Hemorrhoids, commonly known as piles, are one of the most frequent conditions affecting the anal canal. Although many people experience hemorrhoids at some point in their lives, they often delay seeking medical attention due to embarrassment or fear of surgery.
At Sarvodaya Anal and Colon Clinic, we provide comprehensive evaluation and individualized treatment for hemorrhoids using evidence-based, minimally invasive techniques designed to relieve symptoms while minimizing pain and recovery time.
Several factors increase pressure within the hemorrhoidal cushions, including:
Most patients can be diagnosed during an outpatient consultation.
Evaluation may include:
Treatment depends on symptom severity, hemorrhoid grade, and patient preferences.
Many early hemorrhoids improve with conservative management.
Recommendations include:
Medications may provide symptom relief but generally do not eliminate enlarged hemorrhoids.
These may include:
Medicines are most effective for mild disease or as part of postoperative care.
Rubber band ligation is a simple outpatient procedure commonly used for Grade I and selected Grade II hemorrhoids.
MIPH (Minimally Invasive Procedure for Hemorrhoids) is an advanced technique designed primarily for prolapsing internal hemorrhoids (typically Grade III and selected Grade IV).
Instead of removing the hemorrhoids themselves, a circular stapling device removes a ring of redundant tissue higher inside the rectum. This lifts the hemorrhoidal cushions back into their normal position and reduces their blood supply.
At Sarvodaya Anal and Colon Clinic, MIPH is offered after careful patient selection to ensure the best outcomes.
Laser hemorrhoid procedures use controlled laser energy to shrink the hemorrhoidal tissue while preserving surrounding structures.
Potential advantages include:
Laser treatment is not appropriate for every type of hemorrhoid. The choice depends on the grade, anatomy, and symptoms.
Excisional hemorrhoidectomy remains the gold standard for certain advanced or complex hemorrhoids.
It may be recommended for:
Although recovery is generally longer than with some minimally invasive options, conventional surgery provides excellent long-term results when indicated.
Which treatment is ideal for you
There is no single treatment that is ideal for every patient.
The most appropriate option depends on:
Our goal is to recommend the least invasive treatment that provides durable symptom relief.
Can haemorrhoids be prevented
Healthy bowel habits can reduce the risk of developing or recurring hemorrhoids.
Helpful measures include:
When should you see a doctor
Arrange a consultation if you experience:
Early evaluation not only provides relief but also helps exclude other conditions that can mimic hemorrhoids.
At Sarvodaya, we combine compassionate care with modern colorectal expertise. Every patient receives a thorough evaluation, a clear explanation of the diagnosis, and a personalized treatment plan. Whether conservative management is sufficient or a minimally invasive procedure such as MIPH is appropriate, our focus is on achieving durable relief, preserving function, and helping patients return to their normal lives as quickly and comfortably as possible.
An anal fissure is one of the most painful conditions affecting the anal canal. Even a small tear can cause intense pain that may last for several hours after passing stool. Because of this pain, many patients begin to avoid bowel movements, leading to constipation and creating a vicious cycle that prevents healing.
At Sarvodaya Anal and Colon Clinic, we specialize in the diagnosis and treatment of anal fissures using the latest evidence-based therapies. Many fissures heal without surgery, while chronic fissures can be effectively treated with minimally invasive procedures that restore comfort and quality of life.
An anal fissure is a small tear or split in the lining (mucosa) of the anal canal. It most commonly occurs in the posterior midline but may also occur in the anterior midline, particularly in women.
The tear exposes sensitive nerve endings and causes spasm of the internal anal sphincter muscle. This muscle spasm reduces blood flow to the fissure, making healing difficult and contributing to severe pain.
The most common causes include:
Although anyone can develop an anal fissure, it is especially common in young and middle-aged adults.
Pain is the hallmark of an anal fissure.
Patients often describe it as:
This pain is usually much more severe than that caused by hemorrhoids.
Small amounts of bright red blood may be noticed:
Bleeding is usually mild but should always be evaluated by a specialist to exclude other causes of rectal bleeding.
Because bowel movements become extremely painful, many patients begin to postpone passing stool.
This leads to:
This cycle often prevents spontaneous healing.
