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Conditions

Haemeorrhoids (piles) are very common and this page provides you some information on the condition and the available options. There are other conditions like Anal skin tag, Fistula, Fissures or even cancers and it is important that you are assessed by a specialist.

Haemorrhoids (Piles)

Haemorrhoids or ‘piles’ is a very common condition that affect many people. The common symptom includes rectal bleeding. They can also cause itching, mucus/slime leakage from the back passage and pain/discomfort. They vary in severity from being small or extremely large and can sometimes prolapse from the anal canal. The treatment varies depending on severity of symptoms and grades of piles. The toilet advice and dietary changes are very helpful. The treatment modalities depends on the severity of the piles.
Mr Shatkar is an experienced surgeon who offers various treatment modalities for these haemorrhoids. The office treatment options which he offers for small haemorrhoids include injection 
sclerotherapy and banding and are done in the consultation room with no need for anaesthesia. They are quick and are usually painless procedures and patients can drive back home immediatly. There are also various minimally invasive surgeries for piles which he can discuss depending on the severity of the haemorrhoids.

 
For more information click on the following link (external - opens in a new window)

NHS

https://www.nhs.uk/conditions/piles-haemorrhoids/

Patient.info

https://patient.info/digestive-health/rectal-bleeding-blood-in-faeces/piles-haemorrhoids

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Anal Skin Tag

 

Anal skin tags are very common. An anal skin tag appears as a piece of excess tissue around the anus or in the surrounding area. They may feel like raised areas or a lump on the anus. They are usually single or can be multiple skin tags.

These skin tags usually start small but might grow over time.

An anal skin tag can cause itching, discomfort.  Some people find it difficult to clean the area.

Diagnosis and treatment:

The anal skin tags are benign, however, if unsure, ask your doctor to confirm that the lump is the skin tag and not anything else such as a haemorrhoid or a tumour.

To make a diagnosis, your doctor will likely conduct a physical examination and if required, proctoscopy or sigmoidoscopy might be needed in the clinic for more information in case of any concerns.

Most skin tags do not require treatment unless they cause significant symptoms.

The skin tags can be removed under local anaesthesia as an office procedure in the clinic and the patients can return home immediately. For larger skin tags, general anaesthesia might be needed as a planned procedure.

Anal Fissure

An open sore or a tear in the lining of the back passage (anus) is called anal fissure. It is very common and affects around 1 in 10 people. The common symptoms of anal fissures are pain and bleeding when you open the bowels. The pain can sometimes be extreme and last for a few hours. The bleeding is usually small in amount and fresh red and noticeable on the toilet paper.

It is important to rule out other conditions. Fissures can be treated without the need for surgery. If the non-surgical approach fails, surgery might be needed. Mr Shatkar has the experience in managing fissures and other conditions and will offer you the options during the consultation. If required he will offer minimally invasive procedures.

 
For more information click on the following link (external - opens in a new window)

NHS

https://www.nhs.uk/conditions/anal-fissure/

Patient.info

https://patient.info/digestive-health/rectal-bleeding-blood-in-faeces/anal-fissure

Anal Fistula

An abnormal connection (tunnel) between the back passage (anus) or the large bowel and the skin around the back passage is called an anal fistula. The usual symptoms are discharge (pus or fluid), intermittent lump, discomfort and skin irritation. They are usually caused by infections and abscesses (collection of pus) around the back passage. Most fistulas will need surgical interventions and Mr Shatkar has the expertise and will offer you all options, including minimally invasive procedures.

 
For more information click on the following link (external - opens in a new window)

NHS

https://www.nhs.uk/conditions/anal-fistula/

Patient.info

https://patient.info/infections/abscess-leaflet/anal-fistula

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