Shifa Piles Clinic

Why Shifa Piles Clinic?

We Offer quality Ayurvedic treatment in a modern specific way by following Ayurvedic principles, and traditional methods which have the highest success rate and with no recurrence chances in one lifetime.

Learn More

Piles / Hemorrhoids

Piles / Hemorrhoids, is a very common anorectal condition. Piles are collections of veins and tissues located at the anal area that becomes swollen and inflamed. Piles may develop around the anal skin or inside the rectum. Piles is common in the case of both men and women.

Know More

Anal Fistula

An anal fistula is a tunnel that runs from the anal opening and connects the skin around it. An anal fistula mostly forms after an infection that did not heal properly. In human anatomy, the external opening through which feces are expelled is known as the anus.

Know More

Anal Fissure

Know More

About Us

Shifa Piles Clinic is one of the Bangalore’s best Healthcare center and also one of the most trusted healthcare center to treat Ano rectal disorders such as Piles, Anal Fistula, Anal Fissure, Pilonidal Sinus

No Cost EMI Treatment

With our No Cost EMI option, you have one less thing to worry about health. Every patient can now avoid lump sum payments on medical bills of surgeries with the No Cost EMI option.

Day Care Procedure

It just takes 30 - 45 minutes for procedure. Patient discharge around 6 hours after the surgery from our clinic.

Expertise Female surgeons

Female Surgeons are also available to treat Piles, Anal Fistula, Anal Fissure, Pilonidal Sinus.

Join Work in 2 - 3 Days

Treatements are done using most advanced technology. You will be able to Join work in 2 - 3 days.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Other Benefits

Low Surgery Cost ZERO % Reoccurrence Low Blood Loss
Quick Recovery Minimal Cuts Minimal Scars and Stiches

Our Achivements

At Shifa Piles Clinic we have successfully treated many complex piles problems that patients is suffering from, enabling them to get back to a happy life.

Doctors

Cities

Happy Patients

Successful Operations

Top Disease we Treat

Don't Let Piles Ruin Your Day!
Get Ayurvedic Treatment with no Side Effects

Piles / Hemorrhoids ( Arsha’s )

Pilonidal Sinus ( Nadi Vrana )

Ano-rectal Polyp ( Arshas )

IBS-Irritable Bowel Syndrome ( Grahani )

Hyperacidity (Amlapitta )

Anal Fissure ( Parikartika )

Thrombosed external hemorrhoid ( Acute hematoma )

Anal Pruritis (Gudakandu )

Anal Stenosis ( Sannirudhaguda )

Proctitis ( Gudapaka )

Ano Napkin Rashes ( Ahiputana )

Anal Fistula (Bhagandara)

Ano-rectal Abscess (Gudavidradhi-Arbuda )

Anal Warts ( Charmakeela )

Constipation ( Vibandha )

Ano Rectal Ulceration ( Pascadruja )

Make an Appointment

Failed to book appointment. Please call to the number provided.

Your appointment request has been sent successfully. Thank you!

Piles

Everything You Need To Know About Piles

What is Piles?

Piles or hemorrhoids, is a very common anorectal condition. Piles are collections of veins and tissues located at the anal area that becomes swollen and inflamed. Piles may develop around the anal skin or inside the rectum. Piles is common in the case of both men and women.

If global medical reports are to be believed, one out of every four adults suffers from piles or hemorrhoids at some or other point in their life. Piles is most common in people within the age group of 50-60 years but can affect people of other age groups too. No medical expert to date could ascertain the exact cause of hemorrhoids. However, several risk factors have been identified which can significantly increase an individual’s chances of developing piles. Piles can be managed with home remedies to a certain extent at an initial stage, but when piles grow severe or become advanced, medical intervention is extremely important.

How do piles occur?

The condition of piles is formed by constant pressure in the lower rectum. When a person constantly exerts pressure in areas around his rectum and the anus, due to reasons like constipation or lifting heavy weights, the blood vessels around those parts bulge and become swollen, forming piles.

