Frequently asked questions

Colorectal surgery is the specialty that deals with disorders of the colon, rectum and anus. It includes advanced surgical treatment of conditions such as severe piles, anal fistula, fissure and colorectal cancer.

All three affect the anal area but are different problems. Piles (haemorrhoids) are swollen vascular cushions that usually cause painless bright-red bleeding. An anal fissure is a small tear in the lining that causes sharp pain during and after a bowel movement. An anal fistula is an abnormal tunnel between the anal canal and the skin, usually after an abscess, causing recurrent pus and swelling.

Yes. Many early piles improve with diet, fibre and medicine. When a procedure is needed, modern options such as laser hemorrhoidoplasty (LHP) and stapler anopexy (MIPH) avoid cutting the sensitive anal skin, so there is usually much less pain and a faster recovery than with traditional open surgery.

Common causes include piles, anal fissure, polyps, inflammatory bowel disease and, less commonly, colorectal cancer. Bleeding should never be ignored. See a surgeon promptly if it keeps happening, or if it comes with a change in bowel habit, weight loss, tiredness or anaemia.

Typical symptoms are recurring pain and swelling beside the anus and discharge of pus or blood-stained fluid. Untreated fistulas can branch and become complex. Specialist, sphincter-preserving treatment aims to cure the fistula while protecting the muscles that control continence.

Laparoscopic surgery is done through small "keyhole" incisions using a camera. Compared with open surgery it usually means much less pain, minimal bleeding, a shorter hospital stay and a faster return to normal activities.

Laparoscopic cholecystectomy removes the gallbladder through 3–4 small cuts (5–10 mm) using a camera. Most patients walk within hours, go home in 24–48 hours and return to desk work within about a week.

Pain often starts around the navel and moves to the lower right abdomen, becoming sharp and constant, with fever, nausea, vomiting and loss of appetite. This needs urgent surgical assessment to prevent the appendix from bursting.

Lichtenstein repair reinforces the weak groin wall with a mesh. Desarda repair is a pure-tissue repair that uses a strip of the patient's own tissue, without mesh. Both are established techniques; the choice depends on the patient's age, tissues and type of hernia.

Consult him if you have chronic abdominal pain, bleeding from the back passage, painful bowel movements, a swelling in the groin (hernia), gallbladder problems, or if you need assessment of a gastrointestinal, breast or thyroid lump.

Please bring your medical history, previous prescriptions, ultrasound (USG) reports, endoscopy or colonoscopy results and any recent blood tests. This helps the doctor reach an accurate diagnosis quickly.

For SIBL Foundation Hospital (Panthapath) call the serial number 09958-33999 or the hospital hotline 09696-154400. For Alliance Colorectal & Biofeedback Center (Shyamoli) call 01729-966606. You can also send a WhatsApp message to 01672-586600 or use the online booking form on this website.

A change in bowel habit lasting more than three weeks, blood in the stool, a feeling of incomplete emptying, unexplained weight loss, tiredness or anaemia. These symptoms have many causes, but they should always be checked by a doctor.

Biofeedback is a painless, computer-guided training programme. Sensors show how your pelvic floor muscles are working, and a therapist guides you to relax and push in a coordinated way. It helps constipation caused by pelvic floor dyssynergia and can also improve faecal incontinence.