Piles/Hemorrhoids, Fistula & Fissure

Piles/Hemorrhoids, Fistula & Fissure

Piles (hemorrhoids) are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. Anal fistulas are abnormal connections between the anal canal and the skin around the anus, while anal fissures are small tears in the lining of the anus. These conditions can be painful and affect quality of life, but effective treatments are available at Blume Health.

Treatable Condition
Expert Care Available
CausesSymptomsDiagnosisTreatmentHome CarePreventionSurgery

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What Causes It?

Straining during bowel movements

Sitting for long periods on the toilet

Chronic constipation or diarrhea

Low-fiber diet

Pregnancy and childbirth

Obesity

Heavy lifting

Anal infections or abscesses (particularly for fistulas)

Inflammatory bowel disease (Crohn's disease or ulcerative colitis)

Trauma to the anorectal area

Aging (weakening of supporting tissues)

Family history of hemorrhoids

Signs & Symptoms

Bright red bleeding during bowel movements

Itching or irritation in the anal region

Pain or discomfort, especially during bowel movements

Swelling around the anus

A lump near the anus, which may be sensitive or painful

Leakage of feces or difficulty cleaning after a bowel movement

For fistulas: persistent drainage, pain, swelling, and sometimes fever

For fissures: severe pain during and after bowel movements, bright red blood on toilet paper, visible tear in the skin around the anus

How We Diagnose

Our specialists use advanced diagnostic methods to accurately identify and assess your condition

Physical Examination

The doctor will examine the anus and rectum for swollen blood vessels and other abnormalities. This may include a digital rectal exam.

Anoscopy

A small instrument called an anoscope is inserted a few inches into the anus to examine the anal canal.

Sigmoidoscopy

A flexible tube with a light and camera is inserted into the rectum to examine the lower colon (sigmoid) and rectum.

Colonoscopy

A longer flexible tube examines the entire colon. This may be recommended if you have risk factors for colorectal cancer or to rule out other causes of bleeding.

MRI

Particularly useful for diagnosing and mapping fistulas, showing their relationship to surrounding structures.

Treatment Options

Personalized treatment plans tailored to your specific needs and condition

1

Lifestyle and Dietary Changes

Increasing fiber intake, drinking more water, regular exercise, and avoiding straining during bowel movements can help manage symptoms and prevent recurrence.

2

Medications

Over-the-counter creams, ointments, suppositories, and pads containing ingredients such as hydrocortisone, witch hazel, or lidocaine can temporarily relieve symptoms. Oral pain relievers may also help.

3

Minimally Invasive Procedures

For hemorrhoids: Rubber band ligation, sclerotherapy, infrared coagulation, or electrocoagulation can be performed in an outpatient setting. For fissures: Botulinum neurotoxin injections or topical nitroglycerin may help.

4

Surgical Procedures

For severe cases: hemorrhoidectomy (removal of hemorrhoids), fistulotomy (opening and draining of fistulas), or lateral internal sphincterotomy (for fissures) may be necessary.

Home Remedies

Sitz Baths

Sitting in warm water for 10-15 minutes several times a day, especially after bowel movements, can help reduce pain and irritation.

Cold Compresses

Applying cold packs to the affected area can help reduce swelling and numb discomfort.

Dietary Fiber

Increasing fiber intake through foods like fruits, vegetables, and whole grains can soften stools and reduce straining.

Hydration

Drinking plenty of water helps keep stools soft and prevents constipation.

Over-the-counter Products

Witch hazel wipes, over-the-counter creams, and suppositories can provide temporary relief from symptoms.

Prevention Tips

Eat a high-fiber diet (fruits, vegetables, whole grains)

Stay well-hydrated by drinking plenty of fluids

Exercise regularly to stimulate bowel function

Avoid straining during bowel movements

Don't sit on the toilet for long periods

Go to the bathroom as soon as you feel the urge

Maintain a healthy weight

Avoid heavy lifting when possible

Practice good anal hygiene

Address constipation or diarrhea promptly

Surgical Solutions

Advanced surgical procedures performed by our expert specialists

Hemorrhoidectomy

Surgical removal of severe or large hemorrhoids. This can be performed using various techniques, including conventional excision, stapling, or laser surgery. Recovery may take 2-3 weeks, but results are usually permanent for treated hemorrhoids.

Fistulotomy

A procedure to open and drain an anal fistula. The surgeon cuts along the entire length of the fistula, from the internal opening to the external opening, allowing it to heal from the inside out.

Fistula Plug or Seton Placement

For complex fistulas, a plug made of biological material may be used to close the fistula, or a seton (a thread-like material) may be placed to allow gradual healing while maintaining drainage.

Lateral Internal Sphincterotomy

A procedure for anal fissures where a portion of the internal anal sphincter muscle is cut to reduce spasm and pain, allowing the fissure to heal.

Ready to Take the Next Step?

Our specialists are here to provide expert care for piles/hemorrhoids, fistula & fissure. Schedule your consultation today.

Book Appointment OnlineCall: (040) 4402 0000

📞 Available Hours

Monday - Saturday: 9:00 AM - 9:00 PM

Sunday: 9:00 AM - 2:00 PM