No.A4, Chandrasekaran Avenue, 1st Main Road, Thoraipakkam, Chennai 600097 Mon-Sun 09am - 5pm
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Best Doctors for Piles Treatment in Chennai

doctor-image
Dr. M. Senthil Kumar

MBBS, MS - General Surgery

medikit icon 21 Years Experience

  4.9/5   Available

  No 16 & 50, Block Z, River View Colony, Chennai

Proctology Urology Vascular
Dr. M. Senthil Kumar is an expert and experienced General Surgeon, Proctologist, and Laparoscopic Surgeon with an experience of 18 years, and specialzies in Urology, Proctology, Laparoscopy, and Vascular. He graduated and obtained his MBBS degree from PSGIMR Coimbatore in 2004, and then his postgraduate MS degree from PSGIMR Coimbatore in 2014.Currently, he is practicing at Pristyn Care Clinic in Chennai. He is fluent in English,Hindi and provides compassionate care for all his patients to ensure complete recovery. He has been commended by his patients for his caring nature, hard working attitude, and willingness to be there for them - any time of day and night.He provides treatment for the following - Piles, Fissure, Fistula, Abscess,Pilonidal Sinus, Anal Polyps, Anal Warts, Rectal Prolapse, Toenail, Vascular, Varicose Veins,Thrombosis, Dvt, Diabetic Foot Ulcer, Foot Ulcer, Varicocele, Umbilical Hernia, Inguinal Hernia, Incisional Hernia, Hiatus, Gallstones, Stent Removal, Cyst Removal, Hydrocele, Urethral Stricture, Erectile Dysfunction, Urinary Tract Infection, Urinary Incontinence, Balnitis, Phimosis, Paraphimosis. He is registered in the Indian Medical Registry with the license number 74123. He strives to provide advanced medical care in a comfortable and holistic environment for all patients coming to him for treatment.
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ARUL RADHAKRISHNAN

“best experience at pristyn care ”

calender icon   Date: 06-11-24

Ebenezer P

“good”

calender icon   Date: 24-10-24

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Dr. Prabhakar Padmanabhan

MBBS, MS - General Surgery

medikit icon 15 Years Experience

  5.0/5

Proctology Urology Laparoscopy
Dr. Prabhakar Padmanabhan is an expert and experienced General Surgeon with over 14 years of experience. He completed his MBBS from Kursk State Medical University, Russia, in 2010, followed by an MS in General Surgery from Meenakshi University, Kanchipuram, in 2015. He further enhanced his expertise by obtaining a Fellowship in Minimal Access Surgery (FMAS) from the World Laparoscopic Hospital, Delhi, in 2016, and a Fellowship in Gastrointestinal Endo Surgery (FIAGES) in 2019. He is registered with the Tamil Nadu Medical Council. Throughout his career, Dr. Padmanabhan has held several significant positions. He served as an Assistant Professor at Meenakshi Medical College, Kanchipuram, from 2015 to 2016, where he delivered lectures and practical training in general surgery to medical students and assisted in surgical operations, focusing on skill development and the application of minimal access surgery. Since 2016, he has been a Senior Assistant Professor in the Department of General Surgery at Rajiv Gandhi Government General Hospital, Chennai. In this role, he leads and teaches advanced surgical techniques and methodologies to medical students and residents, conducts and supervises complex surgical procedures with a focus on laparoscopic and minimally invasive techniques, and contributes to departmental research and clinical trials to advance surgical practices and patient care. Dr. Padmanabhan is proficient in a wide range of surgical procedures, including advanced laparoscopic surgery, minimal access surgery, gastrointestinal endo surgery, and laser proctology. He has been recognized for his contributions to surgical education and training, as well as his involvement in clinical research and trials. Known for his dedication to patient care, Dr. Padmanabhan strives to provide advanced medical services in a compassionate and holistic environment.
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wilson

