Kartik Goyal Piles

Know the difference between piles and fissures

Piles and Fissures Treatment in Ludhiana, Punjab

Piles and Fissures Treatment in Ludhiana, Punjab: An itchy and irritable anal cavity, discomfort when sitting for a long time, and bloody or difficult-to-pass stools? You have likely come across similar circumstances at some point in your life. It’s not just you! In India, hemorrhoids affect 50% of the population. According to reports, 20% of cases had both piles and fissures. However, since both piles and fissures have comparable symptoms, many of us frequently fail to recognize the essential distinction between the two.

A famous Gastro Doctors for fissure treatment in Punjab describes the difference between piles and fissures in this article.

What Distinguishes a Fissure from a Pile?

Inflamed veins in the rectal or anal region may extend outside, resulting in piles or hemorrhoids, which are uncomfortable.

On the lining of the anal cavity, a small cut is called an anal fissure.

Piles vs Fissures

Here are some factors that will explain the differences between piles and fissures.

Piles Fissure
Swollen veins in the rectum, anus or anal canal Anal skin cut or torn
Initial pain is minimal, but it soon becomes more intense as the swelling increases. Extremely uncomfortable and painful with mild to moderate bleeding
Long-term constipation, pregnancy, a chronic cough, and physical strain can cause piles.


This happens during pregnancy, as a result of obesity or an injury to the anal cavity, in people with Crohn’s disease, who pass hard stools and have persistent diarrhoea, and in people with other conditions.


Piles and Fissure Overview

Piles and fissures usually remain misdiagnosed because of overlapping signs and symptoms. Here is a full overview of pile fissures to further your understanding.

Piles Overview

The symptoms and potential treatments are based on the type of hemorrhoid you have and how severe it is. When detected early enough, you can even treat it at home with simple lifestyle changes and natural remedies. There are usually three types of piles:

  1. Internal Hemorrhoids

Internal Hemorrhoids occur as solid lumps in the rectal cavity’s back tube. Since there are not many pain-sensing nerves in that area, you might not initially feel them. However, if your bowel movements are difficult or prolongedly constipated, this may occasionally result in blood and pain.

  1. External Hemorrhoids

External hemorrhoids are more apparent and painful because they form on the outside of your anal canal. Usually, they are covered in regular skin and have pain nerves all around them. This type of pile is not only more painful, but it also carries a high risk of blood clots, skin tags, and other skin infections.

  1. Thrombosed Hemorrhoids

Having thrombosed hemorrhoids is characterized by a blood clot that prevents blood flow. The additional blood might cause temporary hemorrhoids to rupture and start bleeding. If you are confused as to whether these bleeding hemorrhoids are dangerous, do not be alarmed. The majority of thrombosed hemorrhoids are benign, even though they can be highly painful and uncomfortable.

Fissures Overview

Anal fissures, in contrast to piles, can be extremely painful immediately away. Anal sphincter spasms and intense itching might result from a small tear in the moist tissue of the anal region.

Fissures come in different levels of severity and can be classified as

  1. Acute Fissures

Acute fissures are easy to treat because they have only recently formed. One can help these fissures to heal on their own with simple home remedies.

But if left untreated, they might later turn into chronic fissures.

  1. Chronic Fissures

These are fissures that require medical attention to heal and last longer than 8 to 12 weeks.

Chronic fissures include an anal rip, a skin tag-like enlargement, and an additional tissue growth known as a hypertrophied papilla.

  1. Fissure Symptoms

Anal fissures usually involve a searing ache at the bottom. However, there are other fissure signs and symptoms you could encounter:

  • Periodic bleeding, especially after urinating
  • A sharp spasm, and tightness of the anus were both present.
  • Painful boils that may be pus-filled
  • Smell of mucus-like discharge

Best treatment for fissures and piles

A common fissure or hemorrhoid is simple to treat and will heal entirely in at least 6 to 8 weeks.

