Piles, Fissure, Fistula
What are Piles, Fissure, and Fistula?
Piles (Hemorrhoids), fissures, and fistulas are common anorectal conditions that affect many individuals.
- Piles are swollen blood vessels in the rectal or anal region, often resulting from excessive straining during bowel movements.
- Fissures are small tears or cracks in the anal lining that cause sharp pain and bleeding during defecation.
- Fistulas are abnormal tunnels connecting the inside of the anus or rectum to the skin around the anus, typically caused by an infection or abscess.
At Arogyam Care, we specialize in diagnosing and treating these conditions with advanced techniques, ensuring the best outcomes for our patients.

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Statistics of Piles, Fissure, and Fistula in India
- Approximately 40% of the Indian population experiences anorectal disorders at some point in their lives.
- Piles affect around 10 million Indians annually, with prevalence higher in adults aged 45 and above.
- Anal fissures account for 15-20% of all anorectal complaints reported to doctors.
- Anal fistulas, though less common, affect 2-4 people per 10,000 annually, often leading to recurrent infections and discomfort.

Causes of Piles, Fissure, and Fistula
Our best piles specialists in Gurgaon at Arogyam Care are well-equipped to address these underlying causes with precision and care.
- Chronic constipation or diarrhea
- Straining during bowel movements
- Prolonged sitting, especially on the toilet
- Pregnancy and childbirth
- Passing hard or large stools
- Chronic constipation or diarrhea
- Trauma during childbirth
- Inflammatory bowel diseases
- Untreated anal abscesses
- Infections in the anal glands
- Crohn’s disease or tuberculosis
Symptoms of Piles, Fissure, and Fistula
Piles
- Pain or discomfort during bowel movements
- Bleeding (bright red blood) in stools
- Itching or irritation near the anus
- Swelling or lump around the anus
Fissure
- Severe pain during and after defecation
- Bleeding (small amounts on toilet paper)
- Visible crack or tear near the anus
- Spasms in the anal sphincter
Fistula
- Persistent pain and swelling near the anus
- Pus or blood discharge from an opening around the anus
- Fever and malaise in case of infection
- Recurring abscesses
For expert advice and treatment, consult the best doctor for piles treatment in Gurgaon at Arogyam Care.
Diagnosis of Piles, Fissure, and Fistula
Visit Arogyam Care for accurate and advanced diagnostic services for piles, fissures, and fistulas. We are known for being the best hospital for piles treatment in Gurgaon.
Physical examination by a healthcare professional
Digital rectal examination (DRE)
Anoscopy or sigmoidoscopy for detailed visualization
Imaging tests like MRI or ultrasound for fistulas
Clinical history evaluation to rule out other conditions like Crohn’s disease
Treatment Options for Piles, Fissure, and Fistula
At Arogyam Care, we offer the best fissure treatment in Gurgaon and advanced techniques for fistula and piles management. Our focus is on painless and affordable solutions.
- Conservative: High-fiber diet, topical creams, and sitz baths
- Minimally invasive: Rubber band ligation, sclerotherapy
- Surgical: Hemorrhoidectomy or stapled hemorrhoidopexy
- Conservative: High-fiber diet, stool softeners, and pain relief creams
- Medications: Nitroglycerin ointment or calcium channel blockers
- Surgical: Lateral internal sphincterotomy for chronic cases
- Surgical: Fistulotomy, seton placement, or advancement flap procedure
- Advanced: Laser-assisted surgery or fibrin glue for select cases

Prevention Tips for Piles, Fissure, and Fistula
- Maintain a fiber-rich diet with fruits, vegetables, and whole grains.
- Stay hydrated by drinking plenty of water daily.
- Avoid straining during bowel movements.
- Exercise regularly to improve digestion and prevent constipation.
- Avoid prolonged sitting, especially on hard surfaces.
- Maintain proper hygiene in the anal region to prevent infections.
- Treat constipation or diarrhea promptly to reduce strain on the rectum.
For affordable and effective care, visit Arogyam Care, the trusted name for piles treatment in Gurgaon. Whether you’re seeking the best piles surgeon in Gurgaon or guidance on prevention, we’re here to help.