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Piles & Fistula Treatment in India for Bangladeshi Patients

What Are Piles and Fistula?

Piles and fistula affect the anus and cause swelling, pain, and discomfort. Though they involve the same area, they are different conditions.

A hemorrhoid, also called piles, is a swollen blood vessel inside or outside the anus. Pressure from straining, constipation, pregnancy, or sitting for long periods can cause veins to swell, leading to bleeding and swelling outside the anus (hemorrhoid symptom).

A fistula is a small tunnel that forms between the bowel and the skin near the anus, usually after an untreated infection. Many people ask, why does anal fistula occur? It mainly happens when an abscess drains and leaves a tunnel that does not heal.

Why Do Piles Occur?

Piles happen when there is too much pressure on the veins in the anus or rectum. This pressure causes the veins to swell and form piles.

Causes of Piles

  • Straining during bowel movements: Hard stools or constipation make people push harder, increasing pressure inside the anus.
  • Chronic constipation or diarrhoea: Ongoing problems with bowel movements weaken the veins over time.
  • Sitting for long periods: Sitting too long, especially on the toilet, adds pressure to the anal area.
  • Pregnancy: The growing baby increases pressure in the lower body, which can cause piles.
  • Obesity: Extra weight in the body puts more strain on the veins.
  • Low-fibre diet: Eating less fibre leads to harder stools and more straining during passing stool.
  • Ageing: As people get older, the tissues that support the veins in the rectum can weaken.

Small changes in daily habits like eating more fibre and avoiding long sitting can help lower the risk of piles. If piles develop, medical treatment may be needed for relief.

Why Does Anal Fistula Occur?

An anal fistula forms when an infection near the anus creates an abscess, which then drains and leaves a small tunnel under the skin. If the abscess does not heal properly, a fistula develops.

Causes of Anal Fistula

  • Anal abscess: An untreated abscess is the most common cause of fistula.
  • Inflammatory bowel disease: Conditions like Crohn’s disease cause long-term bowel inflammation and can lead to fistulas.
  • Tuberculosis: TB infections can sometimes cause fistulas around the anus.
  • Cancer: Rarely, cancer of the rectum or anus can cause a fistula.
  • Injury: Trauma or surgery near the anal area may lead to a fistula if healing is poor.

Anal fistulas do not heal on their own. Medical treatment is important to prevent infection, ongoing pain, and further complications.

Symptoms of Piles and Fistula

Piles and fistula cause discomfort and changes around the anus. Recognising early signs can help patients seek the right care.

Symptoms of Piles

  • Swelling outside the anus (hemorrhoid symptom): A soft lump that may hurt or bleed.
  • Bleeding during bowel movements: Blood on the stool or toilet paper.
  • Pain or discomfort: Especially while sitting or passing stool.
  • Itching and irritation: Around the anus due to swollen veins.
  • Feeling of incomplete bowel movement: A sense of pressure even after passing stool.

Symptoms of Fistula

  • Pain around the anus: Ongoing or sharp pain, especially while sitting.
  • Pus or fluid leakage: Continuous discharge from a small hole near the anus.
  • Redness and swelling: Skin near the anus becomes tender.
  • Bad smell: Due to infected fluid leaking from the fistula.
  • Fever: When infection spreads deeper.

In many cases, a fistula appears as a small hole or swelling near the anus, often leaking pus. Some patients search for a picture of fistula disease online to understand how the condition looks before visiting a doctor.

When These Symptoms Lead to Treatment

Piles and fistula may start with mild signs. But if symptoms do not improve, or if they get worse, medical treatment becomes necessary.

Treatment should be considered if:

  • Bleeding continues beyond a few days or becomes heavier.
  • Swelling becomes larger, more painful, or harder.
  • Pus or foul-smelling discharge continues from the anus.
  • Pain during sitting or bowel movements increases.
  • Fever, chills, or weakness appear.

