Piles, fistula, has had indigestion. Explain the treatment details? - Online Doctor Chats
How can I help you?
My dad is suffering from Piles or pistula
i just wanted to know the dignosys and treatement details
Piles or hemorrhoids and fistula are localised pathology of the anal cavity.
The former (piles) occur due to engorgement of veins around the anal region.
The distended veins cause pain, difficulty while passing stool as well as bleeding.
Fistula on the other had is a tear in the mucosal linning of the anus.
The symptoms here is similar to piles.
The conditions can be differentiated by per rectal examination and proctoscopy - visualising the anal region with a scope.
since he had indisation problem since chieldwood days
Treatment of both the condition is by means of conservative treatment and surgery.
Both the conditions can be chronic recurring problem.
Unless a per rectal examination or proctoscopy is done
and he managed with "Kayamchurna" for all these days
it is very hard to differentiate among both the condition.
Sometimes patient complain of feeling of mass lower down in the anal opening.
no he dont have that
If your father complaints of any such mass along with his other symptoms, then it is likely that we are dealing with piles.
But as I said earlier, we need to confirm it by per rectal examination or proctoscopy.
Coming to the treatment part,
he says that recently there is a puss formition in the anus
Presence of pus around the anal region suggest
ok go ahead
1. Fistula has got infected
2. There is infection around hemorrhoids (piles)
We may be able to confirm the diagnosis only by examination.
ok, sir what is the first step and what scanning or testing to be done
Let me put across the steps you can follow.
that would be great sir,
1. Make him drink plenty of water and take lot of fibres in diet. This will prevent the problem from worsening.
2. XXXXXXX warm water sit bath will relieve any inflammation that is happening there.
* siting in a tub with XXXXXXX warm water will also help in reducing pain and swelling if any.
Do not use this cream inside the anal cavity.
Only if any lesions are present externally away from the anus, you may use them.
Blood sugar test is important then.
6. Last but important is to plan a visit to your doctor, preferably a surgeon for direct examination, proctoscopy and per rectal examination.
Based on the clinical appearance and the size/grade of the lesion surgical treatment if any can be planned.
Have you followed what I suggested?
Do you have any other query?
He did all this with the direction of local doctor accept the 6th point
If the above measures have failed to give him any relief, then he might need to undergo some procedures or minor surgery.
ok please suggest good doctor so that i can get it checked
So consulting a surgeon would be the best approach to handle this circumstances.
You can consult any surgeon near by your locality.
Alternatively surgical gastroenterologist
would you be able to give the details ?
even the examination can be done there (rectal examination or proctoscopy)
do you suggest me to go after the rectal examination or proctoscopy?
if yes where can i get it done
Per rectal examination is done as a part of clinical examination
The latter gives more information as there is direct visual examination of the affected region.
If the problem is not an external abscess or infected follicles or pilonidal cysts,
then this needs proctoscopic examination.
As you visit the doctor, he / she will initially perform per rectal examination and then order for proctoscopic analysis.
your doctor should take care of it.
So don't worry.
Is there any other query?
what would be the approximate cost of this tests
The test can be performed at the doctors office
and most likely should be included in the doctor's fees.
You may be charged an additional 200 - 1000 INR depending on the institute / doctor performing it.
sorry if i had asked you not relevant questions and thank you so much Doctor
I am not sure of the price as it varies, but this is how most likely your father would be managed.
Do consult a local surgeon or one of the specialist at those hospitals or any other piles/fistula clinic near your locality.
Things would be much clear and easier to manage once the cause is found.
Hope it is clear to you.
Do you have any other query?
No doctor and thank you for info,
You are welcome.
have a nice day!
Thanks for consulting me.
Bye for now.
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