Dr.Rohit Arora Piles Specialist

SARVE BHAVANTU SUKHINA LET ALL BE HAPPY

SUNDARAM HEALTHCARE FOUNDATION 

A CENTER FOR ADVANCE AYURVEDA TREATMENT 

SUNDARAM CLINIC AND PILES CARE CENTER-A CENTER OF EXCELLENCE IN COLO-PROCTOLOGY

 

SUNDARAM CLINIC-A PLACE FOR COMPLETE AYURVEDA,PUNCHKARMA AND KSHAR SUTRA CENTER

A PLACE FOR COMPLETE BODY,MIND AND SOUL MANAGEMENT 

WE AT SUNDARAM CLINIC,DELHI PROVIDE COMPLETE PAIN MANAGEMENT SOLUTIONS  

AN IDEAL PLACE FOR TREATMENT OF

1.All types of Joint problem including all types of Arthritis

2.All types of Sports injuries and Spinal Injuries

3.Stress and Blood pressure and its associated Factors 

 

1.Treatment with simple, non surgical procedures.
2.Mostly cases in one sitting with procedures of few minutes
 a.No Hospitalization
 b.No General and spinal anesthesia.
 c.No Cutting
 d.No Dressing
 e.Lady Doctor and lady staff for lady patient.
 
Piles is a Latin. Word “Pila” – A ball Haemorrhoids is a greek word “Haema – Blood rhoos Flowing” common people call it piles or Bawaseer. The Aristocrats Call it Haemorrhoids.
IDENTIFIED BY:
 a.Bleeding with stool is the first complaint
 b.Protruding mass on straining or defecation
 c.Ultimately blood less causes anemia and
 d.Associated weakness, lethargy, dizziness etc.
 e.Poor health low vitality, Poor performance at work etc.
 f.There are four degrees of piles 1st, 2nd, 3rd, 4th, degree piles.

1

Internal haemorrhoids prolapsing into the lumen on straining

 
CAUSES:
 a.Hereditary
 b.Constipations and straining
 c.Chronic dysentery and diarrheas
   

1

On retracting the larger oedematous, skin covered perianal swelling

 
         Diet
 i.Chill’s, excess sour, pungent and hot spices jaggary and stron alcohal cause bleeding
 ii.Maida, less fibre diet cause constipation
 iii.Pregnancy - increased pressure on superior haemorhodal vein.
   

1

Prolapsed thromposed internal haemorrhoids

  
 

The gross oedema of the skin and subcutaneous tissues at anal orifice

 Fissure in Ano (ANAL Fissure)

 

1.

Fissure – a crack :
 a.It is longitudinal crack in the long axis of lower and canal
 b.Common people call it Badi Bawaseer or Gubcheer

2.

MAIN FEATURES:
 a.Pain in Anal area, which increases after passing stool
 b.Agonizing pain, patient prefers to remain constipated rather than going through the agony.
 c.Bleeding- stools are streaked with blood.
 d.Constipation – pain is either initiated or aggravated with the passing stood, tendency to defer going to stool, so constipation.
 e.Burning sensation at the anal opening
 f.Swelling – A large sentinel tag cause painful external swelling
 g.Urinary symptoms - some patients may develop retention, dysuria or increased frequency.

 

 FUSTULA – IN – ANO (BHAGANDAR)

 
 a.Fistula in Ano is a chronic inflammatory condition having a tubular structure, opening in Ano rectal canal at one end and surface of perianal skin on the other hand.
 b.Classical fistula has two openings. One iteral (in Ano-reclalcanal) and other external (in the skin of peri anal area )
 c.Chronic pus discharge in the peri anal area indicates – fistulous opening
 d.Pain off and on, pus discharge from external opening some time it closes itself anal again opens after the pus formation
 e.Deep seated abscess in the source of pus
CAUSES OF FISTULA:
 An acute abscess in one or more potential spaces around Anorectad canal. Source of infection could be a number of predisposing conditions e.g.
 a.Infection at the root of pile. mass
 b.Infected and inflamed anal crypt.
 c.Traumatized muco-cutaneous lining of Ano rectal canal due to indigested foreign body e.g. fish bone.
 d.Inflamed and /or thromboseal condition of previously existing pile mass.
 e.Retained sutures after Haemorrhoidectomy
 f.Injection of chemical for treating piles
 g.Foreign Body Penetrating from out side
 h.Radiation burns from x-Rays and radiotherapy
  

Palpating the subcutaneous rod of induration produced by fistulous track
  

 Passing a probe-pointed director into low anal fistula

 

 PILO NIDAL SINUS

 

In its more usual form this disease consists of a sinus or fistula situates a short distance behind the anus anal and generally containing “Hairs”. Term Pilonidal sinus means, (Pilus – Hair and Nidus - Nest) The condition seems to have increased greatly in frequency in recent years.

CLINICAL FEATURES:
 a.A typical history is that young adult develops on abscess at the base of the spine which bursts.
 b.Discharge ceases after a few days
 c.The patient remain well for we chi or months till another abscess occur and the same above course of event repeated.
 d.Pus discharge and hair projection from the opening are main features of pilonicdal sinus from 5cm behine the anus. On spine.
  

Pilonidal sinus

  

A more superficial anal fissure without sentinal tag

 

Dorsal anal fissure with well-marked sentinal pile seen on simple inspection of the anal region