The right cure for piles

I am 28 yr old male suffering from constipation since many years. I am unable to pass stools with ease. I consume laxatives yet have to strain for 30-40mins daily with no relief, which then causes tremendous gases/bloating. Can I get a permanent solution?

As Constipation is multifactorial, the treatment depends on the cause and severity of the symptoms. For mild to moderate constipation medications like Constac powder work well. In cases of severe constipation, we recommend Contac Plus &Echodefecography test. If the result comes positive for the rectocele, STARR surgery is beneficial. In case of weak pelvic floor muscles-Pelvic Floor strengthening & biofeedback is advised

I am a 34yr old pregnant woman. two days back, I noticed blood in my stools and now I am suffering from pain and a burning sensation. It has never happened before, please reply I am worried.

PiloKit works very well in Grade I & II Piles & constipation. As these medicines are plant-based, they are safe to use during& after pregnancy & in individuals suffering from the same. Piles are the swelling of blood vessels near the anal opening. The common causes of Piles are constipation, hard stools, heavy lifting of weights, pregnancy, family history if any, wrong toilet habits, overweight, etc. In Grade III & IV piles there is painless bleeding with a mass protruding that mostly requires surgical intervention which includes :

  • Laser Surgery
  • Minimally Invasive procedure for Haemorrhoids (MIPH)

I am a 43 yr old female, suffering from piles for many years. I fear the pain post-surgery. Is there a painless treatment? How is the recovery after surgery? And can it reoccur?

Yes, As the new laser technique does not involve any kind of cuts or stitches, the recovery period is relatively short, one may see one or two drops of blood, mild pain, and mild discomfort. The patient can join duty after 3 days of operation. Re-occurrence is very rare.

Treating bowel incontinence and related ailments

My 14-year-old daughter has been complaining of burning/itching after passing stools for 3-4 weeks. I examined her & noticed a tiny swelling at the anal opening. Can children of her age develop piles?

Children, who consume fast food often and lead a sedentary lifestyle, seem to develop anal fissures, resulting from tears in the delicate anal lining due to hard stools. Taking a warm water sitz bath instantly relieves the discomfort. Piles/ haemorrhoids of Grade I & II can be treated holistically. Doctors at Healing Hands Clinic perform painless video proctoscopy and offer MCDP treatment for an initial grade of piles, combining herbal medications, dietary modifications, pelvic floor physiotherapy and administration of Ayurvedic oil (medicated) Enema. This reduces the size of the swelling and heals the underlying fissures.

I am a gym trainer and have been taking protein supplements regularly. Past six months, I have been suffering from constipation along with pain while passing stools. I used to manage it by increasing my fibrous food intake. Three days back, I noticed some blood on the tissue.

Fissures can develop due to constipation/straining during bowel movements or passing hard stools, which are a result of excess protein intake. Frequent cuts/ tears in the anal lining narrow the anal passage resulting in a tight spasm. In such chronic conditions, laser surgery proves the most beneficial. Patients can resume their duties in a day or two.

I am 35/F with six months of pregnancy. I have been suffering from irregular bowel movements. I have to strain a lot while passing stools. I am in tremendous pain.

Due to hormonal changes, constipation is commonly seen in pregnancy. It’s unadvisable to take strong painkillers. As Healing Hands Clinic is into R&D, the medicines developed after rigorous research are safe to consume during and after pregnancy. Constac powder relieves constipation and helps in aiding smooth bowel movements. Tab Anoac H & Anospray, a plant-based spray works well in reducing pain and discomfort.

My 4-year-old son is unable to pass motions daily. He cries every time he tries to pass stools. He tends to avoid squatting and strains in a standing position.

Children can suffer from functional constipation. However, they must be trained in squatty-potty positions to enable the natural passing of stools. Few dietary modifications like decreasing the intake of packed, processed, and preserved food, help. Increasing intake of cow's ghee and milk can aid in relieving constipation. Local five-minutes massage of Anoac Cream before passing stools reduces the discomfort and aids easy passage of stools.

Curing haemorrhoids with minimally invasive procedure

I am a Nutritionist by profession, my aunt who's roughly 65 years old has had difficulty passing stools since 6months. We did make few changes in diet and lifestyle but that doesn't seem to help now. She noticed bleeding for the first time recently. We are really scared. I hope we can get help at this stage. Is surgery the only solution?

In a quest to be at par with the global standards, Healing hands clinic is equipped with the most advanced and innovative treatments available for the management of anorectal disorders. Pilokit is an amalgamation of nature and science that incorporates unique herbal medicines which works well for initial grade of Haemorrhoids (piles) & functional constipation. For instance, PiloSpray the innovative Piles spray for touch-free treatment, provides instant relief from burning, pricking and pain after passing stools, in patients with Piles and Fissure. PiloTab tablet promotes internal healing in Piles and Fissure. ConstiTab laxative tablet provides relief from Constipation for fast recovery in Piles and Fissure.
One can avail these on Amazon.com, 1mg.com & Flipkart. Based on the diagnosis by our expert doctors, surgery can be avoided if the disease is captured in the early stages along with dietary guidelines. We promote intake of cows ghee, citrus fruits and curd in the diet. Processed, packed& preserved foods & sugar must be avoided.

