosed haemorrhoids?

Thrombosed haemorrhoids are diagnosed by clinical examination, which includes a physical examination by the general surgeon and proctologist. The physical exam will help the physician to determine if there is any damage to the rectal wall and what treatment is needed.

Thrombosed haemorrhoids are not dangerous in themselves, but they can be unsightly and uncomfortable. In most cases, bleeding from a thrombosed haemorrhoids resolves itself within 24 hours or less but pain can last from days to weeks .

Surgery for a thrombosed haemorrhoids

Haemorrhoids represent over 90% of all thrombosed masses in the rectum and are one of the most common causes for surgery.

Stapled hemorrhoidopexy

Stapled hemorrhoidopexy is a surgical technique that can be used to remove thrombosed masses from the rectum without having to remove other structures. In this procedure, an incision is made on the outside or inside edges of a thrombosed mass and it is stapled using an instrument called a “stapler.”

LASER Hemorrhoidectomy

LASER Hemorrhoidectomy is a surgical procedure that removes thrombosed hemorrhoids.

LASER Hemorrhoidectomy is considered as the most effective treatment for long-term relief of thrombosed hemorrhoids. It is performed by removing the entire visible swelling present around the anal area with the help of LASER .

Why choose Mirascare Clinic for Haemorrhoids surgery

Our medical team of general surgeons is skilled, experienced and knowledgeable enough to carry out your haemorrhoid surgery. We offer a truly personalized approach in an effort to give you the best possible outcome.

Mirascare Multispeciality Clinic is a renowned medical center based in Gurgaon offering high-quality surgical procedures at affordable prices in Delhi NCR India.

Mir Asif Rehman, is a reputed general surgeon at Mirascare Multispeciality Clinic, is one of the best surgeon and with a well-documented list of skills and experience. He offers affordable and genuine treatments for Haemorrhoids surgery and other general and laparoscopic surgical procedures. He is one of the few surgeons in India who specializes in these procedures.

Constipation is a common problem since it is one of the most prevalent of all gastrointestinal issues. It affects up to 20% of the population.

To help you understand the symptoms and treatments for Constipation, this article will discuss the following:

• What is constipation?
• Why do we get constipated?
• What are the signs and symptoms of constipation?
• How to prevent constipation?

What is Constipation?

A condition in which stool becomes hard, dry, and difficult to pass, and bowel movements don’t happen very often. Other symptoms may include painful bowel movements, and feeling bloated, uncomfortable, and sluggish

Why do we get constipated?

To understand why constipation occurs, we need to learn about its causes. There are many theories but no conclusive evidence yet due to lack of research on this subject.

Constipation is often caused by diet, certain medications or diseases such as irritable bowel syndrome. Constipation also occurs when people do not drink enough fluids and the colon absorbs too much water which leads to changes in stool consistency.

Constipation happens when rectal muscles contract without discordantly during passage of stool. Lot of factors can cause this abnormal muscle contraction , such as

• Not drinking enough fluids,
• Not having enough fibre in your diet,
• Poor sleep habits or lack of sleep,
• Lack of exercise and physical activity,
• Hormonal changes.

Common problems related to Constipation

Constipation can lead to a barrage of health issues, including hemorrhoids, Anal fissure, stomach problem, and rectal prolapse. Management of constipation is vital for maintaining general well-being.

Hemorrhoids, Fissure & Anal Fistula are a painful and frustrating condition that affects millions of Indians every year. The pain can be debilitating, sometimes even preventing patients from getting out of bed or going to work. While hemorrhoids may be a relatively common condition, many people still don’t know how to treat them correctly.

When to see a Doctor in gastrointestinal and rectal issues?

• Pain while passing stools
• Bleeding with or after stool
• Passage of very hard stool
• Pus coming from anywhere near your anus
• Sensation of some mass/tissue coming out of your anus

How do we prevent constipation?

If you suffer from constipation, follow these steps to help you prevent or stop the condition:

– Add more fibre to your diet such as whole grains, vegetables, fruits and legumes

– Increase physical activity.

– Drink plenty of fluids and water

आज हम जानेंगे की,

बवासीर क्या होता है?

