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MGDr Manoj GuptaLiver Transplant & GI Surgeon · Noida
Home/Conditions/Piles, Fissure & Fistula

Piles, Fissure & Fistula Treatment in Noida

Bleeding, pain or discharge from the anal region is common and very treatable — but it needs a proper examination to rule out serious causes. Dr Manoj Gupta offers the full range of treatment from diet and medicine to laser, stapler and sphincter-saving fistula surgery.

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Piles, Fissure & Fistula illustration
Piles, Fissure & Fistula — what happens inside the body

Do these symptoms sound familiar?

  • Fresh red blood on the stool or tissue
  • Painful swelling near the anus
  • Sharp pain during and after passing stool (fissure)
  • Recurrent boil or pus discharge near the anus (fistula)
  • Itching, mucus or a feeling of incomplete evacuation

When not to wait

Go to the hospital emergency or call +91 98180 40155 the same day if you have:

  • Severe pain that does not settle in a few hours
  • Fever with abdominal pain, or vomiting that won't stop
  • Yellow eyes, dark urine or black stool
  • A swelling that cannot be pushed back
Dr Manoj Gupta in the operating theatre
Laparoscopic and robotic surgery at Yatharth Hospital

How Dr Gupta treats it

  • Grade 1–2 piles: medicines, diet and banding — no surgery
  • Grade 3–4 piles: laser haemorrhoidoplasty or stapler haemorrhoidopexy, day-care
  • Chronic fissure: lateral sphincterotomy or laser, home the same day
  • Fistula: MRI mapping, then laser (FiLaC), LIFT or fistulectomy, preserving continence

Piles, Fissure & Fistula at a glance

Typical figures for an uncomplicated case; Dr Gupta will give you numbers for your own situation.

20–45 minsurgery time
Day-carehospital stay
2–5 daysback to routine
Spinal / short GAanaesthesia
Cashlessmost insurers & TPAs

What to expect, step by step

  1. Consultation

    Reports reviewed on screen, examination, honest advice on whether surgery is needed.

  2. Tests & fitness

    Ultrasound/CT/MRI as needed, blood tests, anaesthesia check, insurance pre-approval.

  3. Surgery

    Laparoscopic, robotic or open at Yatharth Hospital, Greater Noida. Family briefed immediately after.

  4. Recovery & follow-up

    Early walking and eating, discharge plan, follow-up at the hospital, the Indirapuram clinic or by video.

Enhanced recovery: early walking, early eating, early discharge
Enhanced recovery: early walking, early eating, early discharge

Why choose Dr Manoj Gupta for piles, fissure & fistula in Noida

  • A GI surgeon's examination rules out colorectal cancer, which can mimic piles
  • Modern, low-pain techniques with minimal time off work
  • Complex and recurrent fistulas managed with MRI-guided planning

Searching for "piles doctor near me" or "laser piles treatment Noida"? Dr Gupta consults at Yatharth Super Speciality Hospital, Greater Noida and at his Indirapuram clinic in the evening — convenient for patients from Noida, Ghaziabad, East Delhi, and from Meerut, Bulandshahr, Hapur, Muzaffarnagar and Roorkee by expressway.

Dr Manoj Gupta with the da Vinci Xi robotic surgical system
Yatharth Super Speciality Hospital, Greater Noida

Why choose Dr Manoj Gupta for piles, fissure & fistula

  • Senior Director & Head of Robotic and Laparoscopic GI Surgery at Yatharth Super Speciality Hospital — full robotic suite, liver ICU and 24×7 emergency team.
  • Trained where the difficult cases go: DNB in GI Surgery at Sir Ganga Ram Hospital, liver transplant fellowships at Apollo and Ganga Ram.
  • 500+ liver transplants — the bleeding control and bile-duct skills that make every abdominal operation safer.
  • Straight answers. Dr Gupta reviews your scans himself and only recommends surgery when it will help.

Questions patients ask about piles, fissure & fistula

Do all piles need surgery?

No. Most early piles settle with high-fibre diet, fluids and medicines. Surgery is advised only for persistent bleeding, prolapse or large piles.

Is laser piles treatment painful?

Laser treatment is done under short anaesthesia. Post-operative pain is much less than conventional surgery and most patients return to work in 2–3 days.

Can a fistula heal with medicine?

A fistula is a tunnel that does not close on its own. Antibiotics only control infection temporarily. Definitive treatment is surgical, chosen according to the fistula's path on MRI.

I'm bleeding from the anus — is it cancer?

Usually it is piles or a fissure, but bleeding after 40, with weight loss or change in bowel habit, must be evaluated. Dr Gupta can arrange a colonoscopy quickly if needed.

Not sure if you need surgery? Ask first.

Bring your reports for a clear, honest opinion. Same-day and evening appointments available.

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