I'm a 52/M handling a company of 250employees. I have been having constipation problem since 2 years now. Three months back while passing stools I felt something coming out. I am unable to evaluate it because of its awkward location. I am embarrassed & scared as I'm experiencing bleeding and pain now. I'm petrified imagining the pain while examination. Please help.

These symptoms are suggestive of Rectal prolapse/ Grade III Haemorrhoids. Need not be nervous. At Healing hands clinic our doctors note the basic medical history followed by a painless video proctoscopy test, helps us evaluate the disease. Healing hands clinic has the highest world record of 18000+ successful stapler surgeries performed across Asia. MIPH ( minimally invasive procedure for Haemorrhoids/prolapse) a modified version is a boon for people who have a busy schedule as there are no external cuts / stitches, minimal blood loss, minimal pain easily managed by painkillers, faster recovery Patient can resume within a day or two.

My son is a 9 year old boy who is suffering from rectal prolapse since birth. Because of which he is underweight too. We have visited many hospitals but all have suggested colostomy like complicated surgeries. I want to give him a normal life. Please help.

Rectal prolapse, defined as the protrusion of the rectum from the anal canal is a severe problem suffered sometimes by children and frequently by the elderly. Although a benign condition, it impairs quality of life due to the prolapse itself and also because of the associated symptoms such as urinary, flatus, and/or faecal incontinence. Choosing the correct approach to manage this condition is important. Dr Ashwin Porwal has invented TRRPCS ( Trans Rectal Resection of Procedentia by Circular staplers) for rectal prolapse. However, children can undergo this surgery after their biological development of 18+ years of age. The quality of life is maintained and not affected. Meanwhile it can be managed conservatively. He is advised to take good & healthy fats that will help him in some weight gain.

Treating rectal and colon diseases

I’m 38 yrs old. I have been suffering from pain & discomfort in anal region along with constipation issues since a long time. I have shown my family doctor / General Practitioner a few times but the relief is temporary. Occasionally bleeding is observed too.

One must consult piles specialist for piles treatment. Only the specialist can suggest you the right treatment. Piles specialist is known as proctologist or colorectal surgeon. Piles are generally diagnosed through a medical history & visual examination of the anus followed by a digital examination and video Proctoscopy. In this test, a scope with a camera is inserted to examine the anal canal. As this is painless, patient is able to see the video real time & is done to confirm the diagnosis. Colonoscopy may be advised if your doctor suspects any other cause of bleeding that needs to be ruled out.

Grade 1 Piles Grade 2 piles Grade 3 piles Grade 4 piles

Depending upon the severity of the disease piles can be classified into 4 grades. Initial grades of piles can be treated with medications. But if the disease advances then surgery is recommended. Laser surgery for piles or hemorrhoids is painless and bloodless. Also there is negligible recurrence rate after the surgery.

My father’s appetite has reduced in the last 6months & as a result has lost considerable weight, roughly 6kgs. Recently he noticed heavy bleeding while passing stools. He feels weak to go out. We showed our family doctor who suggested some further tests. Please guide us with step by step approach to this nightmare.

These symptoms are suggestive of rectal growth/ polyp/ cancer. Therefore, a quick diagnosis from the expert and screenings are very important. Due to his outstanding ‘Contribution to the Health Sector’ Dr Ashwin Porwal, founder of Healing Hands clinic is also the Dadasaheb Phalke Foundation Award winner. With over a decades experience & living by our motto ‘ Curing with Care’, he has been able to help many patients with colon/ rectal cancer heal. One must act without waiting upon it. Colonoscopy with biopsy of the growth is recommended to confirm diagnosis. Although rectal cancer is a life-threatening disease, it is a highly curable form of cancer if found early. Based on the type & stage of cancer, treatment is planned. People with no symptoms but with a family history of cancer should get themselves regularly screened after the age of 40.

I am 28 yrs old and I am a little overweight. I often feel bloated & sometimes constipated. I’ve heard about colon cleansing. Can you please shed some light on it.

Anybody motivated towards a lifestyle change and looking for a detoxification program to promote health and vitality can opt for this unique therapy. Colon Hydrotherapy aka Colon Irrigation / Colon Cleanse or Colonic is an ancient form of cleansing the colon ( large intestine ) and rectum with temperature and pressure controlled filtered water. It is a drug-free, safe and effective method of removing impacted fecal matter, retained gas,mucus and other waste materials from the colon. The procedure has definitely evolved with time providing modern technology ensuring both, the safety and the sanitation of this popular cleansing practice.

A diet that lacks fibre combined with a sedentary lifestyle leads to a sluggish metabolism. Consequently, there is an increased incidence of constipation, gases, bloating, irregular bowel habits & weight gain which further points out to the fact that waste products are not moving smoothly out of the body. This therapy can assist with the weight loss. It’s also helpful in breaking up the impacted faecal material and therefore promote easy passage of stools. The most important benefit is that many clients immediately feel lighter and report leaving with an increased feeling of well-being, more energy and renewed vitality.

