Suffering from PILES? Stand Up!

Piles, Fissure

Do you have any problem like rectal bleeding, pain while passing stool or constipation?“ These are symptoms of Anorectal disorders & about 50% of the population would have anorectal disorder at some point in their life probably by the time they reach the age of 50, and approximately 1 in 20 people suffer from anorectal disorders at any given point of time

What is Piles (Hemorrhoids)?

Piles are swollen and inflated veins in the rectum and anus that cause discomfort and bleeding

Common causes of Piles

Straining during bowel movements


Straining during bowel movements

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    Classification of Piles

    Grade I

    There are small inflammations, usually inside the lining of the anus and they are not visible.

    Grade III

    These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.

    Grade II

    Piles are larger than grade I, but also remain inside the anus. They may get pushed out during passing of stool, but they will return unaided.

    Grade IV

    These cannot be pushed back in and need treatment. They are large and remain outside of the anus.

    What is Fissures (Fissures in Ano)?

    An Anal Fissure is a small tear in the thin and moist tissue called ‘mucosa‘ that lines the anus. Also it maybe associated with hemorrhoids, Anal Fissure can cause pain and bleeding while passing stools.

    Common causes of Fissure

    Chronic diarrhoea.

    Unusually tight anal sphincter muscles

    Classification of Fissure in Ano

    Acute Fissures: It clears up within six weeks.

    Chronic Fissures: It persists for more than six weeks. A chronic fissure is often associated with an external skin tag. Surgery is recommended in these cases.

    Essential differences to understand Anorectal Disorders


    • Swollen veins in the anal canal, rectum or anus
    • Painless during the initial phase and increases as the swelling becomes more prominent
    • Piles are a result of prolonged constipation, pregnancy or chronic cough, physical strain


    • Tear or cut of anal skin
    • Very painful and uncomfortable with little or more bleeding
    • This occurs during pregnancy, as a result of obesity or an injury to the anal cavity, passing hard stools & chronic diarrhoea

    When should you visit a General Surgeon?

    Blood while passing stools

    Pain while passing stools

    Mucus discharge whilepassing stools

    Painful hard lump inthe anal region

    Itching sensation aroundthe anal region

    Fullness in the bowels evenafter passing stools


    • Anemia :Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don’t have enough healthy red blood cells to carry oxygen to your body organs.
    • Strangulated hemorrhoid : If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be “strangulated,” causing extreme pain.
    • Blood clot :Occasionally, a clot can form in a hemorrhoid. Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.
    • Bowel incontinence : Difficulty in controlling bowel movement & leakage of stool.

    Treatment options for Anorectal Disorders

    Advantages of Laser treatment

    Laser Surgery

    Non-invasive procedure



    Discharge in 24 hrs

    No dressing required

    Quick recovery

    Surgical ligation & stripping

    Non-invasive procedure

    Blood loss present


    Discharge after a few days

    Wound dressing required

    Bed rest is required for 2-3 days

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    Dr Sushil Deshmukh

    MBBS, MS – General Surgery,Fellowship in Minimal AccessSurgeryLaser & Laparoscopic Surgeon

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    MBBS, DNB – General Surgery,Fellowship in Minimal AccessSurgeryLaser & Laparoscopic Surgeon

    OPD Days: Mon – Wed, Fri & Sat

    Timings: 2 pm – 5 pm

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