“Good prolite patience Over 👍👍”

calender icon   Date: 24-03-25

doctor-image
Dr. M. Senthil Kumar

MBBS, MS - General Surgery

medikit icon 21 Years Experience

  4.9/5

Proctology Urology Vascular
Dr. M. Senthil Kumar is an expert and experienced General Surgeon, Proctologist, and Laparoscopic Surgeon with an experience of 18 years, and specialzies in Urology, Proctology, Laparoscopy, and Vascular. He graduated and obtained his MBBS degree from PSGIMR Coimbatore in 2004, and then his postgraduate MS degree from PSGIMR Coimbatore in 2014.Currently, he is practicing at Pristyn Care Clinic in Chennai. He is fluent in English,Hindi and provides compassionate care for all his patients to ensure complete recovery. He has been commended by his patients for his caring nature, hard working attitude, and willingness to be there for them - any time of day and night.He provides treatment for the following - Piles, Fissure, Fistula, Abscess,Pilonidal Sinus, Anal Polyps, Anal Warts, Rectal Prolapse, Toenail, Vascular, Varicose Veins,Thrombosis, Dvt, Diabetic Foot Ulcer, Foot Ulcer, Varicocele, Umbilical Hernia, Inguinal Hernia, Incisional Hernia, Hiatus, Gallstones, Stent Removal, Cyst Removal, Hydrocele, Urethral Stricture, Erectile Dysfunction, Urinary Tract Infection, Urinary Incontinence, Balnitis, Phimosis, Paraphimosis. He is registered in the Indian Medical Registry with the license number 74123. He strives to provide advanced medical care in a comfortable and holistic environment for all patients coming to him for treatment.
Read more

ARUL RADHAKRISHNAN

“best experience at pristyn care ”

calender icon   Date: 06-11-24

Ebenezer P

“good”

calender icon   Date: 24-10-24

doctor-image
Dr. Prabhakar Padmanabhan

MBBS, MS - General Surgery

medikit icon 15 Years Experience

  5.0/5

Proctology Urology Laparoscopy
Dr. Prabhakar Padmanabhan is an expert and experienced General Surgeon with over 14 years of experience. He completed his MBBS from Kursk State Medical University, Russia, in 2010, followed by an MS in General Surgery from Meenakshi University, Kanchipuram, in 2015. He further enhanced his expertise by obtaining a Fellowship in Minimal Access Surgery (FMAS) from the World Laparoscopic Hospital, Delhi, in 2016, and a Fellowship in Gastrointestinal Endo Surgery (FIAGES) in 2019. He is registered with the Tamil Nadu Medical Council. Throughout his career, Dr. Padmanabhan has held several significant positions. He served as an Assistant Professor at Meenakshi Medical College, Kanchipuram, from 2015 to 2016, where he delivered lectures and practical training in general surgery to medical students and assisted in surgical operations, focusing on skill development and the application of minimal access surgery. Since 2016, he has been a Senior Assistant Professor in the Department of General Surgery at Rajiv Gandhi Government General Hospital, Chennai. In this role, he leads and teaches advanced surgical techniques and methodologies to medical students and residents, conducts and supervises complex surgical procedures with a focus on laparoscopic and minimally invasive techniques, and contributes to departmental research and clinical trials to advance surgical practices and patient care. Dr. Padmanabhan is proficient in a wide range of surgical procedures, including advanced laparoscopic surgery, minimal access surgery, gastrointestinal endo surgery, and laser proctology. He has been recognized for his contributions to surgical education and training, as well as his involvement in clinical research and trials. Known for his dedication to patient care, Dr. Padmanabhan strives to provide advanced medical services in a compassionate and holistic environment.
Read more

wilson

“Good prolite patience Over 👍👍”

calender icon   Date: 24-03-25

What It Is & Why It Happens

  • A tear or crack in the moist tissue at the anal opening, common in infants and adults  

  • Causes include:

    • Passing hard or large stools

    • Straining during bowel movements

    • Diarrhea, childbirth, anal intercourse

    • Inflammatory bowel disease, infections, or less often, tumors 

  • Persistent muscle spasm of the sphincter reduces blood flow, preventing healing and often turning acute fissures into chronic ones