The best treatments for treating piles and fissures to promote quicker healing include the ones listed below:

  • The stools may become more bulky and soft by increasing your intake of fiber and liquids. This would alleviate any discomfort and make it simpler to pass through.
  • The best way to treat piles and fissures is with ice packs and a cold compress that can help with pain relief.
  • A frequently recommended and effective at-home treatment for piles and fissures is a sitz bath, which is a warm bath with salts.
  • The discomfort can be reduced by using loose cotton garments that won’t further rip the injured area.
  • On an empty stomach, consume 500–600 ml of water to assist trigger the gastrocolic reflex (a contraction of your colon to release stools).
  • It is best to seek medical advice if the symptoms last longer than a week.

What Should you avoid in Fissures and Piles?

You would certainly understand the distinction between fissures and piles treatment in Ludhiana. However, you can manage their symptoms by making a small change to your way of life.

Here are some recommendations you need to follow to if you have piles and fissures:

  • Avoid spicy food
  • Avoid fried food
  • Restrict the consumption of caffeinated beverages
  • Avoid drinking alcohol


Discussing anorectal diseases can be uncomfortable for many people, which prevents them from receiving the proper care. But if these problems aren’t resolved right away, they can get worse. It’s essential to remain informed about your disease to receive the proper care. Therefore, it is important to understand the main difference between piles and fissures. One must seek medical guidance as soon as possible to prevent further health issues.



What Are Hemorrhoids, Their Causes, And Different Treatments?

What Are Hemorrhoids?

Hemorrhoids are a normal part of the anal canal. They help us to manage bowel function properly. There are technically two locations where the best gastro doctor in Ludhiana can find hemorrhoids.

  1. Internal Hemorrhoids

  2. External Hemorrhoids

Internal hemorrhoids are within the lining of the rectum and the anal area. On the other hand, external hemorrhoids are on the outside of the body, where a very sensitive nerve ends in the skin.

When hemorrhoids become inflamed, you will experience a lot of pain and discomfort that will be mandatory for you to get Hemorrhoids Surgery in Ludhiana if you do not treat it at the right time. The pain is more prevalent if the hemorrhoid is external.

What Are The Causes Of Hemorrhoids?

It is essential to learn about the real reason behind hemorrhoids in order to find the proper treatment. This blog states the real causes of hemorrhoids. Raef further to understand more.

  • When there is a lack of fiber

There are in fact a lot of things that can cause hemorrhoids to ignite. However, the most common cause, undoubtedly, is a lack of fiber in your diet. According to much research and studies, we have come across that women should consume almost a minimum of 25 grams of fiber daily, and men intake nearly 30 grams of fiber. However, the stats show us something entirely different and not in a positive way. They do not consume enough fiber in their daily diet resulting in the cause of hemorrhoids.

  • When you have irregular bathroom habits

There are also cases in which, even if you consume enough fiber in your diet. Still, there is a big possibility that you might get inflamed hemorrhoids. Some of the other common causes of hemorrhoids include stringing, constipation, and irregular bowels. This is the reason why pregnant women who are expecting to conceive are at a higher risk of developing hemorrhoids. Individuals suffering from inflammatory bowel diseases (IBD) might also have a greater risk of developing hemorrhoids.

  • Genetics

It is another factor that might increase the chance of developing hemorrhoids in your life. Unfortunately, if your parents suffer from inflamed hemorrhoids frequently, then there is a great possibility that you will too. In fact, over 50 % of patients who suffer from hemorrhoids actually have a family history of coping with the same health conditions.

What Are The Treatments For Hemorrhoids?

  • Treatment at home

You can treat your hemorrhoids at home with the help of over-the-counter medications. Some medicines include Preparation H, which offers pain relief for hemorrhoids. But you should make sure to add fiber to your diet to ensure that it does not come back.

These are some of the common foods with high fiber that you should definitely intake to prevent hemorrhoids from happening.

