Piles & Fistula Treatment in Surat

Piles (haemorrhoids), anal fissures, and fistulas are among the most common — and most under-reported — conditions in general surgical practice, often because patients delay seeking help out of discomfort discussing them. Dr. Piyush Khanna treats these routinely and discreetly for patients across Surat, from City Light to Athwa.

Recognising the symptoms

Piles typically present as painless bright-red bleeding during bowel movements, a sensation of a lump, or discomfort after straining; larger piles can prolapse (protrude) and need to be pushed back manually. A fissure usually causes sharp, tearing pain during and after passing stool, sometimes with a small streak of blood. A fistula often follows a previous anal abscess and presents as persistent discharge, recurring swelling, or a small opening near the anus that won't fully heal.

When surgery is — and isn't — needed

Early piles usually respond well to simple measures: more dietary fibre, better hydration, avoiding straining, and short courses of topical or oral medication. Office-based procedures (such as banding) can manage many moderate cases without a full operation. Surgery — haemorrhoidectomy or a related procedure — is generally reserved for larger, persistently bleeding, or repeatedly prolapsing piles. Fissures, similarly, often heal with stool-softening and topical treatment; a minority that become chronic may need a minor procedure. Fistulas, by contrast, almost always need surgical treatment, since the abnormal tract will not close on its own and can lead to recurring infection if left untreated. Dr. Khanna assesses each case individually rather than defaulting to surgery.

The approach and recovery

For piles requiring surgery, the goal is thorough treatment with attention to minimising post-operative pain, which has historically been the biggest patient concern with haemorrhoid surgery. Fissure surgery, when needed, is a brief, well-tolerated procedure. Fistula surgery is more individualised — the type of procedure depends on how the tract runs relative to the sphincter muscles, since preserving continence is as important as curing the fistula. Recovery from these procedures is generally measured in days to a couple of weeks for straightforward cases, with attention to diet, hygiene, and follow-up to ensure proper healing — complex fistulas can take longer and occasionally need staged treatment.

Why experience since 1991 matters

Getting fistula surgery right — balancing cure against continence — is one of the more technically demanding parts of colorectal general surgery. Decades of practice give Dr. Khanna the pattern-recognition to plan the right procedure for each individual anatomy, and to manage the recurrent or complex cases that some patients bring after treatment elsewhere hasn't fully resolved the problem.

A note on prevention and everyday habits

Many patients ask what they can do to avoid piles and fissures returning after treatment. Simple, consistent habits help most: enough dietary fibre, plenty of water through the day, avoiding prolonged straining or sitting on the toilet, and treating constipation early rather than letting it become chronic. These measures don't replace surgery when surgery is genuinely needed, but they reduce the chance of recurrence afterward and can keep milder cases from progressing in the first place.

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