Yes piles can recur after surgery. Recurrence rates vary significantly by procedure. Conventional haemorrhoidectomy has the lowest recurrence at 2% to 5% over five years. Stapled haemorrhoidopexy recurs in 8% to 26% of cases depending on technique and grade treated....

An anal fissure that hasn't healed after eight weeks of proper medical treatment is a chronic fissure. Topical nitrates and calcium channel blockers heal roughly 50% to 70% of acute fissures. The ones that don't respond have elevated internal sphincter tone that...

Laparoscopic appendix surgery recovery takes two to four weeks for most patients. Open appendectomy for ruptured or complicated cases takes four to six weeks. Most laparoscopic patients go home the same day or within twenty-four hours. Significant pain resolves within...

Yes. Appendix pain can be ongoing for weeks or months. Chronic appendicitis is a real condition where the appendix is mildly inflamed over a prolonged period rather than acutely obstructed in the way classic appendicitis presents. Symptoms are intermittent, often mild...

Most gallbladder polyps don't need surgery. Polyps under 10mm in patients with no risk factors are monitored with serial ultrasound rather than removed immediately. Polyps over 10mm, polyps growing on repeat scans, polyps in patients with primary sclerosing...

After gallbladder removal the body needs time to adjust to continuous bile flow because the liver now delivers bile directly into the small intestine instead of storing it. A low fat high fibre diet with smaller frequent meals manages the diarrhoea and bloating. Avoid...

LIS recovery typically takes four to six weeks for full healing with significant pain relief within one to two weeks of surgery. The procedure divides a small portion of the internal anal sphincter to relieve the elevated tone causing chronic anal fissure. Most...

Anal fistula recurrence occurs in 7% to 21% of cases. The most common reasons are incomplete removal of the tract, failure to identify and close the internal opening during surgery and complex branching anatomy that wasn't fully mapped before the first operation....

FiLaC uses a radial laser probe to obliterate the fistula tract from inside using thermal energy. VAAFT uses a miniature camera to visualise the tract internally, destroy the epithelium under direct vision and close the internal opening. Both are sphincter-preserving....

LIFT stands for Ligation of the Intersphincteric Fistula Tract. It treats trans-sphincteric anal fistulas by accessing the tract between the internal and external sphincter muscles, dividing and ligating it there, then curetteing the remaining tract. No sphincter...

External hemorrhoids occur under the skin around the anus and cause pain, itching, burning and palpable lumps. Internal hemorrhoids form inside the rectum. Usually painless. The primary symptom is bright red blood on toilet tissue or in the bowl. External ones are...

Piles during pregnancy are incredibly common. The growing uterus puts direct pressure on the rectal veins. Constipation from pregnancy hormones makes straining worse. And the result is swollen painful hemorrhoids that nobody warned about during antenatal appointments....

Grade 4 is the most advanced stage. The hemorrhoids are permanently prolapsed outside the anal canal and can't be pushed back in . Diet changes won't fix this. Medications won't fix this. Rubber band ligation won't touch it. Surgery is the only real option at grade 4...

Stapled hemorrhoidopexy works best for prolapsed internal piles that have moved outside the anal canal. Laser works best for smaller internal hemorrhoids, where minimal tissue removal with fast healing is the priority. The right choice depends entirely on the grade,...

A bulge appearing near a C-section scar months or even years after delivery is incisional hernia until proven otherwise. The abdominal wall gets cut during a caesarean and that cut site is a permanent weak point. Most heal without issue. But in some women that...

Yes. Both sides fixed in one procedure. One anaesthesia. One recovery. Home the same day in most cases. That's genuinely what bilateral hernia repair looks like with laparoscopic surgery today. People assume fixing both sides means twice the surgery and twice the...

Most people go home the same day. That part surprises almost everyone. But going home same day doesn't mean fully recovered same day and that gap is where most post-surgery problems quietly get created. The mesh needs weeks to properly integrate. The abdominal wall...

A strangulated hernia is when trapped tissue inside a hernia has its blood supply completely cut off. That's the emergency. Not painful and uncomfortable. Actually losing blood supply. Tissue starts dying within hours and every hour spent at home waiting to see if...

Both sit near the groin but they're not the same thing and mixing them up has real consequences. Inguinal hernias push through the inguinal canal above the groin crease. Far more common. Mostly in men. Femoral hernias push through the femoral canal lower down near the...

Adult umbilical hernias rarely heal on their own and usually need surgery if they're painful, growing or causing discomfort. Small asymptomatic hernias can be monitored carefully. But unlike children adults don't grow out of these. Ever. The hernia either stays put or...

Yes but not immediately. Walking starts from day two. Light activity from week four. Heavy lifting and gym work only after six weeks with proper surgical clearance. The mesh needs time to integrate properly and rushing that timeline doesn't just slow recovery it can...

