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.

As General surgeons, are trained in broad range of subjects, they are knowledgeable and skilled in performing surgery for many different types of conditions.

Q. What types of surgeries does a general surgeon do?

A general surgeon can perform a wide range of surgical procedures from small surgery (like abscess drainage, sebaceous cyst excision, lipoma removal etc.) to larger cases like Open/ Laparoscopic gallbladder removal surgery, Open/Laparoscopic complex hernia surgery, Laparoscopic bariatric surgery etc. Also performed all types of proctology related conditions like piles/hemorrhoids, fistula, fissure surgery, pilonidal sinus treatment and others.

A surgeon performs surgery for digestive tract (oesophagus, upper, lower gastrointestinal organs and other related organs), abdomen and its contents, appendicitis, hernia, gallbladder, breast, skin, and soft tissue and endocrine system.

Q. Can a general surgeon perform surgery for cancer treatment?

A surgeon who has completed his training in general surgery and, then specialized in oncology can perform surgery for cancer treatment.

Q. How is a general surgeon different from a specialist surgeon?

A specialist surgeon is highly skilled in performing surgical procedure for various parts of the body. They are also trained in pre, during and post-operative surgical critical care and injury due to accidents. However, a specialist surgeon, after having training in general surgery, gets additional training in a particular speciality related to a specific system of the body. e.g. Plastic surgery, Neurosurgery etc.

Q. Can a general surgeon perform dental surgery too?

No, a general surgeon does not perform dental surgery. These are performed by a dental doctor, also known as an oral or maxillofacial surgeon.

Q. Can a general surgeon perform surgeries on children?

Expert surgeon usually does not perform surgeries on children (except for abscess drainage, circumcision, appendicitis etc.), but a paediatric surgeon specialized in performing operations on infants, children and adolescent children.

Q. Does a general surgeon give anesthesia during the surgery?

An anesthesiologist is a specialist doctor trained to give anaesthesia. The anesthesiologist works in association with a general surgeon.

Q. How long does a person train to become a general surgeon?

A medical graduate also called as a general physician which is for 5 years which includes 1 year of internship following which a doctor has to qualify post graduate entrance examination and gain access to a surgical residency program which is for 3 years followed by 3 years of senior residency. In total it takes 11 years of rigorous training to become a general surgeon.

At Mirascare, our specialist general and laparoscopic surgeon offers world class treatment for hernia, gallbladder, Gastroesophageal Reflux Disease, hemmoroids, anal fistula, pilonidal sinus, Laparoscopic bariatric surgery and many others.

If you have any questions in your mind or have any concerns relating to above 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

[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

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

Well, if you nodded at these questions, chances are high that you are having an Anal Fissure.

What is Anal Fissure

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. The cut or tear is mostly visible around the anus and is often accompanied with a skin tag (a lump of skin) near it.

What are the Causes?

An anal fissure is mostly caused due to Chronic constipation.

However, other causes of an anal fissure include;

• Extremely tight anal sphincter muscles,
• Straining during childbirth, 
• Crohn’s disease,
• or any other Inflammatory Bowel Disease.

Even though anal fissure is not usually considered a serious condition but if it persists for more than 6 weeks, it is considered chronic. The tear usually heals on its own by making simple lifestyle changes like increasing water and fiber intake.

But if the problem still persists, your doctor might suggest topical pain reliever and stool softeners.

You might need a small surgery if it is a chronic anal fissure with a deeper tear which may also have internal or external fleshy growth. Anal Fissure surgery is the best way to get rid of the anal fissure and to lead a normal life with bloodless and painless stools. Without any further ado, let’s take you through everything you need to know about Anal Fissure Treatment.

What are the Symptoms?

• Sharp pain in the anal during bowel movements is one of the most prominent Anal Fissure symptoms.
• Seeing blood on stool or on the toilet paper on wiping
• A lump of skin next to the tear
• Itching or burning pain in or around the anal

How to Diagnosis:

• Physical examination of the area around the anal
• A rectal exam with an anoscope which is a thin tube-like device inserted into the anus for detailed diagnosis.
• A colonoscopy can also be done if you are older than 50 or have symptoms of colon cancer.

What are the Treatment options?

Home Remedies

Honestly, you must first try certain home remedies and make a few lifestyle changes like:

1. Drink more water : Hydrate regularly throughout the day and avoid too many caffeinated drinks. Though caffeine is great for bowel movements, excessive consumption may result in dehydration.
2. Avoid alcohol and caffeinated drinks, they dehydrate your body
3. Eat more fibre-rich food items : Doctors recommend eating a lot of fiber every day, around 25 to 30 grams. It helps in promoting healing. Supplements, fruits vegetables, whole grains, etc are great sources of fiber. A sudden intake of fiber can cause problems too, so increase it in the diet gradually.
4. Try hot water hip bath : Take Sitz baths (meaning soak in warm water) after bowel movements to relax the spasm. 
5. Don’t strain too much or sit on the toilet seat for longer. It can further aggravate the condition : Avoid sitting on the toilet for longer than needed. This strain the anal canal. Clean thoroughly and gently after each movement and dry it. Irritants like scented soaps should be avoided.
6. Don’t try to control your urge to pass the motion : Constipation usually occurs due to unnecessary stopping of one from going to the bathroom. This restricts bowel movements, possibly resulting in fissures. 
7. Laxatives: If remedies like fiber aren’t helping take safe laxatives. Consult your doctor before doing so.