  1. Berries

  2. Nuts

  3. Legumes

  4. Veggies

  5. Whole grains

  • Treatment with the doctor

It is not a life and death health condition. However, the pain it inflicts feels like one. It could be very painful to live a miserable life if you have persistent hemorrhoids. But do not worry; our doctors will give the right treatment for hemorrhoids and help you get rid of them as fast as possible.

Final Comments

Visit Ludhiana Gastro And gynae Centre for more details on hemorrhoid treatment.

Gastroenterologist Kartik Goyal Piles

Dr. Kartik Goyal talks about Hemorrhoids and their management options

Hemorrhoids treatment (Piles Treatment)

Dr. Kartik Goyal, a known gastro doctor in Punjab, recently discussed piles or hemorrhoids conditions. He shared his views, saying, “Hemorrhoids is one of the common conditions that usually occur in patients with an anal fistula or anal fissure problem. With the diagnosis of the condition, most patients are left with the thought of why it happens and whether there’s a need to undergo Hemorrhoids Surgery in Ludhiana or not?

Breaking down the types of Hemorrhoids

Hemorrhoids have two main categories that include:

Type 1: Internal Hemorrhoids

Internal hemorrhoids lead to rectal bleeding, and there’s a possibility of protruding. Moreover, the patient notices the hemorrhoids go back inside on their own. On the other hand, it might stay outside all the time.

When you visit the best gastro doctor in Ludhiana with his expertise, you can get the treatment performed as an in-office method. The procedure works best as rubber band ligation.

During the procedure, the rubber is placed on the hemorrhoid base. Later, hemorrhoids fall with the band that’s attached to them. The procedure is not that painful; you can expect some normal discomfort.

Type 2: External Hemorrhoids

An external hemorrhoid problem occurs if there’s a blood clot and is medically termed a thrombosed external hemorrhoid. Some of the most common symptoms are:

  • Acute onset of anal or butt pain, which has a link to a lump

The procedure works best as an in-office procedure to ensure the hemorrhoids get excised correctly the way it’s needed.

Analyze the causes of haemorrhoids

A basic understanding of hemorrhoids helps the individual to know what’s the problem and what to do next for its management. Some of the possible causes are:

  • Strain during bowel movement
  • Being obese
  • Being pregnant
  • Doing anal intercourse
  • Heavy lifting continuously
  • Have faced constipation or chronic diarrhea
  • Intake of a low-fiber diet


Please be mindful!

One of the common symptoms of hemorrhoids is itching, although it’s not known why it happens and what should be done next for its management. Additionally, the patients have bleeding problems, so the doctor can ask you to get a colonoscopy for its management.

Prevention tips for hemorrhoids

For hemorrhoids, it’s essential to understand preventive tips to make it much better for making everything balanced. And that’s why to manage the symptoms; there are a few tips that I often suggest my patients follow like:

  • Make sure to increase your intake of high-fiber food options like whole grains, fruits, and vegetables. The high-fiber food helps to soften the stool and won’t let you put strain. Moreover, it even works against gas problems.
  • Increasing water intake as a liquid diet helps the stool to get soft.
  • You need to have fiber supplements in your diet. Make sure you have at least 20 to 30 grams daily to make the situation much more manageable.
  • You should never strain or try to hold your breath while passing the stool. Always go right away when you feel the urge.

What happens next?

To know more, schedule initial consultation at Ludhiana Gastro & Gynae Centre to understand what should be the next step.

Gastroenterologist Kartik Goyal Piles

All About Piles: What are the pile’s types, symptoms, and treatment?

Piles Treatment

Are you uncomfortable with a bowel movement in and around the anal cavity or sitting? It’s one of the major signs of piles. The pile’s prevalence rate is higher among all age groups, although more common among pregnant women and older adults. With the booming count of over 10 million cases of piles in India every year, you need to get prompt assistance from a medical expert. The expertise of medical professionals ensures you get the most effective and appropriate Piles Treatment in Ludhiana for managing your situation.

