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Piles Fissure Haemorrhoids

Piles is swollen veins and surrounding tissue just at the opening of the anus. When the person passes stool, this growth pops out and is painful at times. Piles and Haemorrhoids are one and the same thing. Fissure is a cut or open wound in the skin of the rectal canal just inside the opening of the anus. Piles can be painless or could be bleeding piles. Some patients would see blood while passing the stool which is known as bleeding piles. Piles can be classified into 4 grades. In grade one there is small inflammations inside the lining of the anus which is not visible and normally doesn't give any problems. ln grade two the piles become slightly bigger but still remain inside the anus. They may pop out while passing the stool but go back without any effort. In grade three the piles hang outside the rectum and there is a feeling of something present at the entrance of the anus, though they can be pushed inside by hand. Grade four piles cannot be inserted back into the rectum and need immediate medical attention. There is no specific test for diagnosing piles and the surgeon can get a good idea by clinical examination. For internal piles a device called proctoscope is used to get a clear view of the piles and their grade. Piles are mostly caused by problems in the digestive system. Chronic constipation and putting pressure while passing the stool is one of the most common causes for development of piles. The treatment also lies in dietary modifications. Eating lots of fibre in the form of salads and fruits and drinking more water helps in most of the cases. Losing body weight, exercising regularly also helps in improving the excretary system thereby reducing the strain while passing of the stools. Some medicines and laxatives both local and oral also help in alleviating the pain and discomfort. However for grade 3-4 and bleeding piles, one has to get an interventional treatment like banding, sclerotherapy or surgery.

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Piles Surgical Options

You must have heard the old treatment of Bawaseer as tying the hair of horse at the base of the pile. Similar thing is done by the doctors who place an elastic band at the base of the piles while cuts the blood supply and the haemorrhoid falls off. In Sclerotherapy, a medicine is injected into the haemorrhoid which makes it shrink and ultimately disappear. These treatments work on piles which are grade 1-3 but not on grade 4 piles. For this one has to go for surgery. In surgery there are three options - open surgery which has always been done by almost all the surgeons is the most common. Some of the newer surgeons are adept at doing Stapler Haemorrhoidectomy in which there is much less blood loss and the recovery is much faster. The cost of stapler is close to Rs. 20,000 which makes this option costlier. No many surgeons are able to do Stapler surgery and that is the reason that it has not become very popular amongst the patients. In open surgery, the surgeon will cut the piles which will result in some blood loss and then put stitches at the incision. Since the area is inside the rectum from where stool continues to pass, these stitches take time to heal. In stapler surgery there is no cutting of the piles and the surgeon uses Staplers to tie the hanging haemorrhoid inside the rectum. This is as effective as cutting but without the discomfort of stitches and has much less healing time. The person can get back to work much quicker. The third option is Laser Surgery for Piles in which the surgeon uses a Laser machine to coagulate and stop the flow of arterial blood to the haemorrhoids. The time taken for the procedure is much less, the procedure can be done in daycare and the recovery period is much less. Our experience and studies also show that Laser Haemorrhoidectomy has greater advantages in piles which are upto grade 3. There is much less post-operative pain in Laser Surgery as compared to the open surgery in such patients.

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Best Doctors and Cost

The Department of General and Laparosocpic Surgery at Brightstar Hospital is equipped with the most advanced Diode Laser to carry out the Laser Surgery for Haemorrhoids. Our surgeons have excellent exposure to performing the open surgery as well as the Stapler Surgery for Piles. The cost of open surgery for piles is in the range of Rs. 25,000 - 45,000 depending on the room category chosen by the patient while the cost of stapler surgery for the haemorrhoids is in the range of Rs. 45,000 - 75,000 including the cost of the stapler which is Rs. 21,000. . The cost for Laser Surgery for Piles is Rs. 70,000 in daycare and Rs. 80,000 in a single room with one day of hospital stay. The hospital stay for open piles surgery is 3 days while that for the Stapler Surgery is 2 days. For Laser Surgery you do not require to remain admitted to the hospital and can go home few hours after the surgery.