Due to constant straining, sometimes the veins might get wider and engorged with more blood than usual. These veins might form into one or more piles.

Types Of Piles

Hemorrhoids are classified based on the ‘Dentate line’

Hemorrhoids that originate distal to the dentate line and are lined with modified squamous epithelium are called External Hemorrhoids

Hemorrhoids that originate proximal to the dentate line and are covered with mucosa are called Internal Hemorrhoids

Causes

Constipation - Most common cause
Chronic diarrhea
Hard stools/ Straining during bowel movement
Faulty toilet habits (sitting on the toilet for a long time ex. reading)
Family history
Pregnancy and Childbirth
Lifting heavy weights
Obesity.

Symptoms

Pain and discomfort around Anal verge
Pain & bleeding on defecation
Itchiness, redness, irritation, around the anal verge
Painful lump around the anal verge
Feeling of unclear bowel even after passing stool.

Stages / Severity / Grades Of Piles

There are four stages / grades of piles.

Grade 1

There will be bleeding but no prolapse and can be seen only on proctoscopy

Findings: Hemorrhoids bulge into the lumen of the anal canal

Grade 2

Hemorrhoids may prolapse beyond the external sphincter and be visible during evacuation but reduce spontaneously.

Findings: Hemorrhoids bulge out of the anal canal during defecation but reduce all by themselves.

Grade 3

Hemorrhoids protrude outside the anal canal and require manual reduction.

Findings: Hemorrhoids bulge out of anus spontaneously or with defecation and require manual reduction.

Grade 4

Hemorrhoids are irreducible and are constantly prolapsed.

Findings: Hemorrhoids are irreducible and permanently prolapsed.

Ayurvedic Treatment for Piles

Four ways of treating piles.

1. Dietary and Lifestyle Management

Increase the intake of dietary fiber and fluids in the diet.
Avoidance of certain food and drinks such as nuts, coffee, spicy foods, and alcohol.
Avoid straining during defecation.
Avoid postponing the urge to defecate.
Avoid prolonged sitting on the toilet bowl.
Avoiding constipation or diarrhea.

2. Medicinal Management

Local
- External Applications
- Sits Bath
Systemic
- Laxatives
- Systemic Drugs

3. Instrumental Management

Injection
Banding
Infrared Coagulation
Bipolar Coagulation
Cryotherapy

4. Surgical Management

Open Haemorrhoidectomy
Stapled Haemorrhoidectomy

Anal Fistula

Everything You Need To Know About Anal Fistula

What is Anal Fistula?

Abnormal connection between the skin near anus & lining on the inside of anal canal is known as anal fistula.

Majority of anal fistulas are caused by abscesses that develop in the anal canal. As a result pus can drain onto the skin of its own or through an operation. Anal fistulas happen when the tract made by pus to the skin stays open.

How do Anal Fistula occur?

The leading causes of an anal fistula are clogged anal glands and anal abscesses.

Other, much less common, conditions that can cause an anal fistula include:

Crohn’s disease (an inflammatory disease of the intestine)
Radiation (treatment for cancer)
Diverticulitis (a disease in which small pouches form in the large intestine and become inflamed)
Sexually transmitted diseases
Tuberculosis
Trauma

Types Of Anal Fistula

Different types of anal fistulas are classified by their location.

In order of most common to least common, the various types include:

Intersphincteric Fistula

The tract begins in the space between the internal and external sphincter muscles or in the space behind the anus. It then crosses the external sphincter and opens an inch or two outside the anal opening. These can wrap around the body in a U shape, with external openings on both sides of the anus (called a horseshoe fistula).

Transphincteric Fistula

The tract begins in the space between the internal and external sphincter muscles and opens very close to the anal opening.

Suprasphincteric Fistula

The tract begins in the space between the internal and external sphincter muscles and turns upward to a point above the puborectal muscle, crosses this muscle, then extends downward between the puborectal and levator ani muscle and opens an inch or two outside the anus.

