Medical content review by Dr. Tanvir Ahmed in progress.
Piles (haemorrhoids), anal fissure and anal fistula are the most common reasons people see a colorectal surgeon. They are often hidden out of embarrassment for months or years — but all three are very treatable, and early treatment is usually simpler.
Dr. Tanvir Ahmed offers the full range of modern options, from diet and medicine to day-care laser and stapler procedures, always aiming to protect the sphincter muscles that control continence.
মলত্যাগের সময় রক্তপাত, মলদ্বারে ব্যথা বা জ্বালাপোড়া, মলদ্বারের পাশে ফোলা বা পুঁজ — এগুলো পাইলস, ফিসার বা ফিস্টুলার লক্ষণ হতে পারে। অবহেলা না করে সময় থাকতে কোলোরেক্টাল সার্জনের পরামর্শ নিন।
Common symptoms
Conditions treated
- Piles (haemorrhoids)
- Swollen vascular cushions inside the anal canal; usually painless bright-red bleeding, sometimes a lump that comes out.
- Anal fissure
- A small tear in the anal lining causing sharp pain during and after a bowel movement, often with a streak of blood.
- Anal fistula
- An abnormal tunnel between the anal canal and the skin, usually after an abscess, causing recurrent pus and swelling.
- Perianal abscess
- A painful collection of pus near the anus that needs prompt drainage.
- Pilonidal sinus
- An infected tract in the cleft above the buttocks.
Treatment options
- Diet, fibre and medicinesMany early piles and fissures settle with stool softening, fibre, sitz baths and ointments.
- Laser hemorrhoidoplasty (LHP)Laser energy shrinks the piles from inside — no cutting of the anal skin, less pain and quick recovery.
- Stapler anopexy (MIPH)Lifts prolapsing piles back into place; suitable for larger piles.
- FiLaC & sphincter-saving fistula surgeryLaser closure of the fistula tract or staged techniques that protect continence.
- Lateral internal sphincterotomyFor chronic fissures that do not heal with medicine.
The right option depends on your examination and tests. Dr. Tanvir Ahmed will explain the choices and their risks at your consultation.
Before & after treatment
- Most laser and stapler procedures are day-care or one-night stays.
- Take a high-fibre diet and plenty of water before and after surgery.
- Warm sitz baths help healing and comfort.
- Most people return to desk work within a few days.
- Attend the follow-up visit so healing can be checked.
Patient awareness
Frequently asked
What is the difference between piles, anal fissure and fistula?
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.
Can piles be treated without painful open surgery?
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.
What causes bleeding during bowel movements, and when should I see a colorectal surgeon?
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.
What are the symptoms of an anal fistula, and why is specialist treatment important?
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.