Grade I - No prolapse, just prominent blood vessels,Grade II - Prolapse upon bearing down, but spontaneous reduction,Grade III - Prolapse upon bearing down requiring manual reduction,Grade IV - Prolapse with inability to be manually reduced

Yes, piles can be cured permanently through laser treatment, if you follow post-surgery instructions given by doctor

Laser treatment for piles (haemorrhoids) is painless and takes only minutes to complete

Doctors will prescribe medications and dietary plans which include intake of 2-3 litres of water and intake of fibre rich food

Some of the fibre rich food are whole grains, wheat pasta, whole wheat bread, Barley, Carrot, Berry, broccoli, sweet corn, potatoes with skin.

See the table on 2nd page

Ignoring haemorrhoids may lead to rectal cancer, rectal prolapse, obesity, anal injury, Inflammatory Bowel Disease (IBD)

The cost of the surgery varies based on the severity or complexity of the disease, and the procedure chosen. Please refer to the procedure page for more details on Ayu Health packages.

Yes, if the diagnosis is done within stage 1 of Anal Fistula, the disease can be cured by following a fiber & nutrition rich diet and drinking a lot of water. Additional antibiotics or oinments may be prescribed by the doctor. Dietary correction and medication help flush away the fistula naturally. At Ayu Health, our intent is to find the most optimal cure for our patients. The doctor will only recommend a surgical procedure if needed.

Yes, it can be cured permanently through laser surgery.

The doctor will explain the procedure and the precautions to be taken before the surgery. Some of them may be: Quit smoking , Not to eat anything 6 hours prior to the surgery, Diagnostic tests for heart rate, BP and urine samples

A fistula is a small tunnel in the skin of the anal region. Whenever there is an infection inside the anus, a tunnel is formed to drain the pus which is the fistula.

In majority of the cases, a fistula is formed when there is an infection in the anal region. Sometimes, it also forms because of sexually transmitted diseases, tuberculosis or any illness that affects the bowels. Some fistulas also form during childbirth.

You must reach out to your doctor if you have:

• Pain

• Swelling and bleeding

• Discharge of pus from the anal region

Fistulas can be easily diagnosed by a physical examination. To understand if there are any other complications, the doctor might ask for an X-ray, CT scan or a colonoscopy report.

It is best to have simple, bland, low-fat food like rice, toast, yoghurt etc after the surgery. Increasing the intake of fibre rich food and water is recommended.

The two types of treatments available for anal fistula are:

• Laser surgery

• Traditional surgery

There are several procedures that involve cutting through the anal region to seal the fistula. Some of the procedures are:

• Fistulotomy: The entire length of the fistula is cut and opened so that it heals like a cut

• Seton Technique: A cut is made in the anal region and a surgical thread is placed in the fistula to help it to drain out slowly and heal on its own

• Flap Procedure: A cut is made in the fistula through which it is drained. A flap is used to cover the fistula to help it heal. The flap is made of tissue taken from a healthy part of the rectum.

• LIFT procedure: The fistula is cut and sealed at both ends and the rest of it is kept open to heal

It takes 2-4 days to recover from traditional surgery for fistula.

As the procedures involve cutting through the anal region. So, some of the risks associated may be:

• Injury to the anal area

• Excessive bleeding

• Infection of the surgical wound

• Faecal or urinary incontinence

• Blood clots

• Risks of general anaesthesia

There are very less risks involved with laser treatment for fistula. Some of the risks of the procedure may be:

• Allergic or adverse reaction to anaesthesia or other drugs

• Bleeding

• Blood clots

• Damage to blood vessels

• Incontinence

Yes, Anal fissures can be treated based on how chronic the tear is. If the tear is a small one, it can heal with self-care like drinking plenty of water and intake of fibre rich food. The doctor might also suggest medications like stool softeners, ointments to quicken the self-healing process. At Ayu Health, our intent is to find the most optimal cure for our patients. The doctor will only recommend a surgical procedure if needed.

Yes, it can be cured permanently through laser surgery.

The laser surgery gives instant relief after the surgery which means mild to no pain at all.

A fissure also called, an anal fissure is a minor cut or tears in the lining of the anus. It causes bleeding and mild pain. Like any normal cut, the body can heal the fissure on its own. However, if the cut is deep you need to seek the help of a doctor.

When the anal canal stretches beyond its limit, it tears and causes a fissure to form. The stretching of the anal canal might be due to passing hard stools, diarrhoea, childbirth or anal sex.

Some of the chronic symptoms of anal fissure that require immediate medical attention are:

• Blood in stools

• Sharp pain when you pass stools

• Itching or burning in the anal region

When the anal fissure is left untreated, it can lead to:

• Acute pain while passing stools

• Anal Cancer

• Serious infections

An anal fissure is diagnosed by a physical examination of the anal area. To find out the extent of the tear, the doctor might perform anoscopy, colonoscopy, or flexible sigmoidoscopy.

After the surgery, you must avoid constipation so that the cut can heal. To avoid constipation, one should follow a diet that consists of:

• Fibre-rich food

• 10 -12 glasses of water

• Simple, nutritious food

It is recommended to avoid alcohol and coffee consumption.

The traditional procedure also called the Lateral Internal Sphincterotomy (LIS) is a procedure where the fissure is treated by cutting or stretching the muscles surrounding the anus.

• The patient is given general anaesthesia for the procedure

• An incision is made in the anal muscles to relieve pressure on the fissure.

• The fissure heals quickly by itself