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Surgery

The two primary procedures used to treat pilonidal cysts include:
1. Incision and drainage. During this procedure, a doctor will make a cut and drain the cyst.
2. Surgical cyst removal. During this procedure, also called a cystectomy, a doctor will remove the entire cyst and the tissues around it.

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Diagnosis

How is a pilonidal cyst diagnosed? Your provider will start by giving you a full physical examination. During the exam they’ll check the crease of your buttocks for signs of a pilonidal cyst. If you have a pilonidal cyst, it should be visible to the naked eye.

A fistulogram is an x-ray procedure used to view a fistula, an abnormal passage between two or more parts of your body that often drains out of your skin.

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Symptoms Of Pilonidal Sinus

Signs and symptoms of an infected pilonidal cyst include:
1. Pain.
2. Reddening of the skin.
3. Drainage of pus or blood from an opening in the skin.
4. Foul smell from draining pus.

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Surgery

1. Seton techniques
2. Advancement flap procedure
3. LIFT procedure
4. Endoscopic ablation
5. Laser surgery
6. Fibrin glue
7. Bioprosthetic plug

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Diagnosis

The CT scan can help locate a fistula and determine its cause. Magnetic resonance imaging (MRI). This test creates images of soft tissues in your body. MRI can show the location of a fistula, whether other pelvic organs are involved or whether you have a tumor.

How is internal fistula diagnosed?
Perform an upper and lower intestinal X-ray. This may include a barium swallow if your doctor thinks you might have a stomach or intestinal fistula, or a barium enema if your doctor thinks you have a colon fistula. Perform a fistulogram.

A fistulogram is an x-ray procedure used to view a fistula, an abnormal passage between two or more parts of your body that often drains out of your skin.

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Symptoms Of Fistula

1. skin irritation around the anus.
2. A constant, throbbing pain that may be worse when you sit down, move around, poo or cough.
3. Smelly discharge from near your anus.
4. Passing pus or blood when you poo.
5. Swelling and redness around your anus and a high temperature if you also have an abscess.

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Symptoms Of Fissure

1. Pain, sometimes severe, during bowel movements
2. Bright red blood on the stool or toilet paper after a bowel movement
3. A visible crack in the skin around the anus
4. Pain after bowel movements that can last up to several hours
5. A small lump or skin tag on the skin near the anal fissure

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Surgery

Sometimes in the early stage of Piles ,home remedies are also opted , however it is still not assured that the Piles can go away of their own. In severe conditions you may require surgery and these surgeries should be performed by expert doctors

Several types of surgery are –

Open surgery which is painful.
Laser surgery which is a safe and painless procedure and does not require any cut or stitches.

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Diagnosis

Doctor diagnosis Piles based on the symptoms and physical examination.

1. In Digital rectal examination the doctor checks the rectum to feel for swollen veins.
2. In Anoscopy the doctor uses an anoscope to view the lining of the anus and rectum

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Surgery

Sometimes in the early stage of Fissures, home remedies are opted for, however, it is still not assured that the Fissures can go away on their own. In severe conditions, you may require surgery and these surgeries should be performed by expert doctors

Several types of surgery are –

1. Open surgery which is painful.
2. Laser surgery which is a safe and painless procedure and does not require any cut or stitches.

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Diagnosis

Doctor diagnosis Fissures based on the symptoms and physical examination.

1. In Digital rectal examination the doctor checks the rectum to feel for swollen veins.
2. In Anoscopy the doctor uses an anoscope to help diagnose anal and rectal conditions.

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Symptoms Of Piles

1. Bright red blood in stools
2. An itchy Anus
3. Painful lump in rectum
4. Pain around anus

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Dr. Niranjan Agarwal

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