Dr. Ankur Sharma(Consultant Surgeon & Proctologist)
Specialist in Piles, Fissure, Fistula & Other Ano-Rectal Diseases. Dr. Ankur Sharma is a highly skilled Ayurvedic Surgeon in New Delhi. He has done his MS General Surgery (Ayurveda) from Gujrat. He is a honorable life member of National Integrated Medical Association and WAP. Dr. Ankur Sharma known for expertise in Ayurvedic ksharsutra Surgery for the successful treatment of all kind of simple and complecated Anal Fistula, Pilonidal Sinus, Piles(hemorrhoids), Anal Fissure and other Anorectal disease.
Introduction : Piles, fistula, and fissure are common medical conditions that affect the rectal area and can cause discomfort and pain. Fortunately, there are several effective treatment options available to address these conditions and provide relief. This article will outline some of the commonly used treatments for piles, fistula, and fissure.
1. Piles (Hemorrhoids) Treatment : Piles, also known as hemorrhoids, occur when the blood vessels in the rectal area become swollen and inflamed. Treatment options for piles include:
a. Lifestyle Changes :
1. Consuming a high-fiber diet to prevent constipation.
2. Drinking plenty of water to soften stools.
3. Avoiding excessive straining during bowel movements.
b. Medications :
1. Over-the-counter creams and ointments to reduce inflammation and itching.
2. Oral pain relievers to manage discomfort.
c. Procedures :
1. Rubber band ligation: A small rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.
2. Sclerotherapy: A chemical solution is injected into the hemorrhoid, causing it to shrink.
3. Infrared coagulation: A device is used to apply infrared light to the hemorrhoid, causing it to harden and shrink.
d. Surgical Interventions :
1. Hemorrhoidectomy: Surgical removal of the hemorrhoid.
2. Stapled hemorrhoidopexy: A stapling device is used to remove the hemorrhoidal tissue and reposition the remaining tissue.
2. Fistula Treatment : A fistula is an abnormal connection between two organs or structures. Fistulas near the rectal area require medical intervention. Treatment options for fistula include:
a. Fistulotomy : Surgical procedure to open the fistula tract, remove infected tissue, and promote healing.
b. Seton Placement : A seton, which is a surgical thread, is placed through the fistula tract to keep it open and allow it to heal gradually.
c. Fistula Plug : A biodegradable plug is inserted into the fistula tract to promote healing.
d. LIFT Procedure : A minimally invasive procedure where the fistula tract is dissected and closed.
3. Fissure Treatment : A fissure is a tear in the lining of the anus, causing pain and bleeding. Treatment options for fissure include:
a. Medications :
1. Topical ointments containing nitroglycerin or calcium channel blockers to relax the sphincter muscles and promote healing.
2. Stool softeners to prevent straining during bowel movements.
b. Botox Injection : Injection of botulinum toxin into the anal sphincter to relax the muscles and promote healing.
c. Lateral Internal Sphincterotomy : Surgical procedure to relieve pressure in the anal sphincter and promote healing.
Conclusion:
Piles, fistula, and fissure can cause discomfort and affect the quality of life. Seeking early medical intervention and following the prescribed treatment plan is crucial for effective management of these conditions. From lifestyle changes and medications to minimally invasive procedures and surgeries, various treatment options are available to address piles, fistula, and fissure. It is important to consult with a healthcare professional to determine the most suitable treatment approach for individual cases.