Extrasphincteric Fistula

The tract begins at the rectum or sigmoid colon and extends downward, passes through the levator ani muscle and opens around the anus. These fistulas are usually caused by an appendiceal abscess, diverticular abscess or Crohn's disease.

Signs & Symptoms

Swelling near or around anus
Tenderness, redness & skin irritation near or around anus
Anal pain & swelling
Discharge of blood or pus from the fistula opening
Fever due to pus & infection
Painful bowel movement & constipation

Treatment for Anal Fistula

Treatment is delicately performed to reduce the risk of affecting bowel emptying, due to the anal fistulas' proximity to the anal sphincter muscles. The best approach requires that each patient is assessed individually. Treatment of an anal fistula is attempted with as little impact as possible on the sphincter muscles. It will often depend on the fistula's location and complexity, and the strength of the patient's sphincter muscles.

Fistulotomy

In a fistulotomy the surgeon first probes to find the fistula's internal opening. Then the tract is cut open and is scraped and its contents are flushed out, then its sides are stitch to the sides of the incision in order to lay open the fistula. A more complicated fistula, such as a horseshoe fistula (where the tract extends around both sides of the body and has external openings on both sides of the anus), is treated by usually laying open just the segment where the tracts join and the remainder of the tracts are removed. The surgery may be performed in more than one stage if a large amount of muscle must be cut. The surgery may need to be repeated if the entire tract can't be found.

Advancement Rectal Flap

A surgeon may core out the tract and then cut a flap into the rectal wall to access and remove the fistula's internal opening then stitches the flap back down. This is often done to reduce the amount of sphincter muscle to be cut.

Seton Placement

A seton (silk string or rubber band) is used to either:

Create scar tissue around part of the sphincter muscle before cutting it with a knife
Allow the seton to slowly cut all the way through the muscle over the course of several weeks

The seton may also aid in the drainage of the fistula.

Fibrin Glue or Collagen plug

In some cases, fibrin glue, made from plasma protein, may be used to seal up and heal a fistula as opposed to cutting it open. The glue is injected through the external opening after clearing the tract and stitching the internal opening closed. A plug of collagen protein may also be used to seal and close the fistula tract.

Diagnosis for Anal Fistula

It is usually simple to locate the external opening of an anal fistula, meanwhile locating the internal opening can be more challenging. It is important to be able to find the entire fistula for effective treatment.

People who may have experience with recurring anal abscesses may have an anal fistula . The external opening of the fistula is usually red, inflamed, oozes pus, and is sometimes mixed with blood. The location of the external opening gives a clue to a fistula's likely path and sometimes the fistula can actually be felt. However, locating its visual path often requires various tools, and often times it may not be seen until surgery.

Tools often used in diagnosis include:

Fistula probe. An instrument specially designed to be inserted through a fistula
Anoscope. A small instrument to view the anal canal

If a fistula is potentially complicated or in an unusual place, these tools may also be used:

Diluted methylene blue dye. Injected into a fistula
Fistulography. Injection of a contrast solution into a fistula and then X-raying it
Magnetic Resonance Imaging (MRI)

Tools used to rule out other disorders such as ulcerative colitis or Crohn's disease include:

Flexible sigmoidoscopy. A thin, flexible tube with a lighted camera inside the tip allows doctors to view the lining of the rectum and sigmoid colon as a magnified image on a television screen
Colonoscopy. Similar to sigmoidoscopy, but with the ability to examine the entire colon or large intestine

Managing Anal Fistula

When recovering from anal fistula treatment, make sure to take pain medicine as directed by your surgeon. Finish all of your antibiotics. Don’t take any over-the-counter medicines without first talking to your provider.

Other important instructions may include:

Soaking in a warm bath 3 or 4 times a day
Wearing a pad over your anal area until healing is complete
Resuming normal activities only when you are cleared by your surgeon
Eating a diet high in fiber and drinking plenty of fluids
Using a stool softener or bulk laxative as needed

Anal Fissure

Everything You Need To Know About Anal Fissure

What is Anal Fissure?

