Proctology in Khar, Mumbai

Piles (Haemorrhoids)

Piles, also known as haemorrhoids, are swollen blood vessels in the lower rectum or anus. They may cause bleeding, discomfort, itching, swelling or a feeling of incomplete bowel evacuation.

Treatment depends on the type and severity of haemorrhoids and may include:

• Dietary and lifestyle changes

• Treatment of constipation and straining

• Medications and topical treatments

• Rubber band ligation for selected internal haemorrhoids

• Minimally invasive procedures

• Surgical haemorrhoidectomy for selected advanced or recurrent cases

Laser-based procedures may be considered in appropriately selected patients. The choice of treatment depends on the type and severity of haemorrhoids, and Dr. Rambhia can discuss the available options, including their potential benefits and limitations, during consultation.

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Anal Fissure

An anal fissure is a small tear in the lining of the anus that commonly causes sharp pain during or after bowel movements and may be associated with bleeding.

Many acute fissures can improve with conservative treatment, including:

• Increasing dietary fibre and fluid intake

• Managing constipation

• Stool-softening measures

• Topical medications

• Warm baths

Persistent or chronic fissures that do not respond adequately to conservative treatment may require a procedure or surgery. The appropriate treatment depends on the individual patient and the characteristics of the fissure.

Procedural or minimally invasive approaches may be considered in selected cases when conservative treatment is unsuccessful or the fissure is chronic.

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Perianal Fistula

A perianal fistula is an abnormal tunnel connecting the anal canal or rectum to the skin around the anus. It commonly develops following an infection or abscess and may cause persistent discharge, pain, swelling or recurrent infection.

Treatment depends on the fistula's anatomy, its relationship to the anal sphincter and whether there are associated conditions such as an abscess or inflammatory bowel disease.

Depending on the individual case, treatment may include:

• Fistulotomy

• Seton placement

• Sphincter-preserving procedures

• Other minimally invasive or specialised techniques

Minimally invasive or laser-assisted techniques may be considered in selected cases, depending on the fistula anatomy and clinical circumstances. The most appropriate procedure is determined after clinical assessment and, where required, imaging.

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Pilonidal Sinus

Pilonidal sinus is a condition affecting the skin and tissues around the cleft of the buttocks, usually near the tailbone. It can cause pain, swelling, recurrent infection and discharge.

Treatment depends on whether the condition is acute, recurrent or associated with a persistent sinus.

Management may include:

• Local care and hygiene

• Treatment of an acute abscess when present

• Measures to reduce recurrence

• Minimally invasive procedures

• Surgical treatment for persistent or recurrent disease

Minimally invasive treatment may be an option for selected patients, depending on the extent and characteristics of the pilonidal sinus.

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Minimally Invasive Proctology

Minimally invasive techniques can be appropriate for selected anorectal conditions. Depending on the diagnosis, treatment options may include office-based procedures, minimally invasive techniques or surgery. Laser-based procedures may be considered in selected conditions and patients.

However, laser treatment is not appropriate for every patient or every condition. The choice of treatment depends on the diagnosis, anatomy, severity, previous treatment and individual circumstances.

Dr. Rambhia discusses the available options, including their potential benefits, limitations and risks, before recommending treatment.

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Consultation for Proctology Conditions

A proper examination is important because symptoms such as bleeding, pain or swelling around the anus can have several different causes.

During consultation, Dr. Rambhia evaluates your symptoms and clinical findings and discusses the appropriate treatment options. Where necessary, further examination, imaging or other investigations may be recommended before deciding on treatment.

If you have persistent symptoms or have already been advised to undergo a procedure, a consultation can also provide an opportunity to seek a second opinion.

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Proctology and Colorectal Surgery

Proctology focuses on conditions affecting the anus and rectum, while colorectal surgery covers a broader range of conditions affecting the colon, rectum and anus. Some symptoms, such as rectal bleeding or changes in bowel habits, may have several possible causes and require appropriate evaluation before treatment.

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Proctology Consultation in Khar, Mumbai

Dr. Samir U. Rambhia consults at Inside Clinic in Khar, Mumbai, and provides proctology and colorectal consultations and surgical care to patients from Khar, Bandra, Santacruz, Juhu and surrounding areas.

If you are experiencing rectal bleeding, pain during bowel movements, a lump or swelling around the anus, persistent discharge or recurrent symptoms, a surgical evaluation can help determine the cause and appropriate treatment.

 

Book a Proctology Consultation

To discuss piles, anal fissure, fistula, pilonidal sinus or other anorectal concerns, book an appointment with Dr. Samir U. Rambhia through Inside Clinic.