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    What happens during piles, fissures & fistula?

    Diagnosis
    In the case of external piles, fissures & fistula the doctor can diagnose them with a physical inspection. However, in case of internal hemorrhoids, the proctologist will perform a digital examination to insert a gloved, lubricated finger into the rectum to check for abnormal growth. Additionally, to correctly diagnose internal piles, fissures & fistula the surgeon may choose a proctoscope, an anoscope, or a sigmoidoscope to examine the lower rectum.

     

    How Prepare for piles, fissures & fistula laser surgery?

    It is essential to follow all instructions given by your doctor to ensure that your post-surgery recovery process is on track.

    • Let your doctor know in advance if you’re allergic to any medications.
    • Avoid heavy meals the night before the surgery.
    • Avoid drinking and smoking a week before the surgery.
    • Eat a light meal on the day of the surgery. Avoid heavy foods that are high in fats and carbs.

     

    What is the recovery process of piles, fissures & fistula laser surgery?

    First, ensure that you keep the surgery site clean to avoid infection.Take sitz bath regularly.
    Avoid lifting heavy weights as that adds additional strain to the surgical site.Eat meals that are nutritious and high in fiber content. Avoid oily and spicy foods.To ensure you are hydrated, drink at least 8-10 glasses of water every day. Do not strain yourself during your bowel movement.If your bowel movements are hard, consider taking stool softeners to alleviate the strain (only after consulting the doctor).Be diligent about taking medications and applying ointments/creams prescribed by your doctor.

    Benefits of Laser Surgery Treatment for piles, fissures & fistula

    Minimal Bleeding & Pain: There is minimal blood loss during laser surgery and reduced pain post-surgery since the laser only targets a specific area.
    Improved Precision: Laser surgery imparts precision by targeting smaller areas without damaging the surrounding tissues.
    Day Care Surgery: Anal fistula laser surgery is a day care surgery, i.e., you will be discharged the same day unless the doctor deems otherwise.

     
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    FAQs around

    Piles ,Fissures & Fistula Treatment

    It is essential to seek medical attention for your hemorrhoids if you notice any of the following symptoms: 

    • Blood before, during, or after passing stool.
    • You’re experiencing pain or discomfort.
    • Over-the-counter medications/creams are not working.

    Small hemorrhoids may clear up on their own with home remedies and medications. However, large external hemorrhoids may need medical and surgical intervention.

    Laser surgery for piles is considered one of the most efficient and effective treatments for piles. It is minimally invasive and offers quicker recovery rates for the patient.

    While laser surgery for piles is the most effective treatment option, there are other options you can consider.
    Lifestyle Changes : Making the following lifestyle changes can help make your piles better and also prevent recurrence:
    • Eating a high fiber diet along with taking fiber supplements.
    • Exercise
    • Staying hydrated.
    • Not staying on the toilet for long periods.

    Medication: You can take medications like over-the-counter pain relievers, stool softeners, and corticosteroids (for relief from irritation) to treat hemorrhoids.

    Home Remedies: Home remedies like sitz baths can provide relief for piles. You can sit in a shallow tub and soak your anal area in warm water for 15-20 minutes. Repeat this 2-3 times a day.

    • Non-surgical: 
      • Rubber band ligation: During this procedure, the anorectal surgeon places a rubber band around the base of the internal piles. The rubber band cuts the blood circulation to the piles’ tissues causing it to shrink and fall off within 5-7 days.
      • Coagulation: The surgeon uses infrared light to destroy the piles during this procedure.  However, this treatment is only used for internal hemorrhoids.
    • Surgical:
      • Hemorrhoidectomy: Hemorrhoidectomy is done to remove the protruded anal tissues that cause bleeding. The surgery can be performed under general or local anesthesia. In this procedure, the surgeon makes a few incisions around the anus; the swollen hemorrhoids are tied off to prevent bleeding and removed. This treatment is performed for severe hemorrhoids.
      • Stapled Hemorrhoidectomy: A stapled hemorrhoidectomy disrupts the blood flow to the inflamed piles. This procedure is mainly used for internal piles. During the procedure, a hollow tube is inserted into the anal canal, through which a suture (long thread) is woven within the anal canal just above the internal piles. The ends of the suture are brought out of the hollow tube, and a stapler is placed through the tube. Once the stapler is in place, the sutures are pulled, which expands the piles of tissue into the stapler. Next, the stapler is used, excising the inflamed tissue and stapling the upper and lower parts of the cut tissue together.

    You can use over-the-counter medications such as painkillers and corticosteroid ointments/creams to help reduce redness, pain, and swelling. You can also take stool softeners to reduce pain for a more effortless bowel movement.

    Pregnant or not, the treatment for piles depends on your piles’ severity. Surgical intervention may be needed to remove prolapsed piles. These can be safely removed during any trimester of pregnancy.

    Piles surgical treatment is not complex. Hence, the chances of risks are rare. But, like any other surgical treatment, a patient may suffer any of the following conditions:
    • Bleeding: The chances of bleeding during piles surgery is higher in the case of open surgery. In case the surgeon is not experienced enough to precisely remove the inflamed tissues, there are chances that the patient may suffer from bleeding.
    • Infection: Infections can develop at any point during piles surgery. The chances are higher in rubber band ligation treatment for piles.
    • Reaction to anesthesia: Many patients report experiencing side effects of anesthesia. Due to the reaction, the patient might feel tired and nauseous for longer than usual.