Proctology(Piles, Fissure)
What is proctology
Proctology is a branch of medicine that deals with the diagnosis and treatment of diseases of the colon, rectum, and anus. The most common conditions that proctologists treat are piles and fissures.
Best Piles Treatment in Kota
Piles(Haemorrhoids) Treatment
We understand that Piles ( Bavasir ) may not be a subject you feel comfortable talking about, but there is no need to suffer in silence. If you have piles, you are not alone. It is estimated that piles will affect at least 50% population at some point during their lives, that makes it one in two of us! Jain Surgical Hospital & Maternity Home feel proud to say that we are one of the best piles hospital in kota.
A medical history followed by visual examination of the anus is usually enough. However, a digital examination and Proctoscopy ( a scope is inserted to examine the anal canal ) is done to confirm the diagnosis. At times a Barium study or Colonoscopy may be advised if your doctor suspects any other cause of bleeding that needs to be ruled ou
Causes of Piles
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Constipation - Most common cause
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Hard stools/ Straining during bowel movement
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Faulty toilet habits ( sitting on the toilet for a long time ex. reading )
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Family history
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Pregnancy and childbirth
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Lifting heavy weights
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Obesity
Symptoms Of Piles
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Painless bleeding while passing stools
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Feeling a lump outside the anus
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Pruritus ani or itching around the anus
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Faecal soiling of undergarments
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If a blood clot forms in the haemorrhoid ( Thrombosed haemorrhoid ) it leads to a severely painful swelling which worsens with bowel movement and sitting.
Fissure Treatment
An anal fissure or Fissure-in-ano is a tear or cut in the skin of the anal canal. The condition affects men and women equally and can occur at any age ( infants too ). Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock.
A fissure which is present for less than 6 weeks is called an Acute fissure. That which is more than 6 weeks old is called a Chronic fissure. The Chronic fissure is usually hard to feel and may have a skin tag like growth called Sentinel Pile.
Causes of Fissure
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Hard stools especially associated with constipation - The increased pressure exerted in an effort to pass the hard stools causes tearing of the delicate perianal skin.
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Iatrogenic - A tear may occur during insertion of a rectal thermometer, USG probe, endoscope, enema tube.
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Childbirth
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Anal sex - Commonly encountered in homosexuals.
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Rare causes - Crohns disease, leukaemia, tuberculosis, sexually transmitted diseases, viral infections etc
Symptoms Of Fissure
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Painful defecation
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Bleeding
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Need to strain while passing stools
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Malodorous
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Sentinel pile
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