Piles are also known as hemorrhoids, which are swollen blood vessels in the bottom area i.e. anal canal. They are a spread out of the naturally occurring mesh-work of blood vessels lining the anal canal.

Hemorrhoids are classified into 4 grades / stages that range from mild to severe, with grade 1 being the mildest & with grade 4 exhibiting a swelling that remains outside the anal canal and cannot be pushed in.

Piles / Hemorrhoids Causes

♦ The common cause of piles is straining which majorly is due to Constipation, or a condition in which there is difficulty in emptying the bowels.

♦ Increase in abdominal pressure during pregnancy, childbirth & weight-lifting

♦ Low fiber diet. Intake of less than 30 grams of fiber per day

♦ Obesity. Because excessive weight puts pressure on the veins of the rectum and anus.

♦ Long hours of sitting or standing, typically while at work or traveling. 

Piles / Hemorrhoids Symptoms

♦ Continuous pain and bleeding during bowel movements

♦ Unusual itching or irritation in the anal region

♦ Swelling around the anus

♦ Painful lumps near the anus

♦ Leakage of feces

We Offer The Best Piles Treatment in Surat

No matter how challenging and unmanageable hemorrhoids / piles treatment may look like, we are here to take care of it. We understand your cause. Our surgeons & staff are internationally trained and are experienced to ensure that we, at star surat piles & colorectal clinic, provide the best piles treatment in Surat to you and nothing less.

Advanced treatments for Piles:

► LASER

► DG-HAL RAR , also known as HALO

►MIPH/ PPH, also known as Stapler surgery

►RFA (RadioFrequency Ablation)

►IRC

►Band Ligation

►Sclerotherapy

►Open Haemorrhidectomy

Our aim is to provide the best piles treatment in surat and to widen our purpose to every corner of the world. Our doctors are capable of treating all stages of piles in a pain-free, patient-friendly, in a controlled manner. Thus, keeping the patient happy & blessed to get back to their regular activities within 24 hours. Gone are the long leaves and sick breaks. You can schedule our best piles laser treatment on a weekend & get back to work by Monday.

We at star surat piles & colorectal clinic, firmly believe that Piles and also their requirement for surgery can be prevented. After extensive research, with almost 15 years of personal experience and expertise in the field, we have devised a unique initiative for treating Piles. Our special preventive health care programs are aimed at guiding patients through developing a healthy lifestyle.

A fistula is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs. Fistulas are usually caused by injury or surgery, but they can also result from an infection or inflammation. Fistulas are generally a disease condition, but they may be surgically created for therapeutic reasons.

What Is an Anal Fistula?

An anal fistula is a tunnel that runs from inside the anus -- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. It usually follows an infection that didn’t heal the right way. Your doctor can repair the fistula, but you'll need surgery for that.

What Causes It?

Just inside your anus are several glands that make fluid. Sometimes, they get blocked or clogged. When that happens, a bacteria buildup can create a swollen pocket of infected tissue and liquid. Doctors call this an abscess.

If you don’t treat the abscess, it’ll grow. Eventually, it’ll make its way to the outside and punch a hole in the skin somewhere near your anus so the gunk inside it can drain. The fistula is the tunnel that connects the gland to that opening.

Most of the time, an abscess causes a fistula. It’s rare, but they can also come from conditions like tuberculosis, sexually transmitted diseases, or an ongoing illness that affects your bowels.

Anal fissure or Fissure-in-Ano is a crack or injury on the soft and delicate lining of the anal canal. It is generally the result of passing a hard stool. These can appear at any age and are commonly seen in both the sex. Fissures as classified as

Acute – early, less than a month +/- 15 days

Chronic – long-standing, more than 2 months duration. Mostly have a skin covering like piles

Fissure Causes

Fissure treatment doctors say that there are many things that cause fissures. Some of the most common causes of fissure include:

♦ Constipation

♦ Passing Hard stools (due to lack of water intake & fiber in diet)

♦ Frequent bowel movements causing the delicate anal lining to tear

♦ Inflammatory bowel diseases (IBD) like Crohn’s disease, Tuberculosis etc.

Fissure Symptoms

♦ Constipation

♦ Pain in anal fissure during defecation

♦ Severe burning sensation and Swelling at the bottom, post defecation

♦ Mild to severe itching at the bottom

Fissures Treatment

Most fissures can be treated conservatively, at least the acute ones. But chronic fissures will require surgical treatment in the form of operation. Fissures treatment options include:

Dilatation:  It is the forceful opening of the anal canal under spasm, which is done under anesthesia. This leads to loss of bowel control in most cases, due to damage to the anal sphincter/valves. Hence it is largely abandoned or done by people not abreast with the newer methods.

Lateral Internal Sphincterotomy: It is associated with the same principle i.e, releasing the anal spasm but with a small muscle incised. It needs to be carried out by Fissures Treatment Experts only, as the degree of incised muscle directly correlates with bowel control.

Advanced Treatments:  Many advanced treatments are painless and harmonious. In most cases, the patient will be discharged in a day. Here, the chronic fissure that fails to respond to the conservative treatment is dealt with Laser Lateral Internal Sphincterotomy (Laser-LIS) which is highly effective and the least invasive.

