Piles(Hemorrhoids), also known as Mulvyadh or Bavasir, are swellings that occur inside and around the anus, and along the anal canal. Our anal canal is made up of cushions of tissue that are full of blood vessels. Due to various reasons, these cushions get inflamed and swollen up, resulting in piles. Piles occur in a range of sizes, and they may be internal or external.WHAT ARE THE CAUSES OF PILES(HEMORRHOIDS)?Chronic constipation: When there is pressure to move stools, there is additional strain on the walls of the blood vessels, causing piles.Pregnancy: During the pregnancy as the uterus enlarges, it presses on the veins in the anal canal, resulting in bulge and piles. Hence, the incidence of piles post child-birth is significantly high.Aging: Occurrence of piles among the elderly population is high because of lack of support to the cushions.Diarrhea: Piles can occur after repeated episodes of chronic diarrhea.Sitting for too long: Those with desk jobs or ones with a tendency to spend long hours on the toilet seat, are at a risk of developing piles.Heavy lifting: Repeatedly lifting heavy objects can lead to hemorrhoids.Obesity: Obesity can cause piles .Genetics: Some people inherit a familial tendency to develop hemorrhoids.Cancer: Though cancer is not the cause of piles, but piles can co-exist along with cancer of large intestine making its diagnosis difficult.WHAT ARE TYPES OF PILES?Piles can be internal or externalInternal Piles - They are located within the anal canal, and can’t be seen or felt. The only symptom is usually bleeding while passing motion.External Piles - They are located around the anus right under the skin, where there are many pain-sensing nerves. They, therefore, hurt as well as bleed.WHAT ARE GRADES OF PILES?Grade1: These are tiny haemorrhoids within the lining of the anus not seen from outside.Grade 2: These haemorrhoids too lie within the anus and are slightly larger than grade 1 haemorrhoids. These haemorrhoids may get pushed out while passing stool but return to the original position on their own.Grade 3: These are also known as prolapsed haemorrhoids. They appear outside the anus. The patient can push them back in by pressing against them with his fingers.Grade 4: These haemorrhoids cannot be pushed back and stay outside the anus at all times.HOW DO WE TREAT PILES (HEMORRHOIDS)?There are various treatment options(modalities) offered at Proctocare Clinic. For initial stages of piles, doctor may recommend dietary changes with oral medicines and topical cream for application, etc. For those who need surgery, Proctocare Clinic offers the latest advanced LASER treatment.According to the grade of piles, the treatment options are as follows.GRADE 1 PILES: They can be treated with medicines and dietary and life style modifications.GRADE 2 PILES: They can be treated with INFRARED COAGULATION or LASER treatment.GRADE 3 PILES: They require LASER treatment or Surgery.GRADE 4 PILES: They require LASER surgery or STAPLER procedure.

Laser proctology involves the use of laser technology in the diagnosis and treatment of various conditions affecting the rectum and anus. This specialized field combines the precision of laser technology with the expertise of proctologists to provide effective and minimally invasive care for patients. Here's a general overview of laser proctology:Laser proctology offers several minimally invasive treatment options for various rectal and anal conditions, including:Hemorrhoid Treatment: Laser therapy can be used to shrink and coagulate hemorrhoids, reducing their size and relieving symptoms such as bleeding, pain, and itching. This treatment, known as laser hemorrhoidoplasty or laser hemorrhoidectomy, is less invasive than traditional surgical methods and typically involves shorter recovery times.Anal Fissure Treatment: Laser technology can be utilized to precisely target and seal off small blood vessels and nerve endings in anal fissures, promoting healing and reducing pain. Laser sphincterotomy, a procedure in which the internal anal sphincter muscle is partially divided using a laser, may also be performed to relieve pressure and improve blood flow to the area.Anal Fistula Treatment: Laser therapy may be used to ablate and seal off the abnormal fistulous tract in cases of anal fistulas. This approach helps to close the fistula and prevent recurrence while minimizing damage to surrounding healthy tissue.Rectal Tumor Treatment: Laser ablation techniques can be employed to selectively destroy cancerous or precancerous tissue in the rectum, offering a minimally invasive alternative to traditional surgery or radiation therapy. Laser therapy may be used alone or in combination with other treatment modalities, such as chemotherapy.

Appendectomy, the surgical removal of the appendix, is a common procedure performed to treat appendicitis, an inflammation of the appendix. The appendix is a small, tube-like organ attached to the large intestine in the lower right abdomen. When the appendix becomes inflamed or infected, it can lead to severe abdominal pain and other symptoms.Here's a general description of the appendectomy procedure:Preparation: Before the surgery, the patient is typically given anesthesia to ensure they are unconscious and pain-free during the procedure. The abdomen is cleaned and sterilized, and the patient may be given antibiotics to reduce the risk of infection.Incision: The surgeon makes an incision in the lower right abdomen. The location and size of the incision may vary depending on factors such as the patient's anatomy and the surgeon's preference.Accessing the Appendix: Once the incision is made, the surgeon carefully moves aside the abdominal muscles and other tissues to access the appendix.Removal of Appendix: The surgeon identifies the appendix and carefully detaches it from the surrounding tissues and the large intestine. In some cases, the appendix may be tied off and removed using surgical instruments. In other cases, the base of the appendix may be sealed with staples or sutures before removal.Closure: After the appendix is removed, the incision is closed with sutures or staples. In some cases, dissolvable stitches or surgical tape may be used.Appendectomy can be performed using different techniques:Open Appendectomy: This traditional approach involves making a single larger incision in the abdomen to access the appendix. It may be preferred in certain cases, such as when the appendix has ruptured or if there are complications.Laparoscopic Appendectomy: This minimally invasive approach involves making several small incisions in the abdomen. A laparoscope, a thin tube with a camera and light attached to it, is inserted through one of the incisions to provide a view of the inside of the abdomen. Specialized surgical instruments are inserted through the other incisions to remove the appendix. Laparoscopic appendectomy typically results in less pain, faster recovery, and smaller scars compared to open surgery.