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## Understanding Grades and Types of Piles, Fissure, Fistula, and Pilonidal Sinus

Dr. Karan R Rawat, an esteemed Gastroenterologist and laser surgeon in Agra, is renowned for his expertise in treating various anorectal conditions. His comprehensive approach and advanced surgical techniques make him the best choice for patients suffering from piles, fissure, fistula, and pilonidal sinus.

### Piles (Hemorrhoids)

Piles, commonly known as hemorrhoids, are swollen veins in the lower rectum and anus. They can cause discomfort, itching, pain, and bleeding. Piles are classified into four grades:

1. **Grade I**: Small internal swellings that are not visible externally. Symptoms include painless bleeding during bowel movements.
2. **Grade II**: Larger swellings that may protrude outside the anus during bowel movements but retract on their own.
3. **Grade III**: Protruding hemorrhoids that need to be manually pushed back inside the anus.
4. **Grade IV**: Large and painful swellings that remain outside the anus and cannot be pushed back in.

Dr. Karan R Rawat utilizes advanced techniques such as laser surgery to effectively treat all grades of piles, ensuring minimal pain and quick recovery.

### Anal Fissure

An anal fissure is a small tear in the lining of the anus, causing severe pain and bleeding during bowel movements. Fissures are categorized into two types:

1. **Acute Fissure**: A recent tear that heals within a few weeks with proper care and treatment.
2. **Chronic Fissure**: A persistent tear that lasts for more than six weeks, often requiring medical intervention.

Dr. Karan R Rawat is adept at treating both acute and chronic fissures using conservative methods and, if necessary, advanced surgical procedures like laser treatment to provide lasting relief.

### Fistula-in-Ano

A fistula-in-ano is an abnormal tunnel between the anus and the skin around the anus. It is often the result of an abscess that has not healed properly. Fistulas are classified based on their complexity:

1. **Simple Fistula**: Involves a single, straightforward tract.
2. **Complex Fistula**: Involves multiple tracts and may be associated with other conditions like Crohn's disease.

Dr. Karan R Rawat specializes in minimally invasive techniques such as laser fistulotomy, which offer high success rates and faster recovery for patients suffering from fistulas.

### Pilonidal Sinus

A pilonidal sinus is a small cyst or abscess that occurs in the cleft at the top of the buttocks. It often contains hair, dirt, and debris, leading to infection and discomfort. Types of pilonidal sinus include:

1. **Acute Pilonidal Abscess**: A painful, swollen abscess that requires immediate drainage.
2. **Chronic Pilonidal Sinus**: A recurrent or persistent condition that may require surgical intervention.

Dr. Karan R Rawat's expertise in laser surgery ensures effective treatment of pilonidal sinus, minimizing the risk of recurrence and promoting swift healing.

### Why Choose Dr. Karan R Rawat?

Dr. Karan R Rawat is the best specialist for piles, fissure, fistula, and pilonidal sinus in Agra. His commitment to using the latest medical advancements, including laser surgery, ensures that patients receive the most effective and least invasive treatments available. With a focus on patient comfort and recovery, Dr. Rawat provides personalized care tailored to each individual's needs.

If you are experiencing symptoms related to any of these conditions, don't hesitate to consult Dr. Karan R Rawat for expert diagnosis and treatment. His dedication to excellence in proctology and colorectal surgery makes him the leading choice for patients in Agra and beyond.

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