Let’s have a deeper understanding of piles

Piles (Haemorrhoids) are inflamed and swollen veins in the rectum area. The problem will put increased pressure on veins present in the rectal area. If you suspect this problem, consult one of the best gastro doctor in Ludhiana to ensure everything can effectively be managed. In some cases, bleeding piles can be the reason behind infection and makes it essential to get medical treatment on time. Otherwise, the problem can go to severe stages over time.

Types of Piles

Depending on locations, the haemorrhoids are divided into different types:

  • Internal haemorrhoids

Internal haemorrhoids are present inside the rectum, which means it’s difficult to feel or see them. In many cases, there’s no pain, and bleeding can be a major sign of this type.

  • External haemorrhoids

External haemorrhoids are present under the skin around the anus area. As the area involves pain-sensing nerves, it’s essential to seek treatment immediately. You may experience bleeding and hurt.

Common signs and symptoms of piles

In many cases, the individuals don’t experience piles symptoms, and some of the most common ones are:

  • Pain or discomfort when you sit
  • Soreness and redness around the anus area
  • Itching and irritation around the affected area
  • Bleeding following a bowel movement
  • Mucus discharge during defecating
  • Painful lumps or swelling around the anus area

All in all, you need to be mindful about getting proper medical attention and ensure the symptoms are addressed effectively.

Treatment options for piles

In some cases, there’s no need for piles treatment, and the condition gets better on its own. But, you must consult the doctor to understand how to handle the situation effectively. Some of the known ways that work best for piles treatment are mentioned below:

  • Taking care at home during piles

For pain relief, you should take warm water for 10 minutes, or you can keep a warm water bottle. These methods work as pain relief and limit irritation. Do not rub the area or apply any lotion.

  • Diet change

Piles are related to chronic constipation, so make sure to have food that helps the stool soft and reduces strain. Make sure to follow the given necessary tips like increase water intake, do not have caffeinated drinks, and increase fibre intake in the diet like vegetables, fruits, and wholegrain bread

  • Undergoing surgery

Although, only 10% of cases of piles require surgery. Your doctor can tell you better whether your condition needs surgery or not. Some known signs of surgical preference are intense pain, prolapsed haemorrhoids, excessive bleeding, and tissues not getting enough blood supply.

Gastroenterologist Kartik Goyal Piles

Gastro doctor views on Hemorrhoids and available treatment options

Hemorrhoids (Piles) Treatment Punjab

Hemorrhoids mean swelling and inflammation of the vein in the rectum that leads to bleeding and discomfort. In medical terms, it’s also called vascular cushions that surround the anus.

Types of Hemorrhoids

  • Internal hemorrhoids: Covered by mucosa, present inside the anus
  • External hemorrhoids: Covered by skin, present outside the anus

The type of treatment given by your Gastrologist in Punjab will depend upon the type of hemorrhoids you have. So that is why a proper understanding of your condition is essential to determine the most reliable solution.

Different grades of Hemorrhoids

The hemorrhoids are divided into five grades, and these are mentioned below:

  • Grade 1

The hemorrhoids happen due to cushion problems like bleeding or protruding. The bowel movement causes excess pressure and inflammation. There’s a problem of swelling and bleeding in the stool.

  • Grade 2

The cushions can expand quickly when you push the stool. Sometimes, it might pop inside the anus. However, when you don’t push, it can get sucked back in, and medically it’s called spontaneously reducing.

  • Grade 3

With time, the cushions can stay outside the body once you stop. In such a case, you should wear gloved fingers and push back the anus. Medically, it’s called manually reducing, and your healthcare provider does it.

  • Grade 4

In case of an advanced problem, pushing won’t help, and it keeps coming back outside. Internal hemorrhoids that protrude or bleed won’t cause burning or sharp pain. Such pain occurs due to anal fissures.