At star surat piles & colorectal clinic, we have the best fissure doctors available to provide the Best Fissures Treatment in Surat, to enable the patient with full control over their bowel movements after our treatment. It is very important to make sure that, Laser Fissure Treatment should be carried out by an Expert Colorectal Surgeon only and that the doctor is qualified, before committing to the treatment.

Constipation is a condition with an inability to empty one’s bowels. Generally, with those having less than 3 bowel movements per week. It occurs when the stool moves very slowly through the bowels making it very hard and dry.

The occasional occurrence of constipation is common but for a few, it becomes chronic and will interfere with daily activities. In chronic constipation, symptoms persist for several weeks.

Constipation is considered Chronic if symptoms are visible for at least 3 times per week in a period of 3 months. It is commonly affecting up to 27% of the world’s population.

Complications:

Chronic constipation can lead to many complications such as Piles, Anal Fissure, Fecal impaction (stool that simply cannot be expelled and gets stuck in the bowels) and Rectal prolapse (Bowel protruding out through the anus due to constant and forceful straining).

Constipation Causes:

♦ Blockages in the bowel movement like anal fissure, bowel obstruction, stricture, rectocele (internal prolapsed of the rectum), bowel cancer and other abdominal cancer causing pressure on the bowel.

♦ Neurological problems like Autonomic Neuropathy, Multiple Sclerosis, Parkinson, Spinal cord injury and stroke.

♦ Pelvic muscles problems like Anismus (failure to relax) and Dyssynergia (weakness or improper coordination).

♦ Hormonal unlikeness leading to fluid imbalance and causing dry stools.

Constipation Symptoms:

♦ Uncommon struggles like there's a blockage in the rectum, preventing bowel movements

♦ Passing fewer than three stools a week

♦ Experiencing lumpy and hard stools

♦ Feeling of not completely emptying the stool from your rectum

♦ Need for assistance to empty your rectum, such as using hands to press on the abdomen or using a finger to remove the stool.

Constipation Treatment Experts say that constipation will be considered “chronic” if the patient had experienced more than two symptoms in a period of three months.

Treatments for Constipation

At star surat piles & colorectal clinic, we have developed a comprehensive approach that involves providing the Best Constipation Treatment in Surat, exclusively. After a detailed analysis of the patient’s condition, we undertake a suitable procedure to aid the medical problem.

It may vary from a change in regular diet to supply more fiber, relaxation techniques, exercises specially designed to strengthen the pelvic muscles; to toilet-retraining.

A few patients may have to undergo an operation called STARR to remove the obstruction. This operation is minimally invasive with no cuts being and is done completely inside the rectum with the help of staplers which are specially designed to serve the purpose.

A perianal abscess also called anorectal abscess is a collection of pus in the tissue around the anus and rectum. It arises from an anal infection or blocked glands which leads to inflammation and abscess formation. This abscess causes extreme pain and discomfort for patients.

“If left untreated, a perianal abscess will develop a serious complication called a fistula” – says fistula treatment experts at star surat piles & colorectal clinic. Anal fistula or fistula is a tunnel that makes an abnormal connection between the site of the abscess and the skin. In some cases, anal fistulas may cause persistent drainage that results in recurrent anal abscesses. This condition often requires more intensive surgery.

What are the Causes of Perianal Abscess?

A perianal abscess can have many different causes that include blocked gland, sexually transmitted infections, and an untreated anal fistula.
Some other risk factors for anal abscess include:

♦ Inflammatory bowel diseases such as chron’s disease or ulcerative colitis.

♦ Diabetes

♦ Diverticulitis

♦ Pelvic inflammatory disease

♦ Having anal sex

♦ Use of medications that suppress the body’s immune system such as prednisone.

♦ Undergoing chemotherapy for cancer

What are the Symptoms of Perianal Abscess?

Throbbing and constant pain when sitting down is probably one of the most common symptoms of a perianal or perirectal abscess. This pain is accompanied by swelling in the anal area or buttocks and severe pain during bowel movements.

Other symptoms of an anal abscess include:

♦ Discharge of pus or bleeding near the anus.

♦ Fever and chills

♦ Fatigue

♦ Constipation

♦ A lump in the anal area

♦ Tenderness or itching of the skin around the anus.

How Perianal Abscess is Diagnosed?

Most anorectal or perirectal abscesses are usually diagnosed based on your medical history and a physical exam. If an abscess is located within the anal canal, your doctor may perform an endoscopy to look inside the anal canal and lower rectum.

Sometimes imaging tests such as computed tomography (CT) scan or magnetic resonance imaging (MRI) may be used especially if the abscess is deeper. During the physical exam, your doctor will want to make sure of whether the mass is an abscess or hemorrhoids.

Further tests may be recommended to ascertain that IBD or Crohn’s disease is not a contributing factor. In these cases, blood tests and colonoscopy, using a lighted and flexible scope to examine colon are required.

How Perianal or Perirectal Abscess is Treated?

Surgery is the standard treatment for anorectal abscess.