बवासीर जिसे हम (Piles or hemorrhoids) के नाम से जानते हैं। 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 बवासीर कहते हैं।

बवासीर कितने तरह के होते हैं

बवासीर मुख्यतः दो प्रकार के होते हैं 

1. बाहरी बवासीर

2 आंतरिक बवासीर

अधिक जानकारी के लिए इस लिंक पर क्लिक करें। – Types of Bawaseer/Piles

आंतरिक बबासीर के कितने ग्रेड होते हैं ? 

• ग्रेड I – पाइल्स – पाइल्स आंतरिक नाली में होता हैं। कोई फलाव नहीं होता है। केवल कभी-कभी दर्द मुक्त रक्तस्राव।
• ग्रेड II बवासीर – बवासीर आंतरिक नहर में होती है और यह आमतौर पर हर मल त्याग के साथ स्वतःस्फूर्त तरीके से गिरती है।
• ग्रेड III बवासीर – रक्तस्राव गुदा के पिछले हिस्से को फैला सकता है। स्टेज III बवासीर में रोगी को मैन्युअल रूप से अंदर धकेलने की आवश्यकता होती है।
• ग्रेड IV पाइल्स – आंतरिक रक्तस्राव हमेशा फैला हुआ या लम्बा होता है और घनास्त्रता के लिए खतरा होता है और इसे वापस नहीं धकेला जा सकता है।

बवासीर होने के मुख्य तीन कारण हैं

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

बवासीर होने के अन्य कारण

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

बवासीर (लक्षण) में क्या होता है ? 

• मल त्याग करते वक्त खून आ जाना 
• गुदा के किनारे आस पास छेत्र का लाल हो जाना 
• मल तयाग करते समय दर्द होना 
• गुदा के बाहर एक गांठ निकल जाना, जिसे मल त्याग करने के बाद गुदा के अंदर करना पड़े।गुदा के आस-पास बार बार खुजली होना

बवासीर हो जाने पर क्या करना चाहिए ?

यदि आपको बवासीर का लक्षण पता चलता है तो वैसे स्थिति में , या तो आप डॉक्टर से संपर्क कर सकते है या कुछ घरेलू उपचार या उपाय कर सकते हैं (अस्थायी रूप से )

• सबसे पहले इस बात का ध्यान रखें कि आप गुदा के क्षेत्र खुजली होने की स्तिथि में खरोचें नहीं, ऐसा करने से लक्षण और बिगड़ सकते हैं।अपने खान-पान में फाइबर युक्त आहार का इस्तेमाल ज्यादा करें। 
• जयादा देर तक एक ही जगह पर नहीं बैठे। 
• हो सके तो ज्यादा -ज्यादा पानी पियें। 
• मल त्याग करने के लिए बहुत अधिक देर तक टॉयलेट में न रहें और अगर मल नहीं आ रहा है, तो जबरदस्ती जोर न लगाएं।
• रोज हो सकें तो व्यायाम करें , इससे आपका स्वास्थ्य भी सही रहेगा। 

मल आने की स्थिति में इसे रोकें नहीं। इससे कब्ज़ होने की संभावना बढ़ जाती हैशौचालय में फोन का उपयोग ना करें इससे बबासीर (Piles) हो सकता है। कैसे जाने ? 

बवासीर होने की स्तिथि में आपको डॉक्टर से कब मिलना चाहिए?

• यदि आपको घरेलु उपचार से कोई लाभ नहीं हुआ हो। 
• मल त्याग करते वक्त खून आ जाना। 
• मल त्याग करते समय गांठ या म्सा बार बार बाहर आ जाये। 
• मल त्याग करते समय बहुत दर्द हो।

बवासीर की जाँच कैसे की जाती है ?

