Don’t Confuse Fissure with Piles

For most of us any problem in the anal region is either piles or fissure, the self-diagnosis usually depending upon which of the two words is ingrained in our vocabulary. However, a goofed-up diagnosis not only adds to the misery but makes a simple problem complex. I have tried to explain the difference between the two in simple words here. When it comes to one’s health, its best to be well-informed and aware of the condition one is faced with.

What is the difference between piles and fissure?

Piles or hemorrhoids are swollen blood vessels near the anal opening whereas fissure is a tear in the delicate skin of the anal opening. Depending upon the severity of the disease, piles are graded from 1 to 4, grade 1 having just swollen vessels while grade 4 has a mass comes out of the opening.

What is the difference in symptoms?

The predominant symptom of a fissure is intense pain while defecating. The magnitude of the pain is such that one fears going to the toilet.
Piles are usually characterized by bleeding after passing stools. The blood is fresh and there is no pain. Sometimes one may feel a mass at the anal opening.

Which tests are needed for a diagnosis?

A history of symptoms and visual examination is enough to diagnose fissure. In addition to above, a simple painless technique called Proctoscopy is done in case of hemorrhoids, for a more accurate diagnosis and grading.

Can these conditions be permanently treated?

Modern medicine assures a reliable, quick and effective cure of anorectal problems. Medicines, dietary modifications and lifestyle changes (MCDPA) are enough to treat early piles and acute fissure. In case of chronic cases of fissure, Laser Sphincterotomy provides excellent results. Similarly, for higher grades of piles, Laser Hemorrhoidoplasty (LHP) or Stapler surgery (MIPH) provide a safe, minimally painful and efficient modality of treatment. The earlier techniques weren’t as developed and recurrences were a problem. But with these advanced procedures hemorrhoids can be cured for good.

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Laser Haemorrhoidoplasty: Least Invasive Treatment for Piles

No one likes to talk about Haemorrhoids but it’s one of the most common anorectal lifestyle diseases, today. Are you suffering from recurring Piles since long? You might have approached a number of doctors for a number of remedies. However, complete cure of Piles cannot be guaranteed, when they reach a severe stage – Grade IV. This blog introduces you to the latest and innovative technology Piles treatment, which is least invasive. No need to be afraid of undergoing a painful surgery anymore now!

Haemorrhoids involve blood vessels lining the anus. Excess pressure on rectal walls tends to weaken the muscles supporting the haemorrhoidal vessels. Due to pressure, the vessels swell and enlarge, resulting in a sac-like protrusion. if this protrusion is inside the rectal canal, Haemorrhoids are internal; while, if it is under the anal skin, then Haemorrhoids are external.

Treatments for haemorrhoids depend on the stage in which the patient is. Several non-surgical techniques can be used in primary two stages – Grades I and II. However, as the ailment advances to severe stage, surgical intervention has to be adopted.

At Healing Hands Clinic, a traditional treatment strategy is implemented before recommending any surgical procedure. ‘MCDPA’ stands for a combination of “Medication, Constac, Diet (modification), Physiotherapy & Ayurveda Herbal Oil therapy”. As far as surgical treatments are concerned, Dr. Ashwin Porwal, the founder of HHC, suggests two most effective, yet least invasive procedures. While one of them is Laser Haemorrhoidoplasty, the another one is STAPLER Haemorrhoidectomy.

Laser Haemorrhoidoplasty (LHP) is a minimally invasive surgery , an outpatient technique causing minimal pain and downtime. This procedure makes use of a Laser Haemorrhoidoplasty Kit enabling laser coagulation of haemorrhoidal nodes. The controlled emission of laser energy causes swollen Haemorrhoids to shrink. This technique ensures the prevention of reoccurrence of prolapse. This laser surgery does not demand insertion of any foreign material such as clamps inside the body. Haemorrhoidoplasty delivers excellent healing, since no stitches or incisions are involved. A small perianal port is used to access the haemorrhoidal tissue. Within a few hours after this surgery, the patient can resume daily activities.

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Laser surgery for piles

Laser surgery for piles

Healing Hands Clinic has now introduced an innovative  Laser Treatment for Piles (Haemorrhoids) in Pune. Use of Laser Haemorrhoidoplasty Kit enables laser coagulation of haemorrhoidal nodes. The controlled emission of laser energy, which is applied submucosally, causes the haemorrhoidal mass to shrink.In addition, fibrotic reconstruction generates new connective tissue which ensures that the mucosa adheres to the underlying tissue. This also prevents the occurrence or recurrence of a prolapse. No foreign materials (clamps) need to be inserted and unlike other procedures, Laser surgey for piles is not associated with any risk of stenosis. Healing is excellent because, unlike conventional surgeries, there are no incisions or stitches. Access into the haemorrhoid is achieved by entering through a small perianal port.

By this approach no wounds are generated in the area. As a result, the patient experiences less post-operative pain and can return to normal activities within a shorter space of time.

1.No incisions
2.No Excisions
3.No Open wounds

Dr. Ashwin Porwal who Heads the Proctology Department of Poona Hospital, Apollo Jehangir Hospital & Inamdar Hospital has been the first Colorectal Surgeon to perform the latest  STARR Surgery for chronic constipation in the State of Maharashtra. He has performed more than 2500 Stapler Surgeries & cured more than 3000 patients with medical treatment (MCDPA).

With the introduction of Laser treatment Dr. Porwal quips HHC is extremely grateful to introduce this new technique to the patients suffering from Piles. With this we can guarantee quick relief.

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