Anorectal abscess rarely goes on their own with antibiotic therapy. Because these abscesses are an indication of timely incision and drainage. In most cases, incision and drainage are performed typically in an office setting that involves a local anesthetic.

However, if the anal abscess is large and deeper or situated high in the rectum, the procedure may require hospitalization and general anesthesiologist. This procedure generally takes around 30 mins. After the procedure, antibiotics are prescribed to help treat the infection and pain relief. Patients may also be advised to use a sitz bath, to soak and clean the anal area.

During recovery, stool softeners and medications may be needed to allow the drained abscess to heal better. After every bowel movement, wiping the area gently with toilet paper and rinsing with warm water helps decrease the patient’s discomfort.

When to See a Doctor?

Once the perianal abscess surgery is done, the drainage of the abscess will provide almost immediate relief. Sometimes, pain and discomfort are usually mild and can be controlled by pain medications. However, if you experience excessive rectal bleeding, fever, chills, or vomiting after the abscess surgery consult the doctor immediately at star surat piles & colorectal clinic.

A Pilonidal Sinus (PNS) is a small cyst or abscess that occurs in the cleft at the top of the buttocks. A PNS usually contains hair, dirt, and debris. It can cause severe pain and can often become infected, in which case, it may ooze pus and blood and have a foul odor.

A PNS is a condition that mostly affects men and is also common in young adults. It’s also more common in people with a sitting job.

Pilonidal Sinus Treatment

There are several medical options for pilonidal sinus treatment. They are branched into two:

1. Pilonidal Sinus Treatment Without Surgery: If the patient is facing insignificant pain, he/she will be given Painkillers to reduce the pain and anti-inflammatories to nullify the swelling.
2. Pilonidal Sinus Treatment With Surgery: In case the patient is subjected to more bleeding and severe pain, he/she will need to undergo Pilonidal surgery.

Pilonidal Sinus Causes:

The cause of PNS is believed to be the combination of changing hormones, hair growth, and friction from clothes or from spending a long time sitting. However, The exact cause of the condition is not known.

Activities that cause friction, like sitting, can force the hair growing in the area to burrow back under the skin. The body considers this hair foreign and launches an immune response against it, similar to how it would react when dealing with a splinter. This immune response forms the cyst around your hair.

Pilonidal Sinus Symptoms:

♦ Formation of more than one sinus tract, or holes in the skin

♦ Reddened, sore skin around the area

♦ Pus or blood draining from the abscess, causing a foul odor

♦ Pain when sitting or standing

♦ Swelling of the cyst

♦ Hair protruding from the lesion

Colorectal Cancer (CRC), also known as bowel cancer or colon cancer, is the development of cancer from colon or rectum (which are part of the large intestine). Colorectal cancer (CRC) is the third most commonly observed cancer in men and the second most commonly observed cancer in women, worldwide. Although there exist wide geographical variations in incidence across the world, the geographical patterns remain similar in men and women, with almost 55% of the cases originating in developing countries only.

Mortality due to colon cancer is higher in the underdeveloped than in developed countries. This is because of poor health care systems and lack of awareness about the disease. The incidence of colorectal cancer treatment is relatively low in India due to significantly high fiber intake and a healthier lifestyle when compared with other countries.

Colon and rectal cancer are more frequently observed and diagnosed among people of age 65 to 74 years (median age is 68 years), though lately, it is visible in the lower age groups also. In the western world, colon cancer is observed more commonly than rectal cancer. In India, rectal cancer is more common with men being commonly affected than women.

Best Colorectal Cancer Doctors say that Colorectal cancer usually starts in the innermost layer (mucosa) and will grow through some or all of the tissue layers that make up the colon and rectum (submucosa, muscularis, and serosa ). The extent to which a cancer penetrates the various tissue layers determines the stage of the disease.

Colorectal Cancer Symptoms & Causes

The common symptoms associated with colon-rectal cancer are:

♦ Blood in stools.

♦ Change in bowel habits, for example, diarrhea, increasing constipation or increasing requirement of laxatives and

♦ narrow caliber of stool that lasts for a few days or weeks or months.

♦ Abdominal or rectal pain.

♦ Constant feeling that you need to have bowel movements, which still persist after passing stool.

♦ Weakness, decrease in appetite and a significant amount of weight loss in a few months.

Few of these symptoms can be caused by other medical conditions, but awareness of the disease can help in early diagnosis. Any rectal bleeding is commonly associated with benign anorectal diseases like hemorrhoids or fissure. But colon cancer can sometimes coexist with hemorrhoids especially if age is more than 50 years, which can be a serious issue and shouldn’t be neglected.

Colon Cancer Treatment

The method of Colon Cancer treatment depends on the stage of the disease i.e, the status of its growth, how large the tumor has grown, how deeply it has invaded the layers of the colon or rectum, and whether it has spread to other organs like liver, lungs or any other parts of the body.

Colon cancer treatment options include:

♦ Surgery- Laparoscopic Colectomy

♦ Radiation therapy

♦ Chemotherapy, Hormonal and biological therapy

♦ Local ablative therapy

♦ A combination of all 3 approaches