Piles (haemorrhoids, bawaseer), anal fissure and fistula are among the most common — and most put-off — problems a gastro surgeon sees. Dr A K Bansal performs all the current procedures — laser, stapler, conventional surgery and office treatments — and chooses between them after examining you, not before. Many patients need no operation at all; those who do are usually treated as day-care or a single overnight stay.
Patients often arrive saying "piles" for any problem in that area. Three different conditions cause most symptoms, and they are treated differently:
A short examination in clinic tells them apart. That single step prevents the commonest mistake in this field: months of the wrong ointment.
See a specialist promptly if bleeding is dark or mixed with stool, if you are over 45 and bleeding for the first time, if there is a change in bowel habit, unexplained weight loss, or a family history of bowel cancer. Piles are the commonest cause of bleeding, but not the only one — Dr Bansal will advise a colonoscopy when the picture warrants it.
Most Grade 1–2 piles and most acute fissures settle without an operation. The plan usually combines:
Dr Bansal performs every current technique, and the choice is made on your examination — grade, external component, prolapse, bleeding pattern, previous treatment and your general health — rather than on what a clinic happens to offer. In broad terms:
Each technique has cases it suits and cases it does not. A patient offered "laser for everything" or "open for everything" is being fitted to a tool; here the tool is fitted to the patient.
An acute fissure usually heals with stool softening and a sphincter-relaxing ointment. A chronic fissure — pain for more than six weeks, a visible skin tag or exposed sphincter fibres — often needs a small procedure: lateral internal sphincterotomy, a five-minute day-care operation that relieves the spasm and lets the tear heal, or a botulinum toxin injection in selected patients. Dr Bansal offers both and advises on the basis of examination.
A fistula does not heal on its own and is treated surgically. The right operation depends on the track's course in relation to the sphincter muscle, which is assessed on examination and, when needed, MRI. Options include fistulotomy (laying open a simple, low track), seton placement for tracks that cross muscle, laser fistula treatment (FiLaC) and sphincter-preserving procedures such as LIFT for complex tracks. The aim is cure without compromising continence — which is exactly why the surgeon's experience with all the options matters.
Because the technique, anaesthesia and length of stay are decided on examination, the cost is quoted for your procedure at the consultation rather than as a generic package. Most health insurers cover surgical treatment of piles, fissure and fistula; cashless is available where the hospital is on your insurer's network, and the clinic team checks this before admission.
There is no single best technique for every patient. Dr Bansal performs all of them and chooses after examining you — by grade, external component, prolapse, bleeding pattern and general health. A clinic that offers only one technique recommends it to everyone; a surgeon who does all of them matches the procedure to the problem.
Often, yes. Grade 1 and many Grade 2 piles settle with fibre, fluids, treating constipation, sitz baths and short courses of medication. Persistent bleeding, prolapse that will not go back, a painful thrombosed pile, or symptoms that keep returning are the usual reasons a procedure is advised.
Most piles, fissure and simple fistula procedures are day-care or a single overnight stay. Technique, anaesthesia and stay are decided at your consultation, and you are told before the procedure.
No. Piles are the commonest cause, but bleeding can also come from a fissure, polyps, inflammatory bowel disease or, less commonly, cancer. Bleeding should be examined rather than treated over the counter; a colonoscopy is advised when history or examination warrants it.
It depends on the procedure, anaesthesia and stay, so it is quoted after examination. Most insurers cover surgical treatment of piles, fissure and fistula; cashless is available at network hospitals.
Consult Dr A K Bansal for piles, fissure and fistula — all techniques available, the right one chosen after examination. Most procedures are day-care.
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