Piles, Fissure and Fistula Treatment in South Delhi: A Proctology Guide
Medically reviewed by Dr Saurabh Bansal, GI, laparoscopic and bariatric surgeon, Delhi Medical Council Reg. No. 37887. Last updated: 18 October 2026. This guide was prepared with AI assistance and reviewed by the doctor; it is general information and not a substitute for a consultation.
Quick answer
Piles, fissures and fistulas are common anal conditions with different causes. Piles are swollen blood vessels that may bleed or prolapse; a fissure is a small tear that causes sharp pain during and after passing stool; a fistula is a tunnel from the anal canal to the skin, usually after an abscess, with discharge. Early piles and fissures often settle with diet and medicines, while fistulas usually need surgery.
How to tell them apart
Piles: bright red bleeding, often without pain, a lump that comes out on straining, itching.
Fissure: sharp, cutting pain during and after stool, sometimes with streaks of blood.
Fistula: recurring pus or blood-stained discharge near the anus, often after a boil or abscess.
Bleeding from the back passage should always be checked, because it can have other causes, including bowel cancer.
When is a procedure needed?
Piles: when bleeding or prolapse continues despite treatment, or for higher-grade piles.
Fissure: when a fissure does not heal after several weeks of medicines (chronic fissure).
Fistula: in most cases, because fistulas rarely heal with medicines alone; an MRI may be needed to map the tract.
Treatment options
Options include laser haemorrhoidoplasty or haemorrhoidectomy for piles, lateral internal sphincterotomy or other techniques for chronic fissure, and fistulotomy, seton or sphincter-preserving procedures (including laser) for fistula. The choice depends on examination findings and protecting continence.
Recovery
Many procedures are day-care or need a short stay. A high-fibre diet, plenty of water, sitz baths and stool softeners help healing. Return to work typically takes a few days to two weeks depending on the procedure.
What affects the cost?
Cost depends on the condition and its severity, the technique (laser or conventional), anaesthesia, the hospital or day-care facility and insurance cover. A personalised estimate is given after consultation.
Frequently asked questions
Is laser always better for piles?
Laser is one option and may suit selected grades of piles. Conventional surgery may be more appropriate for others. The right choice depends on examination.
Can a fissure heal without surgery?
Many recent fissures heal with fibre, fluids, sitz baths and prescribed ointments. Surgery is considered for chronic fissures that do not heal.
Why does a fistula keep coming back?
A fistula has an internal opening and a tract that keeps getting re-infected. Antibiotics may calm symptoms, but surgery is usually needed to treat the tract.
Is it normal to have bleeding with piles?
Bleeding is a common symptom of piles, but any rectal bleeding should be evaluated to rule out other causes.
Where to consult in South Delhi
THE CLINICS MISC, Hauz Khas: H2, Hauz Khas, opposite Neeli Masjid, New Delhi 110016. Monday to Saturday, 9 am to 6 pm.
THE CLINICS, Green Park: G32 Ground Floor, Market Road, Block G, Green Park Extension, New Delhi 110016. Monday to Saturday, 6 pm to 8 pm.
Appointments (call or WhatsApp): +91 8368375734. Book a consultation.
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