Fissure surgery is a common procedure performed to treat chronic anal fissures, which are painful tears or cracks in the skin around the anus. These fissures can cause significant discomfort, including pain during and after bowel movements, as well as itching,...

Yes, surgery is eventually the answer. But between finding out you have a hernia and actually getting it fixed there's a gap and that gap matters. Because what someone does during that time either keeps things manageable or quietly makes the whole situation...

Yes. And more people are walking around with undiagnosed hernia pain than anyone would guess. The pain gets called muscle strain. Gas. Bad posture. Pulled something at the gym. People live with it for months treating the completely wrong thing. Meanwhile the hernia...

Honestly, gallstones fool people for months. The pain shows up after eating. Goes away. Comes back. Goes away again. So people take antacids. Cut out spicy food. Blame stress. And the whole time, it has nothing to do with any of that. It's the gallbladder. And every...

Here's the thing about anal fistula. Most people have never heard of it until they're sitting in a consultation room being told they have one. It's a small tunnel that forms between the inside of the anus and the skin around it. Sounds strange. But it almost always...

So piles are something most people have heard of but very few actually understand until they're dealing with it themselves. Swollen blood vessels in the lower rectum or around the anus. That's what piles are. They bleed. They itch. They cause real discomfort that...

So not every case of piles ends up in surgery. Most don't actually. Early stage piles respond well to lifestyle changes, dietary adjustments and simple non-surgical procedures. But there's a point where all of that stops being enough. And knowing when that line has...

So a hernia isn't fixing itself. That bulge isn't going anywhere on its own. But here's the thing most people don't know until they actually sit down with a surgeon. Hernia surgery today is genuinely nothing like what they've built up in their head. Tiny cuts. Home...

Look, treatment isn't the same for every single person who walks in with gallstones. Silent stones doing nothing get handled completely differently from stones that keep triggering painful attacks every few days. That distinction matters more than most people realise....

Food doesn't create gallstones. But the wrong food absolutely sets them off. And once stones are sitting there certain meals will trigger an attack so fast most people don't see it coming. Fatty food. Fried food. Heavy rich meals. The gallbladder reacts badly and the...

Recovery after laparoscopic surgery is genuinely quicker than most people going in ever expect. Smaller cuts mean less damage and less damage means the body heals faster. Most patients are moving around within hours. Back home the same day in many cases. That alone...

Here's the thing about gallstones. They don't wait. They don't stay mild forever. They block ducts, inflame organs and quietly turn into something genuinely nasty while most people are still blaming last night's dinner. Months go by. Sometimes years. And the whole...

Surgery doesn't always mean a large cut or weeks stuck in bed. Laparoscopic surgery uses cuts as tiny as 0.5 cm, a small camera and instruments precise enough that most patients walk out the same evening. Same evening. Not the next morning. People genuinely don't...

Fistula surgery is a general procedure for treating anal fistulas, which are abnormal connections between the inner and outer portions of the anus. These abnormal connections may cause pain, discomfort and risk of infection if left untreated. The fistula surgery...

Appendicitis is a medical emergency that occurs when the appendix, a small pouch attached to the large intestine, becomes inflamed. This condition typically begins with abdominal pain, often starting around and above the belly button, and then shifting to the lower...

An inguinal hernia occurs when a portion of the intestine or fatty tissue pushes through a weakened area in the lower abdominal wall, specifically in the groin area. It is one of the most common types of hernias, often affecting men more than women. While many cases...

Postpartum hemorrhoids are a common and often uncomfortable condition that many new mothers experience after childbirth. While postpartum piles may resolve on their own, they can cause significant discomfort, pain, and even bleeding, making it crucial to understand...

A chronic anal fissure is a painful condition characterized by a tear in the skin of the anus that lasts for more than 6 weeks. These fissures typically occur due to trauma or injury to the anal canal during bowel movements, often associated with hard stools or...

A diagnosis of complex fistula in ano is always quite scary for anyone. The first fear is whether one is going to be cured or not? Does one have to live with it for the rest of their lives? Will surgery cure it? Will I find the right surgeon to cure it? What can I do...

Gallstones are hardened deposits found in the gallbladder, a small organ below the liver. The deposits can be as small as grains of sand or as large and solid as stones. Many people with gallstones may have no symptoms at all, thus avoiding treatment; others feel...

A patient with persistent abdominal pain consults a physician. The medical practitioner recommends an appointment with a Laparoscopic Surgeon as the condition required immediate assistance. While returning home, the patient asked Google and AI search engines for the...

Laser has an upper edge in the treatment of haemorrhoids compared to conventional haemorrhoid surgery with regards to pain and faster healing. It is associated with lesser complications and better preserving the physiology of the anal canal and anal cushions....

Piles (or haemorrhoids) refers to swollen and inflamed blood vessel in the anorectal area. It usually presents as painless bleeding (blood in the pan) in the initial stages and later becomes painful with discomfort.  Piles may also present as itching and or swelling...

