Piles also known as hemorrhoids, fissures, fistulae, Crohn’s fistulae, and other perianal problems are common yet often distressing conditions affecting the anal and rectal regions. Each of these conditions has distinct characteristics and treatment approaches.

Piles (Hemorrhoids): Hemorrhoids are swollen blood vessels in the rectal or anal area, often caused by increased pressure from straining during bowel movements, pregnancy, or prolonged sitting. Symptoms include pain, itching, and rectal bleeding. Treatment ranges from dietary changes and over-the-counter medications to minimally invasive procedures like rubber band ligation or surgical removal in severe cases. World class treatment – Hemorrhoidal Artery Ligation Operation (HALO) which is painless and very effective is introduced first time to India & Ultra–Modern Laser Treatment is also available. In our center, we will evaluate case by case and bespoke treatments will be discussed for the best results.

Anal Fissures: These are small tears in the lining of the anus, usually resulting from passing hard stools or straining. Fissures cause sharp pain and bleeding during bowel movements. Treatments focus on easing discomfort and promoting healing, often through dietary fiber, stool softeners, topical anesthetics, and, in chronic cases, surgical intervention. We offer minimally invasive procedure called BOTOX injection (First time in India) which is extremely safe and minimizes the risks of complications from a traditional Lateral Sphincterotomy (Cutting the Muscle). Laser Treatment is also available for appropriate indications

Anal Fistulae: An anal fistula is an abnormal connection between the anal canal and the skin around the anus. It typically results from an abscess that did not heal properly. Symptoms include pain, swelling, and discharge. Surgical treatment is often necessary to remove the fistula and prevent recurrence. We offer world class and safe treatment for Fistula. These include LIFT, TROPIS, Laser Technique, VATS etc.

Crohn’s Fistulae: Associated with Crohn’s disease, these fistulae are more complex and can form between the intestine and other organs, including the skin near the anus. Management involves treating the underlying Crohn’s disease with medication, and surgical intervention may be required for persistent fistulae. Treating Crohn’s fistula is very challenging and will offer super specialized care for this complex problem.

Perianal Problems: Other perianal issues include abscesses, infections, and skin conditions. Management depends on the specific problem but generally includes hygiene measures, topical treatments, antibiotics, and sometimes surgical drainage or excision.

Early diagnosis and treatment are crucial for managing these conditions effectively. Consulting with a specialist, such as a colorectal surgeon, ensures a comprehensive approach to care, alleviating symptoms, and improving the quality of life for affected individuals.