CHRONIC ANAL FISSURE
Diagnosis is usually based on:
In many patients, the pain is so severe that a digital rectal examination is deferred until symptoms improve.
Additional investigations such as anoscopy, proctoscopy, or colonoscopy may be recommended if there is significant bleeding, atypical features, recurrent fissures, or suspicion of another underlying condition.
The choice of treatment depends on whether the fissure is acute or chronic, its severity, and the patient's symptoms.
Most acute fissures heal without surgery.
Treatment focuses on relieving pain, reducing sphincter spasm, and promoting healing.
Patients are advised to:
Soft stools reduce trauma during bowel movements and allow the fissure to heal.
Sitting in warm water for 10–15 minutes several times a day helps:
Prescription creams may help relax the internal sphincter muscle and improve healing.
These include:
These medications can heal many chronic fissures when used correctly.
Appropriate pain medication may be prescribed during the acute phase to improve comfort.
Lateral Internal Sphincterotomy (LIS) is considered the gold standard surgical treatment for chronic anal fissure that has failed conservative management.
During the procedure, a small portion of the internal anal sphincter muscle is divided to relieve spasm and restore blood flow, allowing the fissure to heal.
Benefits -
When performed by experienced colorectal surgeons and in appropriately selected patients, the risk of long-term bowel control problems is low.
Most patients experience significant improvement in pain within a few days after successful treatment.
Recovery recommendations include:
PREVENTION
Good bowel habits are the key to prevention.
Helpful measures include:
Seek medical evaluation if you have:
Early treatment not only relieves pain but also prevents the development of chronic fissures that may require surgery.
At Sarvodaya Anal and Colon Clinic, we understand how debilitating an anal fissure can be. Our approach begins with a careful diagnosis and personalized treatment plan, emphasizing conservative therapy whenever appropriate. For chronic or recurrent fissures, we offer advanced options such as Botox injection and Lateral Internal Sphincterotomy, using evidence-based techniques that provide excellent healing rates while preserving normal bowel function. Our goal is simple: to relieve pain, restore comfort, and help you return to a healthy, confident life as quickly as possible.
An anal fistula (fistula in ano) is a chronic condition that can cause persistent pain, swelling, discharge, and recurrent abscesses around the anus. Although it is a common condition, treatment can be challenging because the fistula often passes through the muscles responsible for bowel control. The primary goal of treatment is therefore not only to cure the fistula but also to preserve continence.
At Sarvodaya Anal and Colon Clinic, we provide individualized treatment based on the anatomy of the fistula, using modern imaging, minimally invasive techniques, and sphincter-preserving procedures whenever appropriate.
An anal fistula is an abnormal tunnel that connects the inside of the anal canal to the skin around the anus.
Most fistulas develop after an anal gland becomes infected, forming an abscess. Although the abscess may drain spontaneously or be surgically drained, the tract connecting the infected gland to the skin may persist, resulting in a fistula.
Simply put:
Abscess → Persistent tract → Anal fistula
Patients may experience:
Many patients notice cycles of swelling, spontaneous rupture with discharge, temporary relief, and recurrence.
A simple fistula usually has:
These fistulas generally have a high cure rate with relatively straightforward surgery.
Complex fistulas are more challenging and require careful planning.
They may have:
Treating complex fistulas requires balancing complete healing with preservation of continence.
Diagnosis begins with:
For complex or recurrent fistulas, additional imaging is often recommended.
MRI is considered the gold standard for mapping complex fistulas because it clearly identifies:
This information is invaluable for planning surgery and reducing the risk of recurrence.
TREATMENT
The best treatment depends on:
Our aim is to eradicate the fistula while preserving normal bowel control.
Fistulotomy is the standard treatment for many simple, low anal fistulas.
During the procedure, the fistula tract is opened along its length, allowing it to heal gradually from the base.
A seton is a soft surgical thread placed through the fistula tract. Setons may be temporary or part of a staged treatment strategy.
The LIFT procedure is a widely accepted sphincter-preserving operation for selected transsphincteric fistulas.
The fistula tract is identified within the intersphincteric plane, tied off, and divided without cutting the external sphincter muscle. Benefits include -
Laser-assisted fistula treatment uses a radial laser probe to deliver controlled energy inside the fistula tract, causing it to collapse and seal.
