Proctology
Piles or Haemorrhoids
What are haemorrhoids?
Haemorrhoids are swollen veins in the anal canal. They can be found either inside the anal canal (internal haemorrhoids), or around the anus (external haemorrhoids). Haemorrhoids are a common condition, and can often be left untreated. However, if they become severe, they can cause bleeding and pain. There are a number of treatments available for haemorrhoids, depending on the severity of the condition.How to prevent piles?
To prevent haemorrhoids, you should:- Avoid straining during bowel movements
- Eat a high-fibre diet to soften stools
- Drink plenty of fluids to keep stools soft
- Exercise regularly
- Take stool softeners if needed
What is the treatment for piles?
There are a number of different treatments for piles, depending on the severity of the problem. For mild cases of piles, over-the-counter creams and ointments can be effective in reducing symptoms. If these do not work, or if the piles are more severe, surgery may be necessary.
Surgery for piles is usually only recommended for cases where other treatments have failed. The most common type of surgery is known as haemorrhoidectomy, which involves removal of the piles.
Perianal Fissures
What are perianal fissures ?
A perianal fissure is a tear in the skin around the anus, which can be extremely painful and cause bleeding. It is a common condition that affects both men and women of all ages, from infants to the elderly. The good news is that perianal fissures are usually treatable with minor lifestyle changes or medications, if necessary.
It is often caused by straining during bowel movements, which can lead to constipation, diarrhea, and other digestive issues. While these conditions typically go away on their own with time and proper treatment, they can have long-term effects if not properly managed.
How to prevent perianal fissures ?
There are a number of things you can do to prevent perianal fissures:
- Increase the fiber in your diet. This can be done by eating more fruits, vegetables, and whole grains.
- Stay hydrated by drinking plenty of fluids, especially water. This will also help to keep your stool soft.
- Avoid constipation by going to the bathroom when you feel the urge. Don’t hold it in.
- If you have hard stools, try using a stool softener or laxative as directed by your doctor.
- Try not to strain during bowel movements.
What is the treatment for perianal fissures ?
There are a variety of treatments that can be effective in treating a perianal fissure. The best approach depends on the individual case, but commonly used treatments include stool softeners, topical creams or ointments, and surgery.
Stool softeners may be recommended if constipation is thought to be contributing to the fissure. Topical creams or ointments can help soothe pain and promote healing. If other treatments are not effective, surgery may be considered. This involves cutting the sphincter muscle to relieve pressure and allow the fissure to heal.
Perianal Fistula
What are perianal fistulas ?
Perianal fistulas are a type of chronic inflammatory bowel disease that affect the anal and rectal area. The most common symptom of a perianal fistula is rectal pain, followed by itching, bleeding, and discharge. Perianal fistulas can also cause abscesses (collections of pus) to form in the anal and rectal area. If left untreated, perianal fistulas can lead to serious complications, such as sepsis (infection of the blood) or an obstruction of the bowel.
There are two types of perianal fistulas: simple and complex. Simple perianal fistulas have one opening in the skin around the anus, while complex perianal fistulas have multiple openings. Complex perianal fistulas are more difficult to treat than simple perianal fistulas.
How to prevent perianal fistula ?
There is no sure way to prevent perianal fistula, but there are steps you can take to lower your risk.if you have Crohn’s disease or another inflammatory bowel disease, do your best to keep it under control. This may involve taking medication, making dietary changes, and avoiding triggers that can cause a flare-up. If you have an anal abscess, get it treated right away to lower your risk of developing a fistula. Finally, practice good hygiene and cleanliness around your anus to help keep the area healthy and free from infection.
What is the treatment of perianal fistula ?
Perianal fistula is a chronic, progressive condition that can be difficult to treat. The most common treatment approach is surgery, which can be successful in some cases. However, recurrence is common, and multiple surgeries may be needed.
