This website is being reviewed and updated in line with the National Medical Commission (NMC) guidelines on ethical advertising and public communication by registered medical practitioners.
This website is being reviewed and updated in line with the National Medical Commission (NMC) guidelines on ethical advertising and public communication by registered medical practitioners.
Anal Itching (Pruritus Ani): Causes and When to Worry

Anal Itching (Pruritus Ani): Causes and When to Worry

Anal itching is rarely serious. Most of the time it’s the skin reacting to damp, soap or scratching, and by the time someone reaches us they’ve often tried three different creams and made it worse. Piles, fissures, fungal infections, threadworms and diabetes can all...
Diltiazem vs Nitroglycerin Ointment for Anal Fissure

Diltiazem vs Nitroglycerin Ointment for Anal Fissure

Both 2% diltiazem and 0.2% nitroglycerin (GTN) ointment are first-line treatments for a chronic anal fissure. Both relax the internal anal sphincter, easing spasm so blood can reach the tear and heal it. Healing rates are similar, but GTN often causes headaches and...
Pilonidal Sinus Treatment: Laser, Flap, Endoscopic

Pilonidal Sinus Treatment: Laser, Flap, Endoscopic

Modern pilonidal sinus treatment depends on how severe the tract is, how likely it is to come back, and whether you prefer a minimally invasive procedure or a reconstructive one. The main options are laser closure, endoscopic treatment (EPSiT), and flap surgery. Flap...
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