Practice the above-mentioned points for 2 weeks. If the symptoms go, you did a great job! But if they still persist, you must immediately see a doctor, preferably an experienced surgeon who will thoroughly diagnose the problem. Here are the MEDICATION options you might be suggested:

Medication

• Nitrate ointment : May be prescribed for getting blood to flow to the anal sphincter
• Calcium channel blockers : Channel blockers help in reducing the blood pressure, though its effects a slower.
• Botox injection : Type ‘A’ Botox may also be used to paralyze the sphincter, hence reducing the pain.

These all have side effects that should be discussed with the doctor. Feeling unbearable discomfort during and seeing blood after bowel movements isn’t a good sign.

Anal Fissure Surgery

Studies have shown that surgery is the most effective treatment for chronic fissure. If you have severe symptoms of the fissure, the surgeon will perform a lateral internal sphincterotomy (LIS), simple surgery which pains lesser than the fissure itself. During this surgery, the doctor will cut a small portion of your anal sphincter muscle which eventually reduces the spasm and pain and further promotes healing.

At Mirascare clinic, we are offering best treatment options for anal fissure surgery at very affordable cost. We always recommend to you please visit our center for initial clinical examination.

Contact us Now: Best Laser Anal Fissure Specialist in Gurgaon – Dr. Mir Asif Rehman:- (+91 8882 521 281 )

Rectal Disease Symptoms and Treatment

Many skilled doctors provide treatments to multiple recta as well as lipoma treatment in Gurgaon. If you are severely going through any of the diseases mentioned below then consult one immediately.

Hemorrhoids (Piles) Treatment

When swollen and inflamed tissues are collected near the anal area, the condition is called as piles. Piles can be internal as well as external and the size of the tissue ranges. Internal piles can be found almost 2 – 4 centimeters above the anus opening whereas external piles are located on the outer edge of the anus. Internal piles are very common as compared to external piles. There are many piles of specialists in the Gurgaon region that will assist you and cure this condition.

The most common symptoms of piles:

• A hard lump is felt near the anus. It can contain congealed blood. Piles with blood are known as thrombosed external hemorrhoids.
• Even after passing out the stool, the feeling of the bowels being full is felt by the person.
• Pain or blood occurs when passing the stool

Piles can be classified into 4 states or grades:

Grade 1: The inflammations are small and inside the anus lining. It is not visible from the outside.

Grade 2: The inflammations are rather larger as compared to grade 1 but it still rests inside of the anus. When passing of the stool they may get pushed out, but they return inside unaided.

Grade 3: At this stage, it starts appearing outside your anus, they usually hang from the rectum and the person can feel it. It can be reinserted through.

Grade 4: At this stage you cannot push it in and it needs treatment since they are large and keep hanging outside.

If you are going through this situation then there are best piles surgeons in Gurgaon who are experts and will cure the diseases with the best results.

 Treatment for Piles:

• The basic way to prevent piles is by changing your diet. A good diet keeps the stools soft and regular. A fiber-based diet is suggested that includes fruits and vegetables and mostly bran-based cereals for breakfast. Avoid caffeine and drink more water.
• Exercising regularly can also prevent piles. When you exercise, the movement leads to better metabolism and hence one does not have to strain while passing the stool.
• A doctor can also prescribe laxatives because that will help the individual to pass stools easier and decrease constipation.

Rectal Prolapse

Rectal Disease Symptoms and Treatment – In rectal prolapse the rectum which is the last part of your large intestine starts to push out of the anus. When stools are pushed out, rectum often comes out with it.

It can be mild or severe. Mild cases are the ones that are quickly treated whereas severe cases require surgery. One can get the best rectal prolapse surgery and hernia surgery in Gurgaon under the surveillance of expert surgeons.

Some of the most common symptoms of Rectal Prolapse are:

• A feeling of the bulge near your anus area. While sitting you may feel like you are sitting on a bulge underneath.
• When the stool is pushed out you may a small part of the rectum protrudes out when can be easily pushed back. It is a red-colored circular bulge.
• Not only during your bowel moment but also when you are performing activities like sitting, walking or exercising, the rectum might come out through your anus and you can push it back with your hand
• If it worsens, there is bleeding noticed, and consulting a doctor is advised immediately.

Treatment:

• Include high fiber food in your diet like fruits, bran, beans, and vegetables.
• Reduce the intake of processed food
• Drink a lot of water and fluid every day
• Exercise regularly.
• Do not stress, try meditation and relaxation techniques
• For severe cases, consult the doctor and get surgery if needed

Anal Fissure

When a small cut is seen around the lining of the anus, it is called an anal fissure. The cut in the skin is like a paper cut and bleeding occurs during bowel movements. Sometimes, the fissure is deep, and you can see muscle tissues.

It usually isn’t a severe condition when it is mild. It is seen mostly in children and infants because they are more likely to suffer constipation. In most cases, the cut is healed by itself in 4-6 weeks. But if it lingers more than 8 weeks then it is chronic, and you must consult a doctor.

You can attain the best anal fissure treatment in Gurgaon. Several experts will treat you when the conditions have gone severe.

Some of the Rectal Disease Symptoms and Treatment Prolapse are:

• A visible cut on the skin near the anus
• A lump near the cut skin, a skin tag
• When passing of stool, a sharp pain is felt near the anus
• Blood is seen on stools and toilet papers after wiping
• Itching near the anal area, a burning sensation
•  

Treatment

• Drink more water/fluids
• Eating fibrous food like raw fruits and vegetables
• The doctor may prescribe nitro-glycerine ointment to increase blood circulation to the area. Hydrocortisone cream to cure inflammation.
• Pain relievers like lidocaine are applied to relieve pain near the anus and ease your irritation

A rectum or anal disease is very common, and it can be experienced by a person at least once in their life span. Most diseases are mild and do not need a doctor’s treatment but when it gets severe it is recommended to consult a doctor because when ignored, it can lead to frightening situations.