Quick action helps avoid bigger complications like infections or severe swelling. Bangla Health Connect can help you consult with experienced surgeons at Apollo Hospitals if these symptoms appear.

Get Expert Piles & Fistula Treatment in India
We assist Bangladeshi patients with piles & fistula treatment in India, including consultations, hospital selection, and comprehensive support.

Why Choose India for Piles and Fistula Treatment?

India is one of the best choices for patients needing piles and fistula treatment. Hospitals offer modern surgery techniques, experienced doctors, and affordable costs, making it a trusted destination for many Bangladeshi patients.

The main reasons to choose India for piles and fistula treatment are:

  • Experienced surgeons: Indian doctors treat thousands of cases every year. They are trained in using advanced methods like laser surgery for better results.
  • Advanced technology: Hospitals use laser techniques, minimally invasive procedures, and fast recovery plans that reduce hospital stay and pain.
  • Affordable cost: Surgery costs in India are much lower compared to many other countries while maintaining high-quality care.
  • No long waiting time: Patients can get appointments, tests, and surgeries done quickly without long delays.
  • Language and support: Many hospitals offer Bengali-speaking coordinators through Bangla Health Connect, making the treatment journey smoother for Bangladeshi families.

Choosing India helps patients access skilled doctors, expert care, shorter recovery time, and better chances of a full recovery, without a high financial burden.

Best Hospitals in India for Piles and Fistula Treatment

Many Apollo Hospitals across India are well known for treating piles and fistula using advanced techniques. These hospitals offer experienced surgeons, laser surgery options, and full support for Bangladeshi patients through Bangla Health Connect.

Here are some of the best Apollo Hospitals for piles and fistula treatment:

অ্যাপোলো চেন্নাই, গ্রীমস রোড

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অ্যাপোলো হাসপাতাল চেন্নাই, গ্রীমস লেন, ২১ গ্রীমস রোড, থাউজেন্ড লাইটস, চেন্নাই, তামিলনাড়ু ৬০০০০৬

অ্যাপোলো হাসপাতাল দিল্লী

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অ্যাপোলো হাসপাতাল দিল্লী, ইন্দ্রপ্রস্থ অ্যাপোলো হাসপাতাল, মথুরা রোড, সারিতা বিহার, নিউ দিল্লী, দিল্লী ১১০০৭৬

অ্যাপোলো হাসপাতাল হায়দ্রাবাদ, জুবিলি হিলস

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অ্যাপোলো হাসপাতাল জুবিলি হিলস হায়দ্রাবাদ, রোড নম্বর ৭২, ভারতীয় বিদ্যা ভবন স্কুলের বিপরীতে, ফিল্ম নগর, হায়দ্রাবাদ, তেলেঙ্গানা ৫০০০৩৩

অ্যাপোলো ব্যাঙ্গালোর, ব্যানারঘাট্টা রোড

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অ্যাপোলো হাসপাতাল ব্যাঙ্গালোর, ব্যানারঘাট্টা রোড, আইআইএম এর বিপরীতে, ১৫৪/১১, ব্যানারঘাট্টা রোড, ব্যাঙ্গালোর, কর্ণাটক - ৫৬০০৭৬

অ্যাপোলো হাসপাতাল মুম্বাই

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অ্যাপোলো হাসপাতাল মুম্বাই প্লট # ১৩, অফ উরান রোড, পারসিক হিল রোড, সেক্টর ২৩, সিবিডি বেলাপুর, নাভি মুম্বাই, মহারাষ্ট্র ৪০০৬১৪

অ্যাপোলো হাসপাতাল আহমেদাবাদ

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অ্যাপোলো হাসপাতাল আহমেদাবাদ, প্লট নং ১এ, ভাট জিআইডিসি এস্টেট, জেলা - গান্ধীনগর, আহমেদাবাদ, গুজরাট ৩৮২৪২৮

Apollo Adlux Hospital

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Apollo Adlux Hospital, Adlux Convention Centre, Karukutty, Angamaly, Kochi, Kerala 683572, India.