Overview

Names of anal fissure in different languages:
  • Anal fissure in Hindi - ‎एनल फिशर
  • Anal fissure in Tamil - குத பிளவு
  • Anal fissure in Telugu - ఆనల్ ఫిష్యూర్
  • Anal fissure in Marathi -गुदद्वारासंबंधीचा फिशर
  • Anal fissure in Bengali - অ্যানাল ফিশার
Types of anal fissure:
  • Acute anal fissure
  • Chronic anal fissure
Risk factors of anal fissure:
  • Advanced age
  • Constipation
  • Recent childbirth
  • Crohn’s disease
  • Inflammatory bowel disease
  • Anal intercourse
Home remedies for anal fissure:
  • Take sitz baths
  • Add fiber to your diet
  • Take stool softeners
  • Avoid straining during bowel movements
  • Drink adequate fluids
Hassle-free insurance approval
  • All insurances covered
  • Paperwork support by Pristyn Care
  • Complete paperwork assistance
Why NeuHealth Care?
  • Private room for patients with attendant stay & meals
  • USFDA approved anal fissure treatment
  • Insurance covers the treatment
  • Free cab pickup & drop facility
  • Free follow ups post surgery

fissure treatment

Symptoms

  • Sharp, burning pain during and hours after defecation 

  • Bright red bleeding—on stool, toilet paper, or in the bowl 

  • Visible tear, sometimes with a skin tag (“sentinel pile”) in chronic cases  

  • Muscle spasm with a feeling of tightness in the anus

Diagnosis

  • Based on symptoms and physical exam

  • Often diagnosable visually, sometimes aided by gentle anoscopy or palpation under anesthesia .

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fissure treatment

Treatment & Prevention

A. Self-Care (First-line for Acute Fissures)

  • High-fiber diet (25–35 g/day) + hydration 

  • Warm sitz baths (10–20 min, 2–3× daily) .

  • Stool softeners and gentle hygiene (no harsh wiping) 

B. Medications (Chronic or Severe)

  • Topical nitrates (nitroglycerin) or calcium-channel blockers (diltiazem/nifedipine) to relax the sphincter  

  • Topical lidocaine for pain relief  

  • Botox injections into the sphincter muscle, offering healing rates of ~60–80% 

C. Surgery (For Refractory, Chronic Cases)

  • Lateral Internal Sphincterotomy (LIS): A small cut in the internal sphincter to reduce pressure. Heals ~95–98% in ~3 weeks; low risk of incontinence  

  • Alternatives: Advancement flap or fissurectomy, though LIS is preferred .


Prevention Tips

  • Keep stools soft: Fiber, water, stool softeners

  • Avoid straining; respond promptly to the urge  

  • Gentle toileting and good hygiene


 When to See a Doctor

  • Pain or bleeding persists after a few weeks of self-care

  • You suspect a chronic fissure or experience incontinence/persistent symptoms

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fissure treatment in Chennai - FAQs

How much does fissure surgery cost in Delhi?

Fissure surgery cost in Delhi can range between Rs. 45,000 to Rs. 55,000. But this price range is subject to change from person to person due to various factors. To know the exact cost of fissure surgery in Delhi, you can contact us.

What is the difference between acute and chronic anal fissures?

An anal fissure that heals within six [6] weeks is acute and anal fissures that last for six [6] weeks or more are called chronic anal fissures. Acute fissure can be treated with conventional treatment, but chronic fissure may require surgical intervention.

Are fissures and hemorrhoids the same?

An anal fissure is a small tear or cut in the lining of the anus. Hemorrhoids are a group of inflamed and swollen tissues in the anal area. If you suspect having any of these anorectal diseases, get consulted by the best proctologists at your nearest location.

What can happen if anal fissures are left untreated?

If anal fissures are left untreated, they can cause severe constipation, fecal impaction, pain in the anal area, sentinel pile, difficulty to do daily activities and can form an anal fistula. To avoid these, you should not delay the anal fissure treatment.

What is the permanent cure for anal fissure?

Regardless of the severity of your anal fissure, surgery is considered to be the permanenet cure for anal fissure. In case of anal fissure surgery, the chances of succes is much higher than open surgical treatment.