Hernia Repair Surgery
Urinary Incontinence (Ui) Treatment
Treatment Of Deep Vein Thrombosis - Dvt
Vascular Surgery Treatment
Vascular Trauma Treatment
Arterial Thrombosis Treatment
Intra - Arterial Thrombolysis Procedures
Minor Ot Service Procedures
Cerebral Vascular Surgery
Submit a review for Piles Hospital & Research CenterYour feedback matters!
Patient Review Highlights
I found the answers provided by the Dr. Dinesh Shah to be very helpful. Thank u sir for your valuable suggestion
Colorectal surgery deals with the disorders of the rectum, anus and colon. Another name of colon is ‘large intestine’. These three body parts form the last stages of the digestive process. When the human waste passes through the colon, its salt and water are extracted before it exits the body as human excreta.
Common Colorectal disorders are:-
- Anorectal Abscess
- Anal fistula
- Anal fissure
- Rectal Prolapse
- Surgical Constipation
- Pilonidal Sinus
- Pruritus Ani
All these diseases are:
- Cause of significant patient discomfort & disability
- Major effect on overall quality of life
- Both men and women are equally affected
- Symptoms increase with age
Important Clinical Features of Anorectal Diseases are:
Bowel habits after colorectal surgery
Many patients report cases of diarrhoea, leakage of stool or gas, urgency to use the toilet and a feeling of insufficient evacuation of faeces. Relax; these conditions are not going to last forever. Your rectum and anus are adjusting to new conditions after this surgery. These organs may take six to twelve months to adjust to new bowel habits.
Is there a need to take a laxative or stool softener?
There is no need to take laxatives after a colorectal surgery. Drink lots of water to make your stool softer and easy to pass. If there is a water deficiency in your body, then it may lead to your faeces becoming hard. In that case, take milk of magnesium, colace etc.
Activities post surgery
You can continue with your normal schedule after this surgical procedure. Carry on running, jogging, exercising, climbing up the stairs etc. even after your surgery. Gastroenterologists recommend that patients should desist from lifting loads weighing more than 10 pounds so that there are no post surgery complications.
Diet after colorectal surgery
Avoid spicy and heavy to digest meals after your surgery. Once the intestines begin working normally, you can continue having your spicy food. Chew your food well to aid its digestion.
Returning to work after colorectal surgery
Most people are back to their work after taking a break of 2-5 days. If the surgery is pretty detailed, you may have to take a break of up to a month. Patients undergoing laparoscopic surgery may have to take a rest of 2- 4 weeks before they report back to work. Take it easy before slipping into your regular schedule. If working hurts after your surgery, don’t do it. If you wish to discuss about any specific problem, you can consult a General Surgeon.
What is a colonoscopy?
Colonoscopy is a procedure that enables your surgeon to examine the lining of the colon and rectum. It is usually done in the hospital or an endoscopic procedure room on an outpatient basis. A soft, bendable tube about the thickness of the index finger is gently inserted into the anus and advanced into the rectum and the colon.
Why is a colonoscopy performed?
A colonoscopy is usually done:
1) as part of a routine screening for cancer,
2) in patients with known polyps or previous polyp removal,
3) before or after some surgeries,
4) to evaluate a change in bowel habits or bleeding or,
5) to evaluate changes in the lining of the colon known as inflammatory disorders.
What preparation is required?
The rectum and colon must be completely emptied of stool for the procedure to be performed. In general, preparation consists of consumption of a special cleansing solution or several days of clear liquids, laxatives and enemas prior to the examination. Your surgeon and his or her staff will provide you with instructions regarding the cleansing routine necessary for the colonoscopy. Follow your surgeon’s instructions carefully. If you do not complete the preparation, it may be unsafe to perform the colonoscopy and the procedure may have to be rescheduled. If you are unable to take the preparation, contact your surgeon. Most medications can be continued as usual. Medication use such as aspirin, Vitamin E, non-steroidal anti-inflammatories, blood thinners and insulin should be discussed with your surgeon prior to the examination as well as any other medications you might be taking. It is essential that you alert your surgeon if you require antibiotics prior to undergoing dental procedures, since you may also require antibiotics prior to colonoscopy. You will most likely be sedated during the procedure and an arrangement to have someone drive you home afterward is imperative. Sedatives will affect your judgment and reflexes for the rest of the day. You should not drive or operate machinery until the next day.
