Frequently Asked Questions
The piles are abnormal enlargement of the anal cushions, which are normally present in all. These cushions are blood-filled spongy structures that play a role in normal defecation. When these cushions get engorged with blood, they grow and often dragged down by gravity until they protrude out of the anal opening. They can burst open due to excessive straining at stools and cause bleeding.
Laser closure is a safe and effective treatment for transphinterc anal fistula. The fistua length is the only significant prognostic factor when closing anal fistulas exclusively with laser shorter fistulas have a better outcome
Fistulas are usually associated with high risk of recurrence, Some patients need multiple sitting if the tract is long or multiple in number
How long does fistula laser surgery take? The average operating time is 20 min
It may take 6-8 weeks for anal fistula to completely heal from within Take complete rest for the first 24 hours after surgery You can gradually resume your daily chores and most people are back to their normal activities in 5-7 days
Laser closure is a safe and effective treatment for transphinteric anal fistula. The fistua length is the only significant prognostic factor when closing anal fistulas exclusively with laser shorter fistulas have a better outcome
Laser fistulectomy is a minimally invasive, sphincter spaning procedure for treatment of anal fistula in several studies, this method has been shown to be safe and effective, with reported success rates ranging from 40 to 60% depending on the grade class and number of fistulous tracks
You will likely have some pain and bleeding with bowel movements for the first 1 to 2 weeks You can make your bowel movements less painful by getting enough fibre and fluids and using stool softeners or laxatives Sitting in warm water (sitz bath after bowel movements will also hep
There are many causes for piles such as prolonged constipation, avoiding fibre diet, sitting for a long time on the toilet, and rarely piles can be due to rectal cancer.
You can check for piles by checking yourself for the following symptoms:
Experiencing pain while passing stools is the most common symptom and as the condition gets worse, then you can also see the presence of blood in your stool. Swelling around the anus.
Experiencing pain while sitting or feeling uncomfortable is also one of the common symptoms.
You may also feel a constant itchy feeling around your anus.
You may also notice that there is a small discharge of mucus after passing out your stools.
Piles, which are found incidentally and are of a small size without causing any symptoms can be left alone. Depending on the severity, piles are graded from grade 1-4. Generally grade 1 and 2 piles can be managed without any surgery while grade 3 and 4 usually require a surgeons help for treatment
Non-Surgical Treatment – Laxatives , ointments, and other symptomatic treatments Surgical Treatment – For grade 3 and 4 haemorrhoids some form of haemorrhoid excision is needed. The various surgical options are
Open Surgery for Piles:
During an open surgery for piles, hemorrhoidal tissue is removed, but in this procedure the incision is left open. Now a days a very low percentage of patients opt for open procedure unless it is suggested by the surgeon for medical reasons.
Laser for Piles:
Laser for piles is one of the most advanced and less painful procedure for piles treatment. In this a laser beam is used to shrink the pile mass and there is no pain or wound. You can go home the same day and resume daily activities from the very next day.
Sclerotherapy, banding, infrared coagulation, laser therapy, stapled haemorrhoidectomy, and conventional open surgery.
Fissure-in-ano is also known as anal fissure. Fissure is the tear in the mucosal lining of the anus. It presents with painful defecation with a streak of blood along with the fecal matter. The patient gives a history of passing hard motion before the onset of pain.
Passing hard motion is the main cause of anal fissure. An anal fissure can also present in some inflammatory bowel diseases like Crohn’s, post-delivery, and during recovery of any illness.