Sukhayu Piles Fissure Fistula 'n Anorectal Clinic

14/02/2025

27/08/2022

https://youtu.be/Fx-0W_2crJY

An a**l fissure is a small tear in the thin, moist tissue (mucosa) that lines the a**s. An a**l fissure may occur when you pass hard or large stools during a...

23/08/2022

https://youtu.be/Jv8VAA-aiPw

The common thing about these disorders is that they all are a**l pathologies. PilesAlso called haemorrhoids, a**l piles are swollen veins in the terminal par...

04/04/2020

https://youtu.be/fBIY9UF36Jo

Dr Sachin Jadhav from Sukhayu Hospital giving brief about Covid 19 in Marathi. In this video he explains about causes, precautions and treatment of Covid 19 ...

11/06/2017

Hemorrhoids are swollen blood vessels in the lower re**um. They are among the most common causes of a**l pathology, and subsequently are blamed for virtually any anore**al complaint by patients and medical professionals alike.

13/05/2017

** Diet in Constipation **

Breakfast:

Dalia (sweet or salty depending on individual’s choice), Milk without fat, Tea, Toast, Chapati, Mix veg., Brown bread, Sprouts, Fruits like apple etc.

Lunch:

Chapatis, Cooked mixed vegetables, Daal (cooked pulses), Boiled rice, Takra (Buttermilk), Salad prepared from onion, tomato, radish, turnip, carrots, papaya etc.

Evening Tea/snacks:

Tea or coffee, Toasts, Dry fruits, Biscuits, roasted popcorns or any other light food item can be taken.

Dinner:

Chapatais, cooked vegetables, Daal (cooked pulse), salad

Note:

Please don’t take dahi (curd) or buttermilk in dinner.At bedtime lukewarm milk can be taken.

Food items:



Flour:

Mixed grains flour like wheat, barley, gram, soybeans etc. However wheat flour with husk (without refining) can also be used.

Pulses:

Moong, Masoor, Gram, Soybean etc.

Vegetables:

Bottle gourd, radish, turnip, cabbage, cauliflower, raw green papaya, carrot, fenugreek leaves, chenopodium leaves, spinach leaves, tomato, potato and other green leafy vegetables.

Fruits:

Papaya, Coconut, Apple, Litchi, Figs, Watermelon, Orange, Guava etc.

Juices: Coconut water, Bottle gourd juice, Apple juice, Mixed fruit juice, Aloe vera juice, Trifala ras, Wheat grass juice etc.

Dry fruits: Almonds, Pistachio, Dried grapes etc.

Spices: Turmeric, Coriander powder, Fenugreek, Cummins seeds, Ajwain, Saunf etc.

Ghee-cooking oils: Cow’s ghee, mustard oil, olive oil, groundnuts’ oil, soybean’s oil etc.

Note:

Drink plenty of fluids including water. Tea/Coffee should not be taken in excess.Avoid non-veg. and junk/spicy food items.Avoid smoking, alcohol, chewing of to***co products.

Follow the instructions of your physician strictly.

04/05/2017

Use of Carol seed oil in Constipation..

Castor seed oil is most widely used as a laxative (better to call it a purgative). It is thus a very effective treatment for extreme cases of constipation where bulk laxatives do not work..
But use it .. By Dr Advice

24/02/2017

A**l fistula ..

fistula-in-ano, is a chronic abnormal communication between the epithelialised surface of the a**l ca**l and (usually) the peria**l skin.[An a**l fistula can be described as a narrow tunnel with its internal opening in the a**l ca**l and its external opening in the skin near the a**s. A**l fistulae commonly occur in people with a history of a**l abscesses. They can form when a**l abscesses do not heal properly.

A**l fistulae originate from the a**l glands, which are located between the internal and external a**l sphincter and drain into the a**l ca**l.If the outlet of these glands becomes blocked, an abscess can form which can eventually extend to the skin surface. The tract formed by this process is a fistula.

Abscesses can recur if the fistula seals over, allowing the accumulation of pus. It can then extends to the surface again - repeating the process.

A**l fistulae per se do not generally harm, but can be very painful, and can be irritating because of the drainage of pus (it is also possible for formed stools to be passed through the fistula). Additionally, recurrent abscesses may lead to significant short term morbidity from pain and, importantly, create a starting point for systemic infection.

Treatment, in the form of surgery, is considered essential to allow drainage and prevent infection. Repair of the fistula itself is considered an elective procedure which many patients opt for due to the discomfort and inconvenience associated with an actively draining fistula.

Depending on their relationship with the internal and external sphincter muscles, fistulae are classified into

five types:

Extrasphincteric fistulae begin at the re**um or sigmoid colon and proceed downward, through the levator ani muscle and open into the skin surrounding the a**s. Note that this type does not arise from the dentate line (where the a**l glands are located). Causes of this type could be from a re**al, pelvic or supralevator origin, usually secondary to Crohn's disease or an inflammatory process such as appendiceal or diverticular abscesses.[3][5][6]
Suprasphincteric fistulae begin between the internal and external sphincter muscles, extend above and cross the pubore**alis muscle, proceed downward between the pubore**alis and levator ani muscles, and open an inch or more away from the a**s.

Transphincteric fistulae begin between the internal and external sphincter muscles or behind the a**s, cross the external sphincter muscle and open an inch or more away from the a**s.[ These may take a 'U' shape and form multiple external openings. This is sometimes termed a 'horseshoe fistula.'
Intersphincteric fistulae begin between the internal and external sphincter muscles, pass through the internal sphincter muscle, and open very close to the

Submucosal fistulae pass superficially beneath the submucosa and do not cross either sphincter muscle.

Signs and symptoms

A**l fistulae can present with the following symptoms:

skin maceration
pus, serous fluid and/or (rarely) f***s discharge — can be bloody or purulent
pruitus ani — itching
depending on presence and severity of infection:
pain
swelling
tenderness
fever
unpleasant odor