If you have a health insurance card which is given by your company then the surgery is covered from day one while if you have a policy which is purchased by you then this surgery is covered after two years of buying the health policy. Some companies cover ano-rectal diseases earlier than 2 years but to be clear on the issue contact the insurance help desk at the hospital who would be able to guide you properly. Do not forget to carry your insurance policy to get full clarity on the matter. If the hospital is not on the cashless panel of your insurance company then you could get reimbursement for the payment done by you at the hospital for your treatment. This is a very simple process in which you have to fill a claim form, attach the hospital bills, cancelled cheque and the payment would come to your bank account within 15-20 days. The hospital insurance help desk will do the entire paperwork for you so that you do not face any difficulty in getting the reimbursement for your treatment expenses. Dr Subhash Singh at Brightstar hospital is one of the leading General and Laparoscopic Surgeon in the entire Western Uttar Pradesh with experience of more than 25000 surgeries over a period of 30 years.

About the Hospital

Brightstar Hospital which commenced operations in the year 2020 is the largest hospital in the city of Moradabad. With 300 beds capacity the hospital has changed the Medical Landscape of Western Uttar Pradesh and made Moradabad as the Medical Hub of the region. The Hospital is promoted by a group of entrepreneurs including some of the best medical professionals of the city. The Hospital offers superspecialty services in the fields of Neurosurgery & Neurology, Critical Care, Urology, Gastroenterology, Cancer Surgery, Cardiology & Cardiothoracic Surgery, Pulmonology, Nephrology, Urology, Plastic Surgery, Endocrinology and Interventional Radiology. The hospital also offers specialty services in the fields of Obstetrics and Gynaecology including IVF, General & Laparoscopic Surgery, Orthopaedics, ENT, Ophthalmology, Paediatrics, Internal Medicine, Dermatology, Psychiatry, Radiology, Pathology, Dental Surgery, Physiotherapy and Rehab.

Medical Technology

Brightstar Hospital has brought the latest, cutting edge, state of art medical technology to the city of Moradabad. The hospital is equipped with the Latest MRI, CT Scan, Cath Lab, Ultrasound, Colour Doppler, Digital X-Ray, 2D Echocardiography, PFT, Mammography and Bone Densitometry to give the diagnostic accuracy to our medical team. The 50 bedded intensive care unit is equipped with the latest multipara monitors, centralized oxygen supply and life saving ventilators. Our Modular Operation Theatres are equipped with C-Arm, Operating Microscopes, Fully Automatic Anaesthesia Workstations and Hepa Filters to carry out the most complex of the surgeries with great accuracy and surgical precision. The entire hospital is connected through a centralized Hospital Information System and PAX Solutions to make us a fully Digital Hospital. All our Diagnostic Machines are fully digital and we discourage the use of X-Ray Films keeping the environmental concerns in mind.

A Professional Medical Team

We have gathered some of the finest medical minds at Brightstar Hospital to match our infrastructure. Our team of doctors are highly qualified and carry with them rich experience of treating the most complex of the medical problems. The multidisciplinary team of doctors ensure that every case is discussed and comprehensive treatment is provided to our patients. Our OPD's provide consultation services with Specialist and Superspecialist doctors. The Operating Rooms have the services of some of the best surgical hands assisted by a team of anaesthetists. The Intensive Care Units are manned by Critical Care Specialists and Anaesthetists. Our team of doctors are assisted by highly trained paramedics in the diagnostic field. Our Nursing Team efficiently carries out the doctor's instructions and provide compassionate care which speeds up the healing process. The Physiotherapy Team makes sure that your recovery is quick and complete.

Dr Subhash Singh


Dr Anupama Bansal


Dr CP Singh


Dr Gaurav Gupta


Dr Nidhi Thakur


Dr Sanjay Varshneya


Dr Sunil Kumar


Dr Kishan Pal Varshneya


Dr Narendra Kumar Singh


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