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Welcome to Jaspal Hospital – Ambala City. An NABH accredited hospital.

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  /    /  Surgery

Piles – Fissure – Fistula

The Department of proctology at Jaspal Hospital has well-experienced surgeons with over 25 years of experience. Dr. Duke Parbhjot Jaspal is piles specialist who deals with piles cases at Jaspal hospital.

हाइवे किनारे दीवारों पर शर्तिया इलाज के विज्ञापन हों या सड़क किनारे तंबू में इलाज की गारंटी देने वाले झोलाछाप… पाइल्स के 80% मरीज ऐसी जगहों से धोखा खाने के बाद जब स्थिति कंट्रोल से बाहर हो जाती है, तब लोग डॉक्टर के पहुंचते हैं। यही नहीं, गूगल सर्च और खुद दवा खरीद कर बीमारी बढ़ाने वालों की भी तादाद बढ़ गई है। इस कारण जिन लोगों का इलाज सिर्फ दवा से हो सकता है, उन्हें सर्जरी करवानी पड़ रही है।

पाइल्स बढ़ने का कारण हमारे खानपान और लाइफ स्टाइल में बदलाव भी है। आज हम फल खाने के बजाय उनका जूस पीते हैं। इसमें फाइबर नहीं होता, जबकि हमारी बड़ी आंत के कोलन में सिर्फ फाइबर और पानी ही जाता है। फास्ट फूड के चलन और फिजिकल ऐक्टिविटीज कम होने से लोग पानी भी कम पीते हैं। इससे लोग पहले कब्ज और फिर पाइल्स के शिकार हो जाते हैं। इससे बचने के लिए फल-सब्जियां खाने के साथ ज्यादा से ज्यादा पानी पिएं।

टॉइलट में मोबाइल का इस्तेमाल बन रहा है पाइल्स की वजह
आजकल लोग टॉइलट में मोबाइल लेकर जाते हैं। इस कारण वे टॉइलट में तीन गुना देर तक बैठते है। इससे पाइल्स का खतरा ज्यादा रहता है। इसका समाधान है कि टॉइलट में मोबाइल न चलाएं, अखबार और मैगजीन भी न पढ़ें। इसके साथ कमोड की जगह इंडियन सीट का प्रयोग करें।

फास्ट फूड के चलन और फिजिकल ऐक्टिविटीज कम होने से लोग पानी भी कम पीते हैं। इससे लोग पहले कब्ज और फिर पाइल्स के शिकार हो जाते हैं।

Piles(Haemorrhoids) Treatment

Best Piles Treatment in Ambala

We understand that Piles (Bavasir) may not be a subject you feel comfortable talking about, but there is no need to suffer in silence. If you have piles, you are not alone. It is estimated that piles will affect at least 50% population at some point during their lives, that makes it one in two of us! Jaspal Hospital feel proud to say that we are one of the best piles hospitals in Ambala.

A medical history followed by visual examination of the anus is usually enough. However, a digital examination and Proctoscopy (a scope is inserted to examine the anal canal) is done to confirm the diagnosis. At times a Barium study or Colonoscopy may be advised if your doctor suspects any other cause of bleeding that needs to be ruled out.

Causes Of Piles

Constipation - Most common cause

Hard stools/ Straining during bowel movement

Faulty toilet habits ( sitting on the toilet for a long time ex. reading )

Family history

Pregnancy and childbirth

Lifting heavy weights


Symptoms Of Piles

Painless bleeding while passing stools

Feeling a lump outside the anus

Pruritus ani or itching around the anus

Faecal soiling of undergarments

If a blood clot forms in the haemorrhoid ( Thrombosed haemorrhoid ) it leads to a severely painful swelling which worsens with bowel movement and sitting.

Fissure Treatment

Best Fissure Treatment in Ambala

An anal fissure or Fissure-in-ano is a tear or cut in the skin of the anal canal. The condition affects men and women equally and can occur at any age ( infants too ). Anal fissures are commonly found in the back part of your anus, in line with the cleft of your buttock.

A fissure which is present for less than 6 weeks is called an Acute fissure. That which is more than 6 weeks old is called a Chronic fissure. The Chronic fissure is usually hard to feel and may have a skin tag like growth called Sentinel Pile.