অ্যাপোলো হাসপাতাল কলকাতা, সল্ট লেক

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অ্যাপোলো মাল্টিস্পেশালিটি হাসপাতাল, কলকাতা, ৫৮, ক্যানাল সার্কুলার রোড, কাদাপাড়া, ফুল বাগান, কাঁকুড়গাছি, কলকাতা, পশ্চিমবঙ্গ ৭০০০৫৪

These hospitals follow global treatment standards and offer smooth support with help from Bangla Health Connect teams for international patients.

Cost of Piles and Fistula Treatment in India

The average cost of piles and fistula treatment in India ranges from ₹30,000 to ₹1,20,000 (approximately $400 to $1,450). Prices are much lower than in countries like the US, Singapore, or the Middle East. The final cost may vary based on multiple factors such as the treatment method, hospital location, and severity of the condition. Before viewing the detailed table of treatment-wise costs, it's helpful to understand what influences these expenses most.

Factors That Affect the Cost

  • Type of treatment: Laser surgery costs more than traditional surgery but offers faster healing.
  • Severity of the condition: Complex cases may need advanced surgeries.
  • Stay duration: Longer stays for recovery or infection control add to the cost.

Cost Breakdown of Piles and Fistula Treatment in India

The average cost of piles and fistula treatment in India depends on the type of surgery, how severe the condition is, and which hospital or city is chosen.

Laser Piles Surgery
Approximate Cost in USD
$550 - $1,400
Approximate Cost in INR
₹45,000 - ₹1,15,000
Approximate Cost in BDT
৳65,000 - ৳1,70,000
Stapler Piles Surgery
Approximate Cost in USD
$500 - $1,100
Approximate Cost in INR
₹40,000 - ₹90,000
Approximate Cost in BDT
৳60,000 - ৳1,25,000
Open Hemorrhoidectomy
Approximate Cost in USD
$450 - $1,150
Approximate Cost in INR
₹35,000 - ₹95,000
Approximate Cost in BDT
৳50,000 - ৳1,35,000
Traditional Fistula Surgery
Approximate Cost in USD
$400 - $1,200
Approximate Cost in INR
₹30,000 - ₹1,00,000
Approximate Cost in BDT
৳45,000 - ৳1,40,000
Laser Fistula Surgery (FiLaC)
Approximate Cost in USD
$650 - $1,450
Approximate Cost in INR
₹55,000 - ₹1,20,000
Approximate Cost in BDT
৳80,000 - ৳1,70,000

Note - The costs listed are approximate and may vary based on hospital, location, and patient needs. Consult the healthcare provider for accurate and updated information.

The currency conversion rates in the table above are based on data from June 2025.

For more help on cost estimates and personalised guidance, contact Bangla Health Connect for piles and fistula treatment costs at Apollo Hospitals in India.

Success Rate and Outcomes of Piles and Fistula Treatment

Piles and fistula treatments in India show strong results, especially when diagnosed early and treated with the right procedure. With advanced technology and experienced surgeons, most patients recover well and return to daily activities without long-term issues.

Success Rate of Piles Treatment

  • Laser piles surgery (laser hemorrhoidoplasty) has shown a success rate of approximately 82% in relieving symptoms of Grade II to IV hemorrhoids.
  • Stapler surgery offers a fast recovery and fewer complications compared to open surgery.
  • Open surgery works well but may involve more discomfort and longer healing.

Most patients get relief from pain, bleeding, and swelling soon after surgery. Recurrence is low when follow-up care and diet changes are followed.

Success Rate of Fistula Treatment

  • Laser fistula surgery (FiLaC) has shown a healing success rate of  71% to 82% in multiple studies on anorectal fistulas, with no serious complications reported.
  • Traditional fistulotomy also has a good outcome, but may require longer wound care.
  • In complex or deep fistulas, repeat procedures or advanced techniques like LIFT may be needed.

Treating fistula early reduces the chance of infection and long-term drainage. Recovery improves when surgery is supported by proper wound care and follow-up.

