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Piles & anorectal care
Problems around the anus are common, and they are also the ones people hide the longest. A little blood, a lump, burning after the toilet: it is easy to tell yourself it will pass. Sometimes it does, and sometimes it needs a doctor.
At Sayra Hospital & Piles Centre, anorectal care is where we started and what we know best. This page explains each condition and treatment in plain language, so you know what you are dealing with before you walk in.
Start with your concern
This table is a guide only. Only an examination can tell you the real cause.
| What you feel | Could be |
|---|---|
| Bleeding, a lump or itching | Piles |
| Sharp pain while passing stool, sometimes with spotting | Fissure |
| Repeated discharge or boils near the anal area | Fistula |
| A painful pocket near the tailbone | Pilonidal sinus |
| Not sure | A doctor can assess the symptoms |
Treatment options
Piles are swollen blood vessels in and around the anus. They may bleed, itch, hurt or form a lump, and are often linked with straining, constipation and long hours of sitting. Early piles may improve with diet, lifestyle changes and medicines; advanced cases may need a procedure. Examination determines the plan.
Laser treatment is a minimally invasive option for suitable patients. It is not right for every grade of piles, and recovery differs between people. Your doctor will assess whether you are a suitable candidate.
This may include medicines, diet and fibre changes, bowel-habit correction and, where suitable, simple procedures. It is often considered for early-stage piles, alongside changes such as avoiding straining and increasing fibre.
Ayurvedic care may include diet, lifestyle guidance and herbal care guided by qualified practitioners. Your practitioner can explain whether it may be used on its own or alongside other care.
A fistula is an abnormal tunnel near the anal canal that can cause repeated discharge, swelling or abscesses. The right treatment depends on its depth and complexity. Laser and Kshar-sutra may be considered where suitable after specialist assessment.
A fissure is a small tear in the anal lining. It can cause sharp pain during or after passing stool, often with a little bright blood. Many fissures heal with softer stools, medicines and simple measures; long-standing ones may need a procedure.
A pilonidal sinus is a pocket or channel under the skin near the tailbone. It can become infected, painful and recur. It needs proper assessment; the treatment method depends on the individual case.
These symptoms have several possible causes. Treating a symptom without finding its cause can delay appropriate care. Heavy or ongoing bleeding, or bleeding with changed bowel habits or weight loss, should be examined promptly.
Your visit
You describe your symptoms and how long you have had them.
A doctor examines you and, if needed, advises tests.
You hear your diagnosis and options in simple words.
Treatment starts when you are ready, and follow-up is explained.
Common questions
No. Many early cases improve with diet, lifestyle changes and medicines. More advanced cases may need a procedure.
No. Other conditions can cause bleeding too, so it should be examined.
No. It suits some patients depending on the type and grade of piles. A doctor decides after examination.
A fistula rarely closes by itself and usually needs medical assessment and treatment.
It varies by condition, treatment and person. Your doctor will explain what to expect for your case.
A private conversation
Tell us what you are experiencing, and we will explain your options.