•  आपके डॉक्टर बाहरी बवासीर की जाँच करते हैं। .आंतरिक बवासीर के निदान में आपके गुदा नाली और मलाशय क्षेत्र की निरीक्षण शामिल हो सकती है .
•  डिजिटल निरीक्षण आपके डॉक्टर आपके मलाशय में एक दस्ताने, चिकनाई वाली उंगली सम्मिलित करता है। वह कुछ भी असामान्य के लिए महसूस करता है, जैसे कि बवासीर का बढ़ना।
•  दृष्टिक निरीक्षण (Proctoscopy Test) . क्योंकि आंतरिक बवासीर अक्सर एक मलाशय परीक्षा के दौरान महसूस होने के लिए बहुत नरम होते हैं, आपका डॉक्टर आपके बृहदान्त्र (colon ) के निचले हिस्से और मलाशय, प्रोक्टोस्कोप या सिग्मोइडोस्कोप के साथ मलाशय की जांच कर सकता है।

बवासीर आमतौर पर खतरनाक नहीं होता है और यदि इससे किसी प्रकार की तकलीफ हो रही हो, तभी इसका इलाज करवाने की आवश्यकता पड़ती है। 

अगर गर्भावस्था में बवासीर होता है तो वह आमतौर पर अपने आप ठीक हो जाता है। कब्ज के कारण होने वाले बवासीर का इलाज करने के लिए आहार व जीवनशैली में बदलाव करना जरूरी होता है। इसके अलावा की मदद से भी बवासीर का इलाज किया जा सकता है।

बवासीर का इलाज 

शल्य चिकित्सा:

• Stapled hemorrhoidopexy
• Laser Hemorrhoid Ablation and Laser Hemorrhoidoplasty

गैर शल्य चिकित्सा उपचार

घरेलू उपचार

अधिक जानकारी के लिए इस लिंक पर क्लिक करें। [https://www.mirascare.com/piles-treatment-in-gurgaon]

लेजर बवासीर उपचार के क्या लाभ हैं?

•  लेज़र बवासीर ऑपरेशन सबसे एडवांस पाइल्स ट्रीटमेंट है.
•  कम से कम जोखिम और तेजी से वसूली न्यूनतम रक्तस्राव
•  यह अमेरिकन मेडिकल काउंसिल द्वारा एफडीए द्वारा स्वीकृत उपचार है।
•  नगण्य पुनरावृत्ति – Very-Very Minimal Chance of Recuurence
•  सर्जरी के बाद दर्द ना के बराबर होता है।

Mirascare Clinic क्यों चुनें?

• 24 * 7 समर्पित बवासीर विशेषज्ञ आपके संदेह को स्पष्ट करने के लिए
• 24 * 7 नर्सिंग देखभाल
• हम मरीज़ों की पूरी गोपनीयता को बनाये रखने के लिए प्रतिबद्ध हैं।
• COVID-19 सुरक्षित अस्पताल
• कैशलेस बीमा विकल्प उपलब्ध हैं
• अत्याधुनिक ऑपरेशन थियेटर
• परामर्श के लिए कोई प्रतीक्षा समय नहीं
• कोई टांके – दर्द नि: शुल्क, तेजी से रिकवरी और कम से कम बेचैनी
• डे केयर / वन डे हॉस्पिटल स्टे – 24 घंटे में डिस्चार्ज
• सर्जरी के बाद मरीजों की देखभाल (पोस्ट केयर)

सबसे उन्नत और दर्द रहित लेजर बवासीर उपचार [Laser Bawaseer Treatment] केंद्र आपके शहर गुड़गांव दिल्ली एनसीआर हरियाणा में।

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

Mirascare Clinic, headed by Dr. Mir Asif Rehman, offers all kinds of Advanced Laser Proctology, General and Laparoscopic Surgeries in Delhi NCR India.

We are providing all kind of Piles/Bawaseer Treatment including Stapled hemorrhoidopexy and advanced Laser Haemorrhoids Treatment, Complex fistula Surgeries with laser procedures, Advanced 3D Laparoscopic Hernia Surgery, Single Incision Laparoscopic Surgery (SILS) Gallbladder Treatment (latest technology to treat gallstone), Weight loss Surgery or Bariatric surgery, lipomas Treatment and many others surgeries.

With our state-of-the-art facilities, advanced technology, and world-class surgeons, we offer endless options to help you feel fabulous through invasive & non-invasive treatments.