Potential advantages include:
Laser treatment is not suitable for every fistula. Careful patient selection is essential for achieving good outcomes.
Recovery depends on the complexity of the fistula and the procedure performed.
Most patients are advised to:
Some procedures require dressing changes until healing is complete.
Can Fistula's be preventable? Not all fistulas can be prevented, but early treatment of anal abscesses and prompt medical attention for persistent discharge or swelling may reduce complications.
Maintaining good bowel habits and seeking specialist care early can also improve outcomes.
When to consult your surgeon
You should seek medical attention if you experience:
Early evaluation can prevent repeated infections and improve the chances of successful treatment.
At Sarvodaya Anal and Colon Clinic, we recognize that every anal fistula is unique. Rather than applying a single technique to all patients, we use a tailored, anatomy-based approach supported by clinical examination and, when indicated, MRI mapping. Our expertise includes fistulotomy, seton placement, LIFT, laser-assisted fistula treatment, and advanced sphincter-preserving procedures, allowing us to select the safest and most effective treatment for each individual. Our commitment is to achieve complete healing while protecting the muscles that control continence, helping our patients return to normal life with confidence and comfort.
The colon (large intestine) and rectum play vital roles in digestion, water absorption, and bowel function. Disorders affecting these organs range from benign conditions, such as polyps and diverticular disease, to chronic inflammatory diseases and colorectal cancer. Many of these conditions share common symptoms, including rectal bleeding, changes in bowel habits, abdominal pain, or unexplained weight loss.
At Sarvodaya Anal and Colon Clinic, we provide comprehensive evaluation, advanced endoscopic diagnosis, and modern medical and surgical treatment for diseases of the colon and rectum. Our goal is early diagnosis, evidence-based management, and personalized care for every patient.
You should seek medical evaluation if you experience:
Early evaluation can identify treatable conditions before complications develop.
Colon polyps are abnormal growths arising from the inner lining of the colon or rectum. Most polyps are benign, but some types—particularly adenomatous and certain serrated polyps—have the potential to develop into colorectal cancer over time.
Most polyps do not cause symptoms and are discovered during colonoscopy.
Diverticula are small pouch-like protrusions that develop in the wall of the colon, most commonly in the sigmoid colon. The presence of diverticula is called diverticulosis.
When these pouches become inflamed or infected, the condition is known as diverticulitis.
Colon cancer develops from the inner lining of the large intestine, often evolving slowly from precancerous polyps over several years. Early detection greatly improves the chances of successful treatment. Risk factors include -
Warning signs
Diagnosis may involve:
Treatment is individualized based on the stage of the disease and may include:
Surgery remains the cornerstone of treatment for most localized colon cancers.
Rectal cancer arises in the last 15 cm of the large intestine and requires specialized management because of its proximity to the anal sphincter and pelvic nerves.
Treatment planning often differs from colon cancer and may involve a combination of surgery, chemotherapy, and radiotherapy.
Inflammatory bowel disease (IBD) refers to chronic conditions that cause ongoing inflammation of the digestive tract. The two main forms are:
IBD is not the same as irritable bowel syndrome (IBS).
Management is individualized and may include:
Patients with IBD require long-term follow-up and periodic surveillance for colorectal cancer.
Colonoscopy
Many diseases of the colon and rectum can only be diagnosed accurately through colonoscopy. This procedure allows direct visualization of the lining of the large intestine and enables:
For many patients, colonoscopy provides both diagnosis and treatment in a single procedure.
While not all conditions can be prevented, healthy lifestyle choices can significantly reduce the risk of colorectal disease.
We recommend:
At Sarvodaya Anal and Colon Clinic, we provide comprehensive care for both benign and malignant diseases of the colon and rectum. Our services include screening and diagnostic colonoscopy, advanced polypectomy, minimally invasive colorectal surgery, multidisciplinary cancer care, and long-term management of inflammatory bowel disease. Every patient receives an individualized treatment plan based on current international guidelines, with a focus on accurate diagnosis, organ preservation, enhanced recovery, and compassionate care. Whether you need evaluation for rectal bleeding, removal of a precancerous polyp, or treatment for colorectal cancer, our team is committed to delivering safe, modern, and patient-centered care at every stage of your journey.
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