Treating anal polyps and warts

I am a dancer by profession. I delivered a baby 1month back. I am noticing gases releasing from vagina along with sticky yellowish and sometimes brown substance. The doctors diagnosed me with vaginal fistula & suggested Stoma surgery- diverting the passage of stools. I am extremely terrified. I seldom face constipation issues.

Recto vaginal fistula is a tunnel like opening that develops between the vagina and rectum. Trauma to the vaginal tissue due to prolonged labor is the commonest cause for such fistulas. One must consult an expert with thorough understanding & experience. Dr Ashwin Porwal has successfully treated many such cases. Along with his unique technique, this surgery is performed under the guidance of 3D Endo anal imaging, which is available only at Healing Hands clinic. This surgery has negligible reoccurrence as the repair is done in 3 layers & stoma surgery can be avoided. In the recovery period mother can carry & feed the baby.

My daughter is 8yrs old and has bleeding after passing stools. We are extremely terrified. She has had constipation on and off. Seldom we notice some portion coming out.

Anal polyp / prolapse can sometimes cause per rectal bleeding. Thorough evaluation is required in such cases. At Healing Hands Clinic, a painless video proctoscopy is done for better diagnosis. Laser polypectomy works best as it has shorter hospitalisation and faster recovery. Children can resume school/ routine activities within a day or two.

I am 28yrs old female. I have noticed small lumps around anus. There are not painful but cause itching. Theses lumps have increased in number. I tried local ointments but they seem to be increasing. I am embarrassed and worried as I am engaged to be married soon.

Anal warts are found inside and around the area of the anus. Initially, they may be too small to be noticed. They can develop a cauliflower-like appearance as they grow, or when several are clustered together. They caused due to Human papilloma virus which is a sexually transmitted infection. It’s completely curable. One must not neglect it and should consult a proctologist at the earliest. At Healing hands clinic, we have trained trained male and female doctors who maintain privacy and confidentiality of the findings. Depending on the findings, laser excision of anal warts provides permanent solution. Because of the advanced technique one can resume their day to day activities within a day or two.

The right cure for piles

I am suffering from pain and bleeding while passing stools since few years. I took treatment and was good for a few months with medicine. However this time it’s extremely painful. I am unable to sit because of the protruding swelling. Please guide.

Swollen & inflamed veins in the rectum and anus that cause discomfort and bleeding are called Haemorrhoids/ Piles.Considering the long standing history, a painless video proctoscopy examination is done at Healing Hands Clinic by our experts. Based on the diagnosis, Laser haemorrhoidopexy LHP / Minimally invasive procedure for Haemorrhoids MIPH is recommended for permanent relief. Surgery is performed under anesthesia which makes the procedure painless. In the recovery period mild pain, mild bleeding, mild discomfort is expected. As this surgery doesn’t involve cuts or stitches, patient can be home within a day or two. One can resume their work from the very next day too as bed rest is not recommended. One should not neglect complaints like bleeding as it could lead to an emergency. It’s therefore recommended to consult a specialist as soon as the symptoms begin.

My brother has undergone surgery for piles last year & I remember his condition. He was in tremendous pain.Because my grandmother also suffered from the same, am I at risk too? I did face constipation last week.

Yes, there can be genetic component to developing Haemorrhoids. However, it is more of a lifestyle disease. There's a lot more than just heredity that contributes to hemorrhoids, though, so it's smart to learn the various factors that can play a role. That way, you can take steps to prevent the problem, especially if hemorrhoids run in your family.
Dos :

  • Go to the toilet when the urge hits — don’t delay bowel movements.
  • Drink plenty of water throughout the day.
  • Eat more high-fiber foods (fresh fruits, vegetables and whole grains)
  • Stay physically active. Being on the move keeps bowels moving.
  • Take laxatives or use enemas only as recommended by your healthcare provider. Too many laxatives or enemas can make it hard for your body to regulate how you poop.
  • include curd, citrus fruits and cows ghee in the diet
  • take a warm sitz bath to ease itching pain and discomfort

Don’ts :

  • Don’t sit too long or push too hard on the toilet.
  • Do not scratch around your anus
  • Do not ignore the urge to pass motions
  • Do not push too hard while passing motions
  • Avoid processed packed and preserved foods
  • Sometimes excessive lifting of weights can cause swelling

MMy father has been suffering from fistula since a few months. Now he has developed swelling near the scrotum as well. Recent MRI shows that he has complex fistula. What is the permanent solution as I have read that recurrence is quite common?

Dr Ashwin Porwal at Healing hands clinic has been a pioneer in the field of Proctology and has ushered in novel treatments for anorectal diseases. He ensures that the most advanced treatment techniques from all over the world are made available to his fellow citizens in India. His unique technique - DLPL ( distal laser proximal ligation) is an innovative sphincter saving one. It is usually aimed at the permanent elimination of suppurative process by drainage of sepsis and removal of fistula tracts while maintaining sphincter integrity. This surgery is performed under the guidance of 3d endoanal imaging which gives us a real time view of the extent of the disease. As this surgery doesn’t involve any stitches, patient can move and do most of their activities right form the next day. Patient will need regular follow ups in the recovery period in order to ensure smooth and complete healing.