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Advanced laser treatment for fistula, piles & fissure in Agra by Dr Karan R Rawat, leading proctologist & laser surgeon in India. Book consultation.


Fistula, Piles & Fissure Treatment in Agra – Dr Karan R Rawat, Best Proctologist & Laser Surgeon in India

If you are suffering from pain during stool, bleeding, swelling near anus, pus discharge, or chronic constipation, you may be dealing with piles, fissure, or fistula — three of the most common yet most misunderstood anorectal conditions in India.

Many patients from Agra, Mathura, Firozabad, Etawah, Mainpuri, Aligarh, Bharatpur, Dholpur and nearby areas ignore early symptoms due to embarrassment — until the condition becomes severe.

Under the expert care of Dr. Karan R Rawat (MS, MCh – Gastro & Laser Surgery Specialist), patients receive advanced laser and minimally invasive treatment for piles, fissure, and fistula with faster recovery and minimal pain.


What Are Piles, Fissure & Fistula?

Although these conditions affect the same area, they are completely different diseases.

Condition What It Is Main Symptom
Piles (Hemorrhoids) Swollen veins in rectum/anus Bleeding during stool
Fissure Small tear in anal lining Severe cutting pain
Fistula Abnormal tract between anus & skin Pus discharge

Understanding the difference is crucial for correct treatment.


1️⃣ Piles (Hemorrhoids)

What Are Piles?

Piles are inflamed and swollen veins in the lower rectum or anus, often caused by straining during bowel movement.

Common Causes in Indian Patients

  • Chronic constipation

  • Low fiber diet

  • Spicy food excess

  • Prolonged sitting

  • Pregnancy

  • Obesity

  • Heavy weight lifting

Symptoms of Piles

  • Bright red bleeding in toilet

  • Anal swelling

  • Itching

  • Mucus discharge

  • Feeling of incomplete evacuation

Grades of Piles

  • Grade 1: Bleeding only

  • Grade 2: Prolapse but returns automatically

  • Grade 3: Needs manual pushing

  • Grade 4: Permanently outside


2️⃣ Anal Fissure

What Is Fissure?

A fissure is a small tear in the anal canal, usually caused by passing hard stool.

Key Symptoms

  • Severe burning pain during stool

  • Pain lasting hours

  • Small amount of bleeding

  • Fear of passing stool

  • Constipation cycle

Chronic fissures may lead to sentinel tag formation.


3️⃣ Fistula in Ano

What Is Fistula?

A fistula is an abnormal infected tunnel between the anal canal and surrounding skin.

It usually develops after:

  • Perianal abscess

  • Untreated infection

  • Crohn’s disease

  • Tuberculosis (in India)

Symptoms of Fistula

  • Recurrent pus discharge

  • Swelling near anus

  • Pain while sitting

  • Fever (if infected)

  • Multiple openings around anus

Unlike piles and fissure, fistula never heals permanently without surgery.


🚨 Red Flag Symptoms – When to Consult Immediately

  • Heavy rectal bleeding

  • High fever with anal pain

  • Severe swelling

  • Persistent pus discharge

  • Sudden severe pain

  • Unexplained weight loss

If you experience these, consult the best proctologist near you immediately.


Diagnosis & Advanced Investigations

At Safe Gastro & Surgery Centre, Agra, diagnosis includes:

  • Clinical proctoscopy

  • Anoscopy

  • Digital rectal exam

  • MRI Fistulogram (for complex fistula)

  • Colonoscopy (if required)

Early diagnosis prevents complications.


Treatment Options for Piles, Fissure & Fistula

🩺 Medical Treatment (Early Stages)

  • High fiber diet

  • Stool softeners

  • Sitz bath

  • Ointments

  • Antibiotics (if infection)

However, medical therapy works only in early cases.


🔬 Advanced Surgical Treatment

Laser Surgery for Piles

  • No stitches

  • Minimal bleeding

  • Day-care procedure

  • Quick recovery

  • Less pain

Laser Treatment for Fissure

  • Internal sphincter release with laser

  • Faster healing

  • Reduced recurrence

Laser Treatment for Fistula (FiLaC Technique)

  • Sphincter-saving procedure

  • No large wound

  • Minimal hospital stay

  • Low recurrence


Latest Advances in Proctology

  • Laser hemorrhoidoplasty

  • MIPH / Stapler surgery

  • FiLaC (Fistula Laser Closure)

  • Video-assisted fistula surgery

  • Doppler-guided hemorrhoidal artery ligation

These modern techniques are now available in Agra under Dr. Karan R Rawat, making advanced treatment accessible locally.


Why Choose Dr. Karan R Rawat?

✔️ Leading Proctologist in Agra
✔️ Advanced Laser Surgeon in India
✔️ Expertise in complex & recurrent fistula
✔️ Thousands of successful surgeries
✔️ Minimal pain protocols
✔️ Day-care surgery facility
✔️ Trusted by patients across Uttar Pradesh & Rajasthan

Patients travel from Mathura, Firozabad, Etah, Aligarh, Bharatpur, Gwalior, Morena and nearby districts for advanced anorectal treatment.


Myths vs Facts

Myth Fact
Piles always need surgery Early piles can be treated medically
Fissure is same as piles Completely different conditions
Fistula heals with medicines Surgery is required
Laser is marketing gimmick Laser reduces pain & recovery time

Frequently Asked Questions (SEO Optimized)

1. What is the difference between piles, fissure and fistula?

Piles are swollen veins, fissure is a tear, and fistula is an infected tract.

2. Is laser surgery painful?

No. Laser treatment is minimally invasive with less pain.

3. Can fistula come back after surgery?

Recurrence depends on technique. Advanced laser methods reduce recurrence significantly.

4. Which is the best treatment for Grade 3 piles in Agra?

Laser or stapler surgery is most effective.

5. How long does recovery take?

Most patients resume work in 3–5 days after laser surgery.

6. Can piles turn into cancer?

No, but bleeding should always be evaluated.

7. Is constipation the main cause?

Yes, chronic constipation is a major risk factor.

8. Who is the best doctor for piles treatment in Agra?

Dr. Karan R Rawat is widely trusted for advanced laser treatment.


Lifestyle & Prevention Tips

  • Drink 3–4 liters of water daily

  • Eat fiber-rich diet

  • Avoid prolonged sitting

  • Exercise regularly

  • Avoid excessive spicy food

  • Do not delay bowel movement


Who Should Consult a Proctologist?

  • People with chronic constipation

  • Pregnant women with bleeding

  • Patients with pus discharge

  • Recurrent anal swelling

  • Severe pain during stool

If you are searching for:

  • Best piles doctor in Agra

  • Top fistula surgeon near me

  • Advanced laser treatment for fissure in Agra

  • Proctologist in Uttar Pradesh

  • Laser piles surgery in India

You can consult Dr. Karan R Rawat.


Final Words

Piles, fissure, and fistula are treatable conditions. Early consultation prevents complications and reduces the need for major surgery.

With modern laser and minimally invasive techniques, treatment is now safer, faster, and less painful.

Dr. Karan R Rawat is committed to providing advanced anorectal care in Agra with ethical practice, transparency, and patient-centered treatment.


📞 Book Appointment Today

🏥 Safe Gastro & Surgery Centre, Agra
📍 Serving Agra, Mathura, Firozabad, Aligarh, Bharatpur & nearby areas
📲 Call Now | Book Consultation | Consult Online

Take the first step towards pain-free life today.