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Hemorrhoids, Piles ( बवासीर ) Specialist
Dr. Chintan B. Patel
- India’s Leading Proctologist & Piles Expert, Dr Chintan B Patel is now available on Online Video Consultation.
- We believe in managing your health conditions through a combination of LASER, STAPLER GUN – MIPH, LIGASURE & minimally invasive surgeries, medicines, lifestyle changes, and dietary changes. We help you identify the best & latest treatment approach for you.
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Learn More About Piles & Hemmorhoids
बवासीर (पाईल्स) के बारेमे जानिए
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What is Piles?
Swelling of blood vessels in Anal Canal & Lower Rectum.
Most common cause of bleeding while passing stools.
They are of 2 types
- Internal Piles
- External Piles
पाइल्स क्या है?
पाइल्स एक ऐसी बीमारी है जिसमें पीड़ित व्यक्ति एनस के अंदर और बाहरी हिस्से में सूजन आ जाती है। जिसकी वजह से एनस अंदरूनी हिस्से या बाहर के हिस्से में स्किन जमाकर होकर मस्से जैसी बन जाती है और इसमें से कई बार खून निकलने के साथ ही दर्द भी होता है। मल त्याग के दौरान जोर लगाने पर ये मस्से बाहर आ जाते हैं। इस समस्या के कारण व्यक्ति को बैठने में भी दिक्कत होती है। चिकित्सकों के अनुसार, कई बार शर्मिंदगी के कारण लोग शुरुआत में इस पर ध्यान नहीं देते जिससे बाद में समस्या बढ़ जाती है।
Treatment
Often hemmorhoids or Piles can be treated without operation ( Grade 1 & Grade 2 Piles )
Medicines, Stool softeners, Natural Home remedies is quite helpful in early cases.
Persistent Severe bleeding / Large Grade 3 / Prolapsing / Thrombosed Piles Hemmorrhoids may need Operation.
They may not have responded to medicines or Lifestyle changes.
Your Surgeon will discuss advantages, recovery time, side effects & severity of pain as per Findings during examination & will help you select the best procedure suited for you
Adequate water intake
Boiled Vegetables
Raw Vegetables – Carrots, Cucumber, Coriander, Palak
Fruits – Apple, Kiwi, Citrus fruits, Papaya, Water Melon, Musk Melon
Avoid Chillies, Spices.
No Smoking
No Coffee / Tea
Mobile Use in Bathroom
Straining in Toilet
Surgery
Latest options for Best treatment of Hemmorhoids / Piles are as follows
- Ligasure Surgery / Harmonic Scalpel
- Stapler Gun Surgery or Minimal invasive procedure for Hemmorhoids (MIPH)
- Laser Piles Hemmorhoidoplasty
Excision Hemmorhoidectomy – Open or Closed
Hemorrhoidal Laser procedure (HeLP) & Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx)
Injection Sclerotherapy
Rubber Band Ligation
DHAL – Doppler Guided Hemmorhoidal Artery Ligation
Coagulation ( Laser / Cryo / RFA / Infrared / Bipolar )
FAQs
Very less Chances but Yes. Depends on various factors like Grade of Hemmorhoids & Technique of surgery.
But in hands of experienced surgeon & proper instructions, recurrence rates are quite low.
In hands of experienced surgeon, recurrence rate are between 2 to 6 %.
Excision Hemmorhoidectomy have the lowest recurrence rates as compared to other surgical options.
Early Diagnosis & Surgical Intervention means less side effects after operation.
In Hands of experienced surgeon, Overall complication rates are low but still one cannot assure zero percent.
1. Immediate
- Urinary retention
- Infection
- Bleeding
- Pain
2. Late
- Anal Stricture / Anal Stenosis
- Recurrence
- Chronic pain / irritation
Laxative & stool Softeners
Take High Fibre Fruits & Vegetables
Drink more Water
Topical ointments & medicines for 3 to 10 days for pain relief
Generally no dressing requires in most of the operations.
Yes. It is Absolutely Necessary to have proper check up by General Surgeon for Confirmation of Diagnosis.
Rectal Polyps, Anal fissure, fistula in ano, Ulcerative Colitis, Rectal varices, Condyloma, Anal cancer, etc are misdiagnosed as “ Piles or hemorrhoids ” by the common population.
- Cirrhosis of Liver & Portal Hypertension
- Cardiac Patients on Blood thinners
- Kidney patients on Dialysis
- HIV
- Pregnancy
- Children
Above conditions are subject to individual risk assessment & outcomes after thorough discussion & response to conservative approach.
Mainly purpose for any patient contemplating Piles or Hemmorhoids Treatment are
- Stop Bleeding
- No Swelling
- Painless recovery
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