What Does “Success” Mean in These Treatments?

  • Relief from symptoms like bleeding, pain, or pus discharge
  • No further recurrence or need for second surgery
  • Faster return to work and normal bowel habits
  • Minimal scarring and shorter hospital stay (especially with laser)

Apollo Hospitals' Track Record

Apollo Hospitals in India provide advanced laser surgery for piles and minimally invasive procedures for fistula, including VAAFT and fistulotomy. Treatment options are selected based on the condition's severity.

The surgical teams are experienced in managing simple and complex cases. Apollo focuses on reducing complications, lowering recurrence rates, and helping patients recover faster.

Expert Insights

Dr. Venkatesh Munikrishnan shares first-line lifestyle tips for managing hemorrhoids, including diet and hydration advice

Dr. Venkatesh Munikrishnan, Head of Colorectal Surgery at Apollo Hospitals Chennai, explains:

“It’s important to remember when a diagnosis of hemorrhoid or pile is made, the first line treatment would be lifestyle modification, which will include increasing water intake, reducing the intake of red meat and a high fibre diet. A doctor will add a simple laxative to free your bowel movement. These simple measures usually settle your symptoms. If symptoms persist, you should see a doctor for further surgical management.”

Dr. N Srinivasaiah shares expert advice on hemorrhoids and their symptoms during an awareness video at Apollo Hospitals

Dr. Narasimhaiah Srinivasaiah, Senior Consultant in Colorectal Surgery at Apollo Hospitals Bangalore, states that:

“Hemorrhoids are present in every individual. When they get enlarged and start causing symptoms, we call them pathological or problematic hemorrhoids. Normally they help us in giving that cushioning into the anal canal, they cause tightness in the back passage to prevent leakage. But when they do get troublesome or problematic, they can cause prominent lumps, leakage, itching, and bleeding.”

Apollo’s team approach and advanced technology give Bangladeshi patients a better chance at recovery, especially when treatment begins early.

How Bangla Health Connect Supports Bangladeshi Patients

Bangla Health Connect helps Bangladeshi patients access safe and affordable treatment for piles and fistula at Apollo Hospitals in India. The support starts from the first contact and continues until after the treatment is complete.

Medical Guidance and Doctor Appointments

Visa and Travel Support

Treatment Cost Assistance

  • Bangla Health Connect helps patients receive cost estimates for piles and fistula surgeries.
  • Patients can compare treatment options across different Apollo Hospitals without hidden charges.
  • Cost transparency helps families plan their expenses better.

Language and Follow-up Support

  • Bengali-speaking advisors guide patients throughout the treatment journey.
  • Support continues after surgery for post-treatment queries and follow-up planning.

We ensure Bangladeshi patients feel supported, informed, and confident during their medical journey in India. Reach out to Bangla Health Connect to start your treatment journey with peace of mind.

Note: Bangla Health Connect does not provide medical advice of any kind.

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FAQs

What is hemorrhoid?

A hemorrhoid, also called piles, is a swollen blood vessel inside or outside the anus that causes pain, bleeding, and discomfort.

Why do piles occur?

Piles occur mainly due to pressure in the lower rectum caused by straining during bowel movements, constipation, pregnancy, or sitting for long periods.

Why does anal fistula occur?

Anal fistula happens when an abscess near the anus drains but does not heal properly, leaving a small tunnel between the bowel and the skin.

What are the symptoms of piles and fistula?

Symptoms include swelling outside the anus, bleeding during bowel movements, pus or fluid leakage, pain during sitting, and in some cases, fever.

What is the cost of piles surgery in India?

The approximate cost of piles surgery in India ranges from $500 to $1,400, depending on the type of surgery, hospital, and city.

How does Bangla Health Connect help Bangladeshi patients?

Bangla Health Connect assists with doctor appointments, cost estimates, visa papers, hospital coordination, travel booking, and follow-up support, all handled in Bengali for better comfort.

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