What can be expected during colonoscopy?
The procedure is usually well tolerated, but there is often a feeling of pressure, gassiness, bloating or cramping at various times during the procedure. Your surgeon will give you medication through a vein to help you relax and better tolerate any discomfort that you may experience. You will be lying of your side or your back while the colonoscope is advanced through the large intestine. The lining of the colon is examined carefully while inserting and withdrawing the instrument. The procedure usually lasts for 15 to 60 minutes. In rare instances the entire colon cannot be visualized and your surgeon may request an additional test such as a barium enema or a CT colonography.
What if colonoscopy shows an abnormality?
If your surgeon sees an area that needs more detailed evaluation, a biopsy may be obtained and submitted to a laboratory for analysis. A biopsy is performed by placing a special instrument through the colonoscope. Most polyps can be removed at the time of the colonoscopy. The majority of polyps are benign (non-cancerous), but your surgeon cannot always tell by the appearance alone. They can be removed by burning
(fulgurating) or by a wire loop (snare).
It may take your surgeon more than one sitting to do this if there are numerous polyps or if the polyps are very large. Sites of bleeding can be identified and controlled by injecting certain medications or coagulating (burning) the bleeding vessels. Biopsies do not imply cancer, however, removal of a colonic polyp is an important means of preventing colon and rectal cancer.
What happens after colonoscopy?
Your surgeon will explain the results to you after your procedure or at your follow up visit. You may have some mild cramping or bloating from the air that was placed into the colon during the examination. This should quickly improve with the passage of the gas. You should be able to eat normally the same day and resume your normal activities after leaving the hospital. Do not drive or operate machinery until the next day, as the
sedatives given will impair your reflexes. If you have been given medication during the procedure, you will be observed until most of the effects of the sedation have worn off (1-2 hours). You will need someone to drive you home after the procedure. If you do not remember what your surgeon told you about the examination or follow up instructions. Call your surgeon’s office that day or the next to find out what you were supposed to do.
If polyps were found during your procedure, you will need to have a repeat colonoscopy. Your surgeon will decide on the frequency of your colonoscopy exams.
What complications can occur?
Colonoscopy complications include bleeding from the site of a biopsy or polypectomy and a tear (perforation) through the lining of the bowel wall. Other complications of the procedure include the possibility of missed polyps or other lesions.
Should a perforation occur, it may be necessary for your surgeon to perform abdominal surgery to repair the intestinal tear. Blood transfusions are rarely required. A reaction to the sedatives can occur. Irritation to the vein that medications were given is uncommon, but may cause a tender lump lasting a few weeks. Warm, moist towels will help relieve this discomfort.
It is important to contact your surgeon if you notice symptoms of severe abdominal pain, fevers, chills or rectal bleeding of more than one-half cup. Bleeding can occur up to several days after a biopsy.
What is Fistula in Ano?
A fistula in ano is a hollow tract lined with granulation tissue connecting a primary opening inside the anal canal to a secondary opening in the peri anal skin. Secondary tract may be multiple and from the same primary opening inside.
How can we Diagnose it?
We can Diagnose it by following symptoms and signs -
- Perianal discharge: Patient may have pus discharge outside the anus.
- Skin excoriation
- External opening
What Treatment available for this disease ?
Various Procedures available Like VAAFT, LIFT Core surgery etc.
What are Hemorrhoids ?
Hemorrhoids (piles) are natural cushions of tissue and B.V. located at the junction of rectum and anus. Along with sphincter, this normal tissue is responsible for complete closure of anus and prevents any leakage. During a bowel movement these cushions become smaller to allow stool to pass throw. Every one has them, and problems only arise when they become larger then they should.
These anal cushions are normally fastened in the sphincter region by muscle and tissue. If too much pressure is exerted on them, the system of securing them may be damaged and cushions will swell and by friction they bleed or by force may protrude outside the anus.
How can we Diagnose : We can diagnose the Piles by asking the Clinical History and by doing per rectal examination . Depending upon symptoms Piles are of four Grade:
1. Grade I : Patient will complain Painless Bright Red colored Bleeding during or after passing stool.
2. Grade II : Patient will complain , something is coming out during passing stool.
3. Grade III : Patient will complain , something is coming out during passing stool and manual reposition is required to put it inside. It may be associated along with bleeding during passing stool.