Laser is ‘Light Amplification through Stimulated Emission of Radiation’ which means high intensity electromagnetic energy of a specific wavelength is focused on a spot to achieve a desired result. There are many types of lasers such as CO2, Nd: YAG , Argon etc. But in...

Pilonidal sinus at the natal cleft (area between the buttocks) is a very common condition in young people. It is often referred to as ‘Jeep’s bottom’ as it used to occur in soldiers in World War II as they ride in jeeps for long periods. Today it occurs in students,...

Circumcision is a common surgical procedure to treat phimosis. Phimosis is a condition where the foreskin cannot be retracted back and the patient is unable to clean adequately. Phimosis leads to irritation/itching over the preputial skin (skin over the glans),...

We all hate ‘stitches’ ! Don’t we !!God forbid if an accident happens and one sustains a wound, what options do we have? Sutures/ staples/ dressings and now glue!! Fortunately for more than a decade we have been using skin glues to close wounds successfully. Skin glue...

That’s a tough question but one can take measures to prevent a hernia to a certain extent. Occurrence of hernias can be sporadic or genetic. A surgeon often sees patterns that link lifestyle factors with increased risk. Hernia occurring due to the following reasons...

Piles (or haemorrhoids) refers to swollen and inflamed blood vessel in the anorectal area. It usually presents as painless bleeding (blood in the pan) in the initial stages and later becomes painful with discomfort.  Piles may also present as itching and or swelling...

Patients who undergo anorectal surgeries/treatments such as piles, fissure, fistula come back with recurrence of symptoms. This is often the fear !! The aim of any surgical intervention or medical treatment is to minimise risk of recurrence while treating the disease...

Many of you now understand Minimally Invasive Surgery, in which the Laproscopic surgeon operates inside the abdomen via tiny keyholes, assisted by a video camera. The technique requires surgeons to train hard and learn new skills. It is limited by 2D vision and...

When someone sees blood in the pan, has pain while passing stools or feels a swelling in the anal region, the first thought is of piles. Piles symptoms might not always mean piles. The truth is, piles is just one of many conditions that affect the anal region.They are...

What is a Hernia?A hernia usually shows up as a abnormal ‘bump’ in the abdomen area. It is caused by the protrusion of an internal organ through an abnormal opening in the abdominal wall. Hernias can be painless for years and may become symptomatic suddenly leading to...

Piles treatment without surgery is definitely possible. Not all piles (haemorrhoids) cases require surgery. Before exploring alternative treatments, one must first understand the stage the disease is in.Are you sure you have Piles? Click here to understand the...

Infections such as common cold, body pain and fever are becoming frequent. Do we always need an antibiotic to get over it ? This is the question that always runs in our mind and its very easy for one to pop an erthyromycin or a ciprofloxacin. However this has far...

Today we have a new minimal-access technique to address complex, recurrent and high fistulas.An anal fistula is an abnormal connection between the anal canal and the outer skin of the anus. Fistulas occur when an infected anal gland bursts into the anal canal...

Anal fistula is a age old disease with multiple modalities of treatment in modern medicine,ayurveda, homeopathy and so on. Today we have a minimal access surgery for fistula called VAAFT – Video Assisted Anal Fistula Treatment.                                        ...

Diabetic? Here’s why (and how) you have to take extra special care of your feet. A skin ulcer occurs when an area of skin has broken down and the underlying tissue can be seen. Most skin ulcers occur on the lower legs or the feet. In a normal person, the skin ulcer...

In this article, I try to address some of the most frequently asked questions abut Hernia. In a nutshell: Hernia surgery is safe, quick and simple ! What is a hernia ? A hernia is an abnormal protrusion of an organ or a part of the organ through a normal or an...

Piles as it is commonly termed means a swollen blood vessel or “Ball”. Piles medically is termed Haemorrhoids, meaning “Blood Flowing”. What is Piles? Piles are actually swollen blood vessels in the lower part of the rectum and anal canal. In the initial stages the...

I know what you’re thinking: “Isn’t daycare meant for my kids? How is it connected to surgery?” Is Daycare Surgery  just a new fad, or is it truly patient friendly ? Let me help you understand it .Daycare Surgery means hospitalization for a few hours during which the...

New age technologies like the 3D-Mesh are making Hernia surgery faster, simpler, safer and less painful. Here’s how. Surgery makes us shudder. The very thought of needles, pricks and pain and the idea of lying in bed for days makes no one happy. We worry about the...

Laparoscopic surgeons use modern technologies to perform operations through very small cuts (less than two centimeters).  Smaller cuts mean lesser pain and faster healing.Laparoscopy is derived from a Greek Word, ‘Laparos’ meaning abdomen and ‘Scopy’ meaning to see...

Many of my patients google their ailments before they consult me. Is that a good thing to do? Recently I heard one of friends say “Google is God !” Actually reflecting on this statement it does have some truth, you never get a “Don’t know” from a google search....