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Wednesday, 4 September 2019


 Contact details of Dr Puneet Agrawal

Our center has brought relief to thousands of people
suffering from piles, anal fissure and fistula
from last thirty years.

For piles our center gives various therapies like     
lifestyle modifications, herbal pills etc.
For troublesome piles,

injection scelerotherapy can be done.
For larger piles,
ligation is done using  high quality american

Our center treats fissure with lifestyle modification, 

drugs and several other non-operative methods.
Relief from one injection is also possible.

Kshar sutra method is non operative and gives 

better results than operation.

In last 30 years, thousands of such patients have 
benefited after being treated in our center.

A sizable number of people suffer from piles 

or hemorrhoids. 

Piles are essentially a condition that 

results due to the swelling 

of veins in and around the rectum. 

There are two types of piles; 

internal piles - 

where the swelling is located inside the 

anal passage and can be felt rather 

than seen; 

external piles - 

where the swelling 

is easily visible because they are 

located just outside the anus. 

Internal piles cause the discharge of 

dark colored blood whereas 

external piles are extremely painful 

with little or no blood discharge. 

Constipation or forcing out stools could 

lead to the rupture of the 

veins and this results in bleeding piles. 

This will cause internal bleeding 

or external bleeding, depending on the 

location of the rupture.

There is a lot of confusion on the subject. 

This is because most individuals are 

embarrassed or awkward about 

discussing some health problems 

and consider them to be of a personal 


Very often otherwise health conscious 

individuals even defer going to a doctor 

or seeking medical treatment 

simply out of fear or anxiety of 

social discomfort. 

The fact is that piles problems are 

exceedingly common and if treated 

effectively can be cured permanently. 

Piles is not a disease, 

but is a condition that could be caused 

by some underlying infection, 

but there is no such thing as a 

piles infection. 

In most cases piles is simply caused 

due to faulty eating habits, 

with diets that are deficient in essential 

fiber, while being extremely rich in fat.

Piles symptoms, cures and treatment 

are connected and it is important to 

identify the cause of the piles 

for a lasting piles cure. 

Piles may be caused by a variety of 

factors apart from the most common 

diet causes. 

The direct cause being the exertion of 

excessive pressure on veins in the anal 

region causing them to get inflamed. 

Obesity can contribute to the 

development of piles and severely 

aggravate the problem 

because of increased pressure. 

For the same reason piles symptoms in 

pregnancy are not uncommon and the 

condition usually resolves naturally 

post delivery. 

In such scenarios simple 

home remedies for piles 

can offer a great deal of relief. 

Typically these would include diet 

remedies and modifications to your 

lifestyle. While there are piles 

remedies for quick relief it is absolutely 

necessary to make changes to your 

lifestyle and diet for a lasting 

cure to the condition. 

Failing this piles will simply keep 

recurring and worsen over time. 

In cases where piles have been caused 

by some underlying condition such as 

bowel cancer then treatment 

would need to address that underlying 

condition to cure piles. 

More than 80% of anal fissures resolve without 

any treatment whatsoever. 
They can be healed through proper diet, 

high fiber, and lots of water. 

The main goals of treatment are to treat the 
underlying constipation and hard bowel movements 
that have created the anal fissures in the first place. 
Softer and wetter bowel movements are easier 
for the patient to pass through their rectum, 
and they will not cause any further damage 
to the anal fissure. Eating foods high in fiber 
that absorb a lot of water in the intestinal tract 
are the best remedy for anal fissure.

Nevertheless, there are some treatments for 
anal fissures if the problems are persistent, 
and they don’t go away with time or diet change. 
You can take stool-bulking agents that build up 
the stool as well as eating a lot of fiber, 
and then you can take stool-softening agents 
to make it come soft. Laxatives are sometimes 
used to keep the flow of bowel movements flowing. 
Mineral oil can be used to make the passage of stool
easier without as much stretching or abrasion in the 
anal thin tissue. Sitz baths can also help to 
relieve the spasms. 
Recurrence of anal fissures can be 50-70% 
if the patient does not continue on the high-fiber 
diet after his anal fissures heal, but the recurrence 
rate is only 15-20% if he continues to remain 
on a high-fiber diet.
Some doctors apply NTG ointment directly to 
the internal anus area, but some patients cannot deal 
with the side effects like headache and dizziness 
so they forego NTG ointment or use it sparingly. 
Injection treatment has even been applied for anal fissures, 
but the treatment only lasts 3 months.
Some doctors use lateral internal sphincterotomy 
surgery because it is the best treatment for 
healing chronic anal fissures. Usually, 
after 3-4 weeks of medical therapy, 
surgery is opted for if the other treatments don’t work. 
Sometimes, consistent enema treatments are ordered.
Up to 80% of infants deal with anal fissures, 
and they’re apt to go away on their own. 
What you put in, or most often don’t put 
into your body, can cause anal fissures. 
Most anal fissures heal directly after surgery. 
Treatment after surgery includes eating a 
high-fiber diet that will prevent constipation in 
the future. Anal fissures require treatment that is 
opical, internal, and sometimes surgically. 
It’s best to start at the first instance 
and work your way up to the surgery.

Hemorrhoids Diet | Piles Diet

Recommended diet to help prevent hemorrhoids from developing 
is first of all a diet that helps you to keep a soft stool.
  • Fiber rich diet is rich in fruits, vegetables and whole grains 

    (or fiber supplement). Fiber adds bulk and moisture to the 

    stool, and it speeds movement through the intestinal tract. 

    Fiber rich diet can prevent constipation and thus also 

    hemorrhoids from developing.
  • Wheatgrass juice aids in proper digestion. 

    Furthermore, green juices provide easy assimilation of 

    nutrients especially in cases of poor digestion or immuno-suppression.


  • Drink lots of fluids (not alcohol) at least 8 glass each day. 

    Drinking results in softer, bulkier stools. 

    A softer stool makes emptying the bowels easier and 

    lessens the pressure on hemorrhoids caused by straining. 

    Eliminating straining also helps prevent the hemorrhoids from protruding.


  • Avoid highly refined foods like white rice, white bread, pastries, cakes, pies.
  • Alcohol should also be avoided as it can contribute to small, dry stools.
  • Avoid acid forming foods such as sugar, animal protein, dairy, 

    and caffeine-containing food and beverages, as well as all beverages with soda.

Contact details of Dr Puneet Agrawal


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