Fissure is nothing but a small slit or tare in the anal region

An anal fissure is a tear or cuts in the thin lining of your anus that exposes the muscle around which is called the anal sphincter. The damage in the skin can often pull apart the edges of the fissure, cause the muscle to spasm, and make the condition worsen. Once the spasm occurs, the condition can be painful and the wound may take time to heal. Chronic diarrhea and constipation are bowel conditions that make anal fissures worse over time. Irrespective of age and gender, any individual can be at risk of developing an anal fissure. Although medical reports suggest that people between the age group of 20 to 40 are more at risk of getting anal fissures.

Causes of Anal Fissure

The anal fissure is caused by trauma to the anal canal and anus. Most people can remember during the bowel movement that their pain starts.

Common causes of the anal fissure such as:

Sexually transmitted Infections
Anal sex
Muscle spasms
Chronic constipation
Chances of contracting Crohn’s disease, Ulcerative Colitis, and other inflammatory bowel diseases in ulcers in the anal region.
Pregnancy and childbirth: during delivery, the line of the anus can tear and cause anal fissures.
Prolonged diarrhoea.

Symptoms Of Anal Fissure

You may have these symptoms with an anal fissure:

Pain during and after a bowel movement
Visible tear or cut in the area
Bright red bleeding during or after a bowel movement

Diagnosis Of Anal Fissure

Your healthcare provider will make a diagnosis based on

Your personal health history
Your description of symptoms
Rectal exam

Because other conditions can cause symptoms similar to an anal fissure, your healthcare provider might also order tests to find out whether there is blood in your stool.

Treatement for Anal Fissure

An acute anal fissure typically heals within 6 weeks with conservative treatment. Some disappear when constipation is treated. Anal fissures that last for 6 weeks or more are called chronic anal fissures. These fail conservative treatment and need a more aggressive, surgical approach.

People whose anal fissures don’t heal well may have an imbalance in anal pressure that prevents blood from circulating normally through the blood vessels around the anus. The reduced blood flow prevents healing. Medicine, Botox injections, and even some topical treatments that improve blood flow, may help anal fissures heal.People whose anal fissures don’t heal well may have an imbalance in anal pressure that prevents blood from circulating normally through the blood vessels around the anus. The reduced blood flow prevents healing. Medicine, Botox injections, and even some topical treatments that improve blood flow, may help anal fissures heal.

Other treatments include:

Changing your diet to increase fiber and water, steps that will help regulate your bowel movements and reduce both diarrhea and constipation
Taking warm baths for up to 20 minutes a day
Taking stool softeners, such as fiber supplements, as needed
Using topical medicines, such as nitrates or calcium blockers
Having surgery, such as a lateral internal sphincterectomy. During the surgery, the pressure inside the anus is released. This allows more blood to flow through the area to heal and protect tissues.

The risks from Botox injections and medicines used to treat anal fissures are relatively mild. Complications from surgery include the risk for infection, bleeding, and persistent gas and fecal incontinence, or uncontrolled bowel movements.

Pilonidal Sinus

Everything You Need To Know About Pilonidal Sinus

What is Pilonidal Sinus?

A pilonidal sinus is a small tunnel that develops at the top of the crease in the buttocks. Trapped hair around the buttocks crease can lead to an abscess, and a pilonidal sinus may develop as a result.

If people have a pilonidal sinus, they may have discomfort and irritation around the tailbone area. In some cases, a pilonidal sinus may resolve by itself, but people may require treatment, such as abscess drainage or sinus removal.

How does Pilonidal Sinus occur?

Pilonidal sinus is basically a skin problem. When there is too much friction and pressure in the anal area, the hair between the buttocks gets pushed inward.

This may either be caused by the hairs growing around the buttocks or due to the loose hair shed from the buttocks area that gathers around the cleft and gets into the pilonidal sinus.