Professional evaluation and treatment options for piles, anal fissure and anal fistula. Dr. Vikeerna Bharti — MS Surgery, PGIMER Chandigarh · FMAS · FIAGES — at Samford Hospital, Kokar Chowk, Ranchi.
These three anorectal conditions are often confused with each other. Each has distinct symptoms and requires a proper clinical evaluation before any treatment decision is made.
| Condition | Main Symptom | Cause |
|---|---|---|
| Piles (Haemorrhoids) | Bleeding, discomfort, prolapse | Swollen blood vessels in/around anus |
| Anal Fissure | Severe tearing pain during bowel movement | Tear in anal lining, tight sphincter |
| Anal Fistula | Persistent discharge near anus | Abnormal tunnel from anal canal to skin |
Piles are enlarged blood vessels in and around the anal canal. They are extremely common. Bleeding during or after bowel movements is the most frequent symptom — bright red blood on tissue paper or in the toilet pan.
Treatment depends on the grade of piles. Early stages may be managed with dietary modification, fibre supplementation and sitz baths. Surgical treatment — Open Haemorrhoidectomy — is considered for grade 3 and grade 4 piles, or when conservative measures have not provided adequate relief, after proper evaluation.
An anal fissure is a small tear in the lining of the anal canal. It causes sharp, tearing pain during and after bowel movements, often described as passing broken glass. Bleeding may also occur.
Acute fissures often respond to dietary changes, topical agents and sitz baths. Chronic fissures that do not respond to conservative management may require Lateral Internal Sphincterotomy (LIS) — a targeted procedure to relieve sphincter spasm and allow the fissure to heal — after evaluation by the surgeon.
An anal fistula is an abnormal tunnel connecting the inside of the anal canal to the skin outside. It develops most commonly after an anal abscess. It causes persistent discharge, recurrent infections and discomfort near the anal area.
Anal fistula cannot heal without surgical intervention. Fistulectomy — complete surgical excision of the fistula tract — is performed with careful attention to sphincter preservation. The exact technique depends on the type and complexity of the fistula, assessed during clinical examination and imaging.
Many patients delay seeking help for anorectal conditions due to embarrassment. Dr. Vikeerna Bharti provides a confidential, professional consultation. Early evaluation leads to simpler treatment and quicker recovery. Please do not delay. WhatsApp: +916206091982.
Piles are swollen blood vessels causing bleeding and discomfort. Fissure is a tear in the anal lining causing severe pain during bowel movements. Fistula is an abnormal tunnel from inside the anal canal to the skin outside, causing persistent discharge. All three are distinct conditions requiring proper evaluation before treatment.
Not always. Early-stage piles may respond to dietary changes, fibre supplementation and sitz baths. Surgical treatment is considered for grade 3 and grade 4 piles, or when conservative treatment has failed, after a proper clinical evaluation by Dr. Bharti.
No. Anal fistula is an abnormal channel that cannot close spontaneously. Without surgical treatment, it causes repeated infections and abscesses. Fistulectomy, performed after proper evaluation, is the standard approach.
Dr. Vikeerna Bharti, Consultant General and Advanced Laparoscopic Surgeon at Samford Hospital, Kokar Chowk, Ranchi, provides evaluation and treatment for piles, anal fissure and anal fistula. OPD: Monday to Saturday, 11 AM to 5 PM. Appointment: +916206091982.
Most patients are discharged the same day or next morning. Pain is manageable with prescribed medication. Return to desk work in 1 to 2 weeks. Full recovery in 3 to 4 weeks. Fibre-rich diet and adequate water intake speeds recovery significantly.