Laser Proctology Treatments

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Proctological problems comprises of five most common diseases: Piles, Fissure, Fistula, Pilonidal Sinus and Perianal Abscess. These conditions are commonly found in every second individual dealing with Stress and Obesity.This speciality needs to be diagnosed and most commonly treated with surgery.

At House Of Doctors, our Highly experienced, award winning team of surgeons are experts in treating and performing surgeries of all the Proctological conditions like Piles, Fissure, Fistula & Pilonidal Sinus. We understand the surgery can be difficult, we want you to focus on your own recovery while we worry about the rest.

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Proctology Diseases

Piles

Instances of Piles or hemorrhoids (Bawasir in Hindi) are commonly seen in India nowadays. The probability of women suffering is more than men. Also, it is common in people who indulge in poor diet, lifestyle and washroom habits.

Piles (haemorrhoids) are lumps/boils inside and around your bottom (anus). Haemorrhoids are usually caused by straining during bowel movements, obesity or pregnancy. Nearly three out of four adults will have haemorrhoids from time to time.

In India, Piles are found more common among adults due to poor or irregular eating habits, poor hygiene, lack of exercise.

People often get confused with anal complaints such as fissure, piles, fistula or other rectal problems. Therefore, a proper examination and diagnosis is important.Piles are not cancerous nor are they dangerous. But they are capable enough to hinder your daily routine and normal work life. They are swollen and enlarged blood vessels in or around the anus. Most patients suffer silently due to the embarrassment and shyness that they have to explain to the doctor. Such piles patients continuously bear the pain and do not complain till the condition becomes unbearable. In the end, surgery remains the only solution to the problem.

What causes piles?

Piles are swollen blood vessels. It's not clear what causes them.Things that make piles more likely:

  • Constipation
  • Pushing too hard when pooping
  • Pregnancy - read about piles during pregnancy
  • Heavy lifting

Symptoms of Piles:

  • Bright red blood after you poop
  • An itchy anus
  • Feeling like you still need to poop after going to the toilet
  • Slimy mucus in your underwear or on toilet paper after wiping your bottom
  • Lumps around your anus
  • Pain around your anus

Fissure

An anal fissure is a cut /tear or open sore (ulcer) that develops in the lining anal tube, near the anus. While passing hard stool it causes extreme pain, burning sensation and bleeding. Though not fatal, ignoring the condition may lead to other infections as it is an open wound.

What causes anal fissures?

Anal fissures are most commonly caused by damage to the lining of the anus or anal canal, the last part of the large intestine.

Most cases occur in people who have constipation, when a particularly hard or large poop tears the lining of the anal canal.

Other possible causes of anal fissures include:

  • Persistent diarrhoea
  • Inflammatory bowel disease (IBD), such as Crohn's disease and ulcerative colitis
  • Pregnancy and childbirth
  • Occasionally, a sexually transmitted infection (STI), such as syphilis or herpes, which can infect and damage the anal canal
  • Having unusually tight anal sphincter muscles, which can increase the tension in your anal canal, making it more susceptible to tearing
  • In many cases, no clear cause can be identified.

Fissure symptoms

  • A sharp pain when you poop, often followed by a deep burning pain that may last several hours
  • Bleeding when you poop - most people notice a small amount of bright red blood either in their poo or on the toilet paper

Fistula

An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poop leaves the body). An anal fistula is a canal like structure that with opening on both inside the body and outside near anus with a collection pus.

They're 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. Anal fistulas can cause unpleasant symptoms, such as discomfort and skin irritation, and will not usually get better on their own. Surgery is recommended in most cases.

Symptoms of an Fistula

  • Skin irritation around the anus
  • A constant, throbbing pain that may be worse when you sit down, move around, poo or cough
  • Smelly discharge from near your anus
  • Passing pus or blood when you poo
  • Swelling and redness around your anus and a high temperature (fevDer) if you also have an abscess
  • difficulty controlling bowel movements (bowel incontinence) in some cases

The end of the fistula might be visible as a hole in the skin near your anus, although this may be difficult for you to see yourself.

Causes of Fistulas

Most anal fistulas develop after an anal abscess. You can get one if the abscess does not heal properly after the pus has drained away.

Less common causes of anal fistulas include:

  • Crohn's disease - a long-term condition in which the digestive system becomes inflamed
  • Diverticulitis - infection of the small pouches that can stick out of the side of the large intestine (colon)
  • Hidradenitis suppurativa - a long-term skin condition that causes abscesses and scarring
  • Infection with tuberculosis (TB) or HIV
  • A complication of surgery near the anus

Pilonidal Sinus

A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It does not always cause symptoms and only needs to be treated if it becomes infected.

Check if you have an infected pilonidal sinus

  • Most people with a pilonidal sinus do not notice it unless it becomes infected and causes symptoms.
  • An infection will cause pain and swelling, and a pus-filled abscess can develop.
  • Treatments for an infected pilonidal sinus

Treatment for an infected pilonidal sinus will depend on:

  • Your symptoms
  • The size of the sinus
  • Whether it's your first sinus or it keeps coming back

A pilonidal sinus abscess will need treatment with antibiotics. The pus inside will also probably need to be drained. There are a number of treatment options for a pilonidal sinus that keeps coming back and that's painful, bleeding or leaking discharge. Your doctor will discuss these with you. In most cases you'll be offered painkillers, such as paracetamol and anti-inflammatories to help reduce pain and swelling.

Causes of Pilonidal Sinus

  • It's not clear what causes a pilonidal sinus.
  • A skin problem, pressure or friction may cause hair between the buttocks to be pushed inwards.
  • This may either be hair growing around the buttock area, or loose hair shed from the buttocks or elsewhere that gathers around the buttock cleft and enters the pilonidal sinus.
  • Pilonidal sinuses are more common in men because they tend to be hairier.
  • Sitting for long periods can also increase your chances of getting a pilonidal sinus.

When to See a Doctor?

Do not let embarrassment stop you from seeking help. Proctology conditions are a very common problem we are used to dealing with. Call House Of Doctors if you think you are suffering from any of the symptoms below:

Bleeding
Skin Maceration
Perianal Swelling
Pus or Blood Discharge
Pain during bowel movements/urination
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