Our Treatments & Procedures

Laser Proctology Treatment

• Piles/ Hemorrhoids
• Anal Fistula
• Anal Fissure
• Pilonidal Sinus
• Varicose veins

Basic & Advanced Laparoscopic Surgeries

Gallbladder

• 3D Laparoscopic Surgery
• 4/3 Port Laparoscopic Cholecystectomy
• Single Incision Laparoscopic Cholecystectomy

Hernia Laparoscopic Inguinal Hernia Repair

• Laparoscopic Inguinal Hernia Repair
• Laparoscopic Umbilical Hernia Repair
• Laparoscopic Epigastric Hernia Repair
• Laparoscopic Incisional Hernia Repair

Laparoscopic Appendectomy

Gastroesophageal Reflux Disease, Hiatus Hernia

• Nissens Fundoplication (Anti- reflux Procedure)
• Dor Fundoplication  (Anti- reflux Procedure)

Weight Loss Surgery

Basic Surgeries

• Circumcision (Conventional,Laser & ZSR)
• Lipoma Excision
• Cyst Removal
• Sebaceous Cyst 
• Abscess Drainage   
• Ingrowing toenail
• Carbuncle
• Paronychia
• Boils Treatment
• Diabetic Foot

Other Surgeries

• Breast (Benign and Malignant)
• Thyroid & Para-Thyroid gland
• Colon (Benign and Malignant)

If you have any questions in your mind or have any concerns relating to the above-mentioned diseases & conditions, book an appointment in Gurugram Delhi NCR India at Online or connect by phone with us at +91 8882 521 281

[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/

Piles aka hemorrhoids can make a person’s life a living hell. It causes excruciating pain and can make even daily activities seem like uphill tasks. Passing a stool becomes a nightmare experience.

Passing a stool becomes a nightmare experience. Millions of people suffer from piles every year, which is mostly caused by poor eating habits and sedentary lifestyles that we lead.

It is not a life-threatening disease, but if not treated on time, it can lead to severe complications and unbearable pain. As for the pile’s treatment, laser surgery (or laser hemorrhoidectomy) is the most preferred and the suggested one. In fact, it won’t be wrong to say that laser surgery is one of the best treatments to get rid of piles.

According to research published in the US National Library of Medicine and National Institutes of Health, the laser procedure is more preferred in comparison with conventional open surgical hemorrhoidectomy. The results of the research show that post-operative pain is significantly lesser in laser procedure compared with surgical procedure. Furthermore, duration time is also significantly shorter in the laser procedure.

– US National Library of Medicine and National Institutes of Health

In this blog, we tell you all the benefits of laser hemorrhoidectomy for the treatment of piles.

1. Hardly any pain or Very Minimal Pain

To begin with, the pain factor. The traditional surgery to treat piles comes along with oodles of pain that the patient may have to suffer even after the surgery is performed. However, in the case of laser hemorrhoidectomy, it is a seamless procedure which much less pain.

2. Patient can get discharged on the same day

Laser for the treatment of piles is such a seamless procedure that the patient can get discharged from the hospital on the same day. If by any chance hospitalisation is required, it is mostly for one day only.

3. Laser hemorrhoidectomy is safer

Yes, you read that right. This is another advantage of the laser hemorrhoidectomy for the treatment of piles. It is much safer and the chances of any other medical complication arising are a bare minimum.

4. Very Minimal bleeding

In the traditional piles surgery, there is always the fear of excess bleeding. However, that is not the case when a laser hemorrhoidectomy is performed. During the laser surgery, the blood vessels in the anal region are sealed with laser, and hence, minimum bleeding is caused during the procedure.

5. Fast healing and effective results

The laser hemorrhoidectomy ensures quick recovery. In most cases, the patients are able to lead normal lives after 3-4 days. Whereas, in the case of traditional piles surgery, the rest duration is 1-2 weeks. The wound caused by laser surgery is likely to heal faster. Furthermore, laser surgery reduces the chance of reoccurrence of piles.

6. Easy to perform

Another major benefit of laser hemorrhoidectomy is that it is easy to perform as compared to open surgery. The surgeon’s task is neither risky nor complicated. In most cases, general anesthesia is not needed as well.

With so many benefits, laser hemorrhoidectomy is undeniably the fool-proof and the best treatment for piles.

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Contact us Now : Best Laser Piles and Proctologist in Delhi NCR

(+91 8882 521 281 )

Last updated on : 07/10/2020