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Difference between Injection Treatment for Fissure and Piles

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Difference between Injection Treatment for Fissure and Piles



 

While practicing as a proctologist we got many enquiries regarding injection treatment for piles. Most of them have heard about this injection treatment. Or some other doctors may have miss guided them that injection treatment is available with them. To clarify about this we have a further explanation.

First diagnosis of the patient must be confirm to give injection treatment.

1) If the diagnosis is fissure in ano then the injection treatment is Boutox injection.

2) and if the diagnosis is first or second degree of piles only, then the injection treatment means sclerotherapy.

 

Boutox injection treatment- Botulinum toxin is the injection used for muscular spasm disorders. When there are severe spasm of muscles then this injection is injected inside the muscle to get relief from spasm. exactly in fissure in ano there is a spasm of internal sphincter which make the anal space narrow. While passing the stool, space is not enough and it rubs over the mucosa and while coming out linear ulcer formed at mucosa. when this injection is injected in internal sphincter it relieves some sort of spasm of internal sphincter. But this may form abscess at anal region. Some patients may not get relief from this injection. For them doctor has to repeat the same injection. And it is little painful. The cost of injection is around 12000. And if constipation and hard stool continues then it will reoccurre. Due to its less effectiveness and complication it is not advisable. Some consultant may perform another procedure by giving injection around anus as local anaesthesia. Patient feels that it is an injection treatment.

 

2) Sclerotherapy for bleeding piles- some patients complaint of bleeding per rectum only. They don't have much pain at the time of defecation. Means they are not suffering from fissure in ano and pathology is only first or second degree hemorrhoids. Injection askerol is injected submucosally  to introduce fibrosus between venous plexus, pile mass and mucosa. By that bleeding get arrest. this type of treatment can be used for the patient who are not able to get operate due to there pre existing disease condition like heart disease, chronic renal failure etc.

 

so before going for treatment, one must ask your doctor for exact right of treatment.

 

Dr. Atul Patil

Vithai piles Hospital

Kasarwadi Pune

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