Ramesh, a 35-year-old software engineer, spent most of his day seated in front of a screen. For nearly two years, he endured a silent struggle, an intimate pain he couldn’t share with anyone, not even with his loved ones. He tried home remedies, adjusted his diet, and cut down on spicy food, hoping things would improve, but to no avail. So, he stayed silent, until the discomfort began affecting both his work and his sleep.
Like Ramesh, many people in India suffer silently from anorectal conditions like piles (hemorrhoids), fissures, fistulas, and pilonidal sinus. These problems are extremely common, yet rarely spoken about. According to national data, nearly 50% ofadults over the age of 50 in India are affected by piles. Fistulas and fissures are also frequently reported among younger adults, particularly those with sedentary lifestyles.
“Chronic constipation, poor diet, obesity, and prolonged sitting are some of the leading risk factors for anorectal issues. Unfortunately, patients often delay seeking help due to embarrassment or fear of surgery. Early intervention can prevent complications and offers faster healing, especially with newer
options like laser treatment” says Dr. Manas Ranjan Tripathy, a Senior General Surgeon and Laser Proctologist Koramangala
at Apollo Spectra Hospital,
Anorectal problems such as piles, fissures, and fistulas typically progress through stages. Initially, patients may notice mild symptoms like itching, discomfort during bowel movements, or occasional bleeding. As the condition advances, pain becomes persistent, swelling or lumps may develop, and bleeding can worsen. In cases like fistula-in-ano, discharge and repeated infections may occur. These stages, if ignored, can lead to chronic pain and complications that may eventually require surgical intervention. When addressed early, many of these can be treated with medicines, lifestyle changes, and simple measures like sitz baths. But when symptoms persist or worsen, further evaluation is needed.

Laser Treatment: A Modern, Minimally Invasive Solution
For advanced anorectal conditions, laser surgery has emerged as a modern and highly effective treatment
option. Unlike traditional surgeries that require large incisions and stitches, laser procedures are minimally invasive. A focused laser beam precisely targets the affected tissue, resulting in minimal bleeding, reduced pain, and faster healing.
Throwing light on the effectiveness of laser surgery, Dr. Manas says, “most patients can resume their normal routine within 2-3 days. The risk of infection is lower, and there’s minimal damage to surrounding healthy tissues. Laser treatment is now widely used for managing conditions like piles, anal fissures, fistula and pilonidal sinus. With quicker recovery, fewer complications, and daycare feasibility, laser offers a safe and comfortable solution for patients seeking relief without the fear and stigma often associated with anorectal surgeries.”
Apollo Spectra Hospital, Koramangala, Bengaluru, is running a Special Proctology Clinic till 14th August’25 for individuals suffering from anorectal problems. During this period, patients can avail FREE consultation along with 25% discount on diagnostic investigations. This is a great opportunity for early diagnosis or even a second opinion.