Anorectal conditions affect the anus and the lower rectum. They include haemorrhoids, also called piles, anal fissures and anal fistulas. Symptoms may include bleeding, pain during or after passing stools, swelling, itching, and mucus or discharge. Many people delay seeking help because of embarrassment, which can allow problems to worsen.

Patients seeking piles treatment in Mumbai at Apex are examined carefully, sometimes with a short internal examination. Bleeding should not be assumed to come from piles without checking, because polyps or bowel cancer can cause similar symptoms. The surgeon may advise colonoscopy when age, symptoms or findings make it necessary.

Early or mild piles often improve with fibre, fluids, regular toilet habits and medicines. Larger or recurrent piles may need a procedure. Fissures often settle with conservative treatment, while fistulas generally need surgery because they rarely heal on their own.

Anorectal services at Apex include:

• Piles Assessment and Medical Treatment: Examination, grading of piles and advice on diet, fibre, fluids and medicines for early disease, with referral for a procedure when symptoms persist.
• Haemorrhoid Procedures: Treatment options such as banding or surgical removal for larger or persistent piles, chosen according to the grade of disease and the patient's overall health.
• Anal Fissure Management: Treatment of painful tears with medicines and stool-softening measures, and surgery for chronic fissures that do not heal with conservative care.
• Anal Fistula Surgery: Surgical treatment of abnormal tracts near the anus, planned according to the position of the tract to reduce the chance of recurrence and protect continence.