External hemorrhoids have problems due to a small blood clot leading to a knot or little ball outside the anus. Sometimes, these dissolve within 3 to 4 days, and the pain disappears.

How to prevent and treat hemorrhoids?

The medical expert suggested Hemorrhoids Surgery in Ludhiana when the condition worsens, and the grade is higher. Surgery is the only way to address the concern and improve your overall well-being.

In case the condition is at the initial stage, and you are looking for non-surgical methods, then the gastro doctor will suggest you:

  • Increase fiber intake
  • Drink enough water
  • Don’t have food that causes constipation like white bread, processed grains, red meat, white rice, bananas, and alcoholic beverages.
  • Do not strain or push too much during bowel movements.
  • If bowel movement does not happen even after sitting for a long time, then better try again later.

Do you notice bleeding in bowel movements?

Well! It’s one of the emergency signs that you need to consult a medical expert. If you have these symptoms, consult the experienced gastro doctor at Ludhiana Gastro & Gynae Centre to analyze effectively what’s wrong with your condition and how to manage everything. Please be free to ask any doubt that comes to your mind and make the further decision.

Kartik Goyal Piles

What Is Hemorrhoids Or Piles, Its Causes, Symptoms, And Treatment?

You might know hemorrhoids as a condition that is more commonly termed piles. They are basically a mass of anal blood vessels or swollen rectal. They are those veins that are located in the lower part of the rectum or anus.

There are two types of hemorrhoids:

  • Internal
  • External

In the internal hemorrhoids, it lies deep inside the rectum which is not typically visible to the naked eye. In this condition, you would not experience pain throughout but you will be able to notice its presence because of the bleeding through the anus.

On the other hand, the anal region is the area wherein a Gastro doctor in Ludhiana would notice external hemorrhoids which also create some discomfort. In an external pile protrudes via anal, you will be able to see and feel both. There are also times when the mass can form the blood clots which slip down. And to top it off, it can be very painful. 

What Are The Causes Of Formation Of Hemorrhoids?

Let us delve into the formation or the reason for hemorrhoids. 

  • Diet

It is one of the most common or main reasons behind the formation of piles. If you are consuming a low fiber diet, with highly processed food and intake a very inadequate amount of water can be the reason for hemorrhoids. 

  • Age and gender

People who are older or pregnant are more likely to develop hemorrhoids which they can treat with Gastroenterology Treatments in Ludhiana. 

  • Family history or hereditary

This is another cause of suffering from piles. Having a family history of weak rectal veins can cause you to develop it too because of family hereditary 

  • Excessive abdominal pressure

The last cause of piles is applying a lot of pressure on the abdominal area. This happens due to various reasons including pregnancy, obesity, prolonged sitting or standing, straining on the toilet, coughing, holding your breath at the time of labor, sneezing, coughing, and many more.

Knowing the cause of the hemorrhoids will help you get a Piles Treatment in Punjab which the doctor specifically designed for your problem. 

What Are The Symptoms Of Hemorrhoids?

It is very necessary for the patient to know the signs that might indicate piles. This technique will help you diagnose the real cause at an early stage, redirecting you towards the proper treatment at the right time without any delay. Given below are some of the common symptoms you might notice in piles:

  • Noticed bright red bleeding from the anus. You might notice blood as it streaks the bowel moment or the toilet paper.
  • Noticed a painful and swollen lump near the anus.
  • Experiencing itching in the affected area.
  • Feeling tenderness or pain at the time of bowel movements.
  • Noticing mucus discharge. 

Treatment For Hemorrhoids Or Piles

There are many treatments available for hemorrhoids but we will highly recommend you to visit a doctor and learn the causes of piles and their proper treatment. Given below are a bunch of options the doctor might give you:

  • Painkillers
  • Topical creams or ointments
  • Banding
  • Sclerotherapy Injections:
  • Coagulation
  • Surgery