Piles, Fissure & Fistula Treatment in Kanpur

Proctology in Kanpur with Dr. Abhimanyu Kapoor

Bleeding, pain or a lump around the anus is uncomfortable to live with and can be difficult to talk about, but these conditions are common and very treatable. Dr. Abhimanyu Kapoor, a Surgical Gastroenterologist in Kanpur with 15 years of experience, explains what your options usually look like.

What Is Proctology?

Proctology, also called anorectal surgery, is the diagnosis and treatment of conditions affecting the anus and rectum, including piles (haemorrhoids), fissures, fistula, pilonidal sinus and rectal prolapse.

Signs Worth Getting Checked

Bleeding during or after a bowel movement

Pain around the anus, particularly during or after passing stool

A lump or swelling around the anus

Discharge, itching or persistent irritation

A recurring boil-like swelling near the tailbone, which may suggest a pilonidal sinus

A sensation of tissue coming out of the anus, which may suggest a rectal prolapse

Should You Be Worried?

Anorectal symptoms are common and usually have a straightforward, treatable cause, such as piles or a fissure. Because some of the warning signs, such as bleeding, can also relate to other bowel conditions, it is worth having any persistent symptom properly assessed rather than assumed.

What Raises Your Risk

Common contributing factors include constipation or straining, pregnancy, prolonged sitting, low fibre intake, and, for pilonidal sinus, a family history and lifestyle factors. Many patients have no clear cause at all.

How It's Diagnosed

Clinical examination of the affected area

Proctoscopy or anoscopy to assess piles, fissures or fistula in more detail

Further investigation, such as a colonoscopy, where bleeding needs to be fully assessed

Planning of the most suitable treatment based on the type and severity of the condition

How It's Treated

Laser surgery for piles, fissures, fistula and pilonidal sinus: minimally invasive treatment associated with less pain and a faster recovery for suitable cases

Rafaelo procedure: a radiofrequency, cutting-free option for selected piles cases (see the dedicated Rafaelo Procedure page)

Fistula surgery: treatment aimed at clearing the fistula tract while protecting continence

Rectal prolapse surgery: surgical correction of prolapse, with the approach depending on severity and patient factors

Most anorectal procedures are day cases or involve a short hospital stay, with recovery discussed individually based on the treatment chosen.

Clinician preparing an endoscope beside an endoscopy stack in a procedure room for proctology care in Kanpur

Frequently Asked Questions

Are piles always treated with surgery?

No. Mild piles are often managed with dietary changes and medication first. Surgery or a minimally invasive procedure is considered when symptoms persist or are more severe.

Is laser treatment for piles painful?

Laser and other minimally invasive treatments for piles are generally associated with less pain than conventional surgery, though some discomfort during recovery is normal.

How is a fissure different from piles?

A fissure is a small tear in the lining of the anus, usually causing sharp pain during bowel movements, while piles are swollen blood vessels that more often cause bleeding or a lump. Both can occur together.

Is bleeding always a sign of piles?

Not always. While piles are a common cause of bleeding, persistent or unexplained bleeding should always be properly assessed to rule out other causes.

Book Your Proctology Consultation in Kanpur

Anorectal symptoms are treatable, and there is no need to manage them alone. Dr. Abhimanyu Kapoor provides specialist proctology care in Kanpur, including laser and minimally invasive options.