Piles Fissures Fistulas root causes remedial measures

Piles Fissures Fistulas root causes remedial measures


Piles Fissures Fistulas root causes remedial measures


Constipation can be a challenging issue, not due to a lack of effective treatments but because many people are hesitant to seek treatment in the first place. The shift towards a more Westernised diet with lower fiber intake and increased consumption of refined carbohydrates has contributed to the prevalence of constipation. Chronic constipation can lead to various perianal problems such as haemorrhoids (commonly known as piles), fissures, fistulae, and abscesses.

As a Coloproctologist, I frequently encounter individuals dealing with these perianal conditions. Unfortunately, many of them delay seeking treatment until it becomes a last resort.

In India, women, in particular, often endure substantial suffering before consulting a doctor. They may be reluctant to discuss such issues with their families or even their spouses, opting to endure the discomfort in silence and postponing treatment. While perianal diseases like piles, fissures, and fistulae may not be life-threatening, they are undeniably painful and inconvenient. There’s no need to endure this pain when these conditions are amenable to straightforward treatments.

Another challenge with many Indian patients is their aversion to surgery at all costs. Even if it means years of suffering, relying on medications, and leading a restricted lifestyle, they prefer to avoid surgery, considering it a last resort.

We are living in the 21st century, and we have access to advanced and minimally invasive procedures to treat conditions like piles, fissures, and fistulae. Laser technology, for instance, has made these surgeries virtually painless.

It’s high time we stopped delaying appropriate treatments in favour of home remedies and unscientific methods. We must educate ourselves and seek medical assistance when it is necessary.

Piles (Hemorrhoids)

Root Cause: Piles occur when the blood vessels in the rectal and anal area become swollen and inflamed. The most common causes include chronic constipation, straining during bowel movements, prolonged sitting on the toilet, obesity, and pregnancy.

Remedial Measures

– Dietary modifications, including increased fiber intake and drinking plenty of water, can alleviate constipation and reduce the risk of piles.

– Over-the-counter medications, creams, and suppositories can provide relief from symptoms.

– For severe cases, minimally invasive procedures like rubber band ligation, sclerotherapy, or surgery may be necessary.


Root Cause: Anal fissures are small tears in the lining of the anus, usually caused by trauma during a hard or large stool. Chronic constipation, diarrhea, and straining during bowel movements are common contributing factors.

Home Remedial Measures

– Increasing fiber intake and staying hydrated can help soften stools and reduce strain during bowel movements.

– Topical creams and medications can help relieve pain and promote healing.

– For persistent fissures, minimally invasive procedures or surgery may be necessary to repair the tear.


Root Cause: Anal fistulas are often the result of an untreated or improperly healed anal abscess, which causes an abnormal connection between the anal canal and the skin around the anus.

Remedial Measures:

– Surgical intervention is typically required to treat fistulas. The procedure involves draining the abscess and creating a new path for proper healing.

– Proper post-operative care and hygiene are essential to prevent recurrence.

It’s important to note that early detection and prompt medical intervention can significantly improve the outcomes for these conditions. If you’re experiencing symptoms or have concerns, please don’t hesitate to reach out to me for a thorough evaluation and personalised treatment plan.

I’m here to provide expert care, guidance, and support to help you manage and overcome these conditions effectively. Your well-being is my priority, and I’m dedicated to being a partner in your journey to health and comfort.

For more details Contact us:

PADMA HOSPITAl, Plot no. 312, MIG, Huda mayuri nagar, miyapur hyderabad

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