In this video, Dr. Kavita Verma, Consultant General Surgeon at Manipal Hospital Baner, clarifies common misconceptions about ...

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Proctology | Dr. Kavita Verma | MHPB

everyone I'm Dr Kavita Verma consultant laparoscopic and general surgeon at manipal hospital Baner Pune today we will be talking about proctology one of the very common problems faced by the general public there is a lot of misconception when it comes to the term piles this is very vaguely used to describe all the symptoms pertaining to the perianal region which is actually not true when patients come to us saying they have piles they are talking about a symptom whereas piles is a diagnosis which can only be done by what we call as a proctoscopic examination so it is not possible that the patients do a self proctoscopic examination and come to a diagnosis so what are the common perianal problems and how do we go about diagnosing them the three commonest problems that patients face will be one an anal fissure second is internal hemorrhoids or piles and third is a anal fistula so we'll take each one separately anal Fisher is a small cut or a linear ulcer which is there at the junction of the anal canal and the skin now this is caused by hard stools or constipation as the stool comes out of the anal Canal it grazes and causes a cut and this is called a fure because of which the anal muscles which are around the anal Canal they go into a state of spasm or tightness so the symptom here that the patient faces will be a severe pain while passing motion associated with a little bit of streaking of stool by Blood because the stool here is coming out against a forc of the spasm of the anal muscle so pain with bleeding is usually a anal fure whereas internal piles or hemorrhoids these are plexes or veins inside the anal Canal all of us have normal veins inside the anal Canal when they swell up we call it internal piles so depending upon the extent of swelling this is graded into grade 1 grade 2 grade three and grade four piles the symptoms in this is painless bleeding there is no pain in piles it is painless bleeding associated with either you know a feeling of something coming out during passing motion which either spontaneously regresses or has to be pushed inside so this is a an hemorrhoids next is anal fistula fistula is because of a occurrence of infection inside the inal canal the glands get infected and subsequently it finds a path outside which is called the tract and there is an external opening so anal fistula the symptom is recurrent episodes of pain swelling and discharge usually here there is not much of bleeding it is more of pain and discharge now the treatment of each is different anal fissures can be managed medically in worse scenario it is surgery which is fomy internal piles again depending upon the grade the treatment would be either a laser surgery or a stapler surgery and for anal fistula again it is a surgery which could either be a laser surgery open surgery and endoscopic surgery so the treatment of each is different if you're suffering from any problem related to the perianal region kindly consult your surgeon who will examine you come to a diagnosis and then suggest T the appropriate treatment thank you [Music]

Dr.

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