जब आपकी गुदा या गुदा की नलिका में किसी प्रकार का कट या दरार बन जाती है, तो उसे एनल फिशर कहते हैं। एनल फिशर अक्सर तब होता है जब आप मल त्याग के दौरान कठोर और बड़े आकार का मल त्याग करते हैं। फिशर में मल त्याग के समय दर्द होना और मल के साथ खून आना एक सामान्य लक्षण है।

Causes Of Fissure

Hard stools especially associated with constipation - The increased pressure exerted in an effort to pass the hard stools causes tearing of the delicate perianal skin.

Diarrhoea - The frequent forceful bowel movement causes tearing of the anal skin.

Iatrogenic - A tear may occur during insertion of a rectal thermometer, USG probe, endoscope, enema tube.


Anal sex - Commonly encountered in homosexuals.

Rare causes - Crohns disease, leukaemia, tuberculosis, sexually transmitted diseases, viral infections etc

Symptoms Of Fissure

Painful defecation


Need to strain while passing stools

Pruritus ani


Sentinel pile


Frequently Asked Questions

What is the Difference between Piles, Fissures and Fistula?

Piles are mainly the swollen blood vessels while fissures are kind of cracks and fistulas are an opening of a cavity. Piles are mostly painless and unnoticeable. Fissures cause a lot of pain. In the case of fistulas, pus is discharged out of the anal area.

Can fissures lead to fistula?

Subcutaneous perianal fistulas may occur either as a result of a chronic fissure-in-ano or as a variant of the fistula-in- ano formed from abscesses of the anal crypt glands. Sphincterotomy is mandatory in the fissure-fistula complex.

How do I know if I have a fissure or piles?

But they are different conditions. An anal fissure is a small tear or ulcer (open sore) in the skin just inside your anus. Whereas piles, also known as haemorrhoids, are swollen veins and surrounding tissue around your anus or in your back passage.

What happens if fissure is not treated?

Constipation or fecal impaction may occur. The pain from an anal fissure can be so overwhelming that it discourages people from defecating. Acute fissures can become chronic, and sentinel pile can result. A permanent skin tag can result, and fistulas may form.

Do fissures hurt when sitting?

Pain during a hard bowel movement, and sharp pain that continues afterward are the most common symptoms of an anal fissure. Sitting can be quite painful with an anal fissure. You may see a few drops of blood in the toilet bowel or when wiping.

How do I know my fissure is healing?

Most anal fissures heal with home treatment after a few days or a weeks. These are known as acute anal fissures. Pain during bowel movements usually goes away within a couple of days after the start of treatment.

What should be avoided during piles?

Foods with little fiber can cause or make constipation (and therefore hemorrhoids) worse, so it’s best to limit how much you eat of them.
White bread and bagels.
Milk, cheese, and other dairy.
Processed foods such as frozen meals and fast food.

What is the main cause of piles?

Piles are a very common ailment that may affect men or women at any age. These are caused due to continuous high pressure in the veins. Other causes include constipation, excessive straining during bowel movements and persistent diarrhoea. These swellings are usually round, discoloured, and small lumps.

How do piles look like?

A thrombosed hemorrhoid will appear as a lump at the anal verge, protruding from the anus, and will be dark bluish in color because of the blood clot contained inside the swollen blood vessel. Non-thrombosed hemorrhoids will appear as a rubbery lump. Often more than one swollen hemorrhoid appears at the same time.

Are piles permanent?

A pile can hang down (prolapse) and can be felt outside the back passage. Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside. Small internal piles are usually painless.

Can stress cause piles?

Unfortunately, stress can have a negative effect on hemorrhoids. Stress can lead to digestive problems—and straining, due to constipation and diarrhea, can cause hemorrhoid flare-ups. When people are stressed, they tighten their sphincter muscle and put pressure on the rectum.

Is walking good for hemorrhoids?

Exercises that are generally considered safe and effective for hemorrhoid management and prevention include: Walking and other cardiovascular exercises. Treadmill or elliptical machine exercises. Water-based exercises like swimming and water aerobics.

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