Piles, Fissure and Fistula Treatment in Gopalganj

Piles, Fissure and Fistula Care (Proctology)

At Dr. R.K. Thakur Hospital, Gopalganj, we treat piles, fissure, fistula and pilonidal sinus with privacy and respect, using laser and MIPH stapler surgery where suitable.

We provide piles fissure fistula treatment in Gopalganj at Dr. R.K. Thakur Hospital, where Dr. Rajnish Kumar Thakur, our founder and chief surgeon, treats piles (bawasir), anal fissure, fistula (bhagandar) and pilonidal sinus with privacy and respect. If you live with bleeding, pain, swelling or pus near the back passage, we give you honest advice on bawasir ka ilaj, including when medicines are enough and when laser, MIPH stapler or conventional surgery is better. Patients come to us from across Gopalganj district and from Siwan, Chhapra, Motihari, Bettiah, Kushinagar and Deoria, and many people looking for piles treatment near Siwan choose our hospital. Dr. Thakur has 16+ years of surgical experience and has performed more than 10,000 surgeries. Our hospital has both a diode laser and an MIPH stapler, so we can match the method to your problem. Please see him in our OPD, Monday to Friday, 10 am to 7 pm, or call or WhatsApp +91 72739 94786 with your questions first.

Proctology is the care of problems of the anus and the lower end of the bowel. Many people suffer for years with bleeding, pain or discharge because they feel shy to talk about it, or they try remedies that promise a quick cure. These problems are common and treatable, and at our hospital we treat them with full privacy and respect.

The common conditions are piles (बवासीर, swollen blood vessels that bleed or come out), fissure (a small cut in the anus that causes sharp pain and burning during stool), fistula (भगंदर, a small tunnel between the inside of the anus and the skin outside that keeps leaking pus) and pilonidal sinus (a painful, discharging opening near the tailbone). A perianal abscess, a painful pus-filled swelling near the anus, needs quick drainage.

Early piles and fissures often settle with fibre, water, stool softeners, warm sitz baths and medicines. When surgery is needed, we offer diode laser treatment for piles, fissure, fistula and pilonidal sinus in suitable patients, and MIPH stapler surgery for prolapsing piles. We perform conventional operations such as fissurectomy and fistulotomy or fistulectomy when they suit the problem better. Our surgeon explains which option is right for you.

Bleeding from the back passage is not always piles. If you are above 40, have lost weight or your bowel habit has changed, we may advise a colonoscopy through our endoscopy service. To understand these conditions better, please read piles, fissure and fistula: the difference.

Piles, Fissure and Fistula Care (Proctology) 1
Piles, Fissure and Fistula Care (Proctology) 2

Conditions we treat

  • Bleeding piles and piles that come out (haemorrhoids)
  • Painful clotted piles
  • Acute and chronic anal fissure
  • Fistula-in-ano, simple and complex
  • Perianal abscess (pus collection near the anus)
  • Pilonidal sinus near the tailbone
  • Itching, discharge and skin tags around the anus
  • Bleeding from the back passage that needs evaluation

Treatments in this department

Piles Treatment

We treat piles (haemorrhoids) with privacy and respect, from diet and medicines for early piles to laser treatment and MIPH stapler surgery when a procedure is needed, at Dr. R.K. Thakur Hospital, Gopalganj.

Fissure Treatment

We care for anal fissure (फिशर), the painful cut in the anus, at Dr. R.K. Thakur Hospital, Gopalganj. Most fissures heal with diet, sitz baths and ointments; for a chronic fissure, we may advise a small operation.

Fistula (Bhagandar) Treatment

We treat fistula in ano (भगंदर), a tunnel near the anus that keeps leaking pus, with careful tests, fistulotomy, fistulectomy or laser in selected cases, always protecting stool control, at our hospital in Gopalganj.

Pilonidal Sinus Treatment

We treat pilonidal sinus, the painful, pus-leaking pit near the tailbone, at our hospital in Gopalganj: abscess drainage, laser-assisted closure or excision surgery, with hair care advice to lower recurrence.

Facilities and approach

  • Examination in private, with dignity
  • Diode laser for piles, fissure, fistula and pilonidal sinus
  • MIPH stapler for suitable prolapsing piles
  • Diet, medicine and sitz bath advice for early disease
  • Colonoscopy when bleeding needs further evaluation
  • Our anaesthesia specialist, and a short hospital stay for most patients
  • Our Ayushman Bharat help desk to check coverage

Why patients choose us

Our treatment is led by Dr. Rajnish Kumar Thakur, Senior Consultant Laparoscopic, Laser, Urology and General Surgeon, with 16+ years of surgical experience and more than 10,000 surgeries performed. We have both a diode laser and an MIPH stapler, so we choose the method that suits your problem instead of one method for everyone. Endoscopy, a pathology laboratory and our anaesthesia specialist are under the same roof. We explain every option honestly, including when surgery is not needed, and we never promise a guaranteed cure.

Frequently asked questions

Is laser surgery for piles better than stapler surgery?

Each has its place. Laser is often used for suitable grade 2 and grade 3 piles, and many patients have less pain and return to work sooner. MIPH stapler surgery suits many prolapsing grade 3 and some grade 4 piles. Very large external piles may need conventional surgery. No single method suits everyone, and piles can come back if constipation continues. After examining you, our surgeon advises the best option for your grade of piles.

Who is the best doctor for piles and fistula in Gopalganj?

At our hospital, piles and fistula care is led by Dr. Rajnish Kumar Thakur, our founder and chief surgeon. He is an MS (General Surgery) surgeon with 16+ years of experience and more than 10,000 surgeries performed, and has worked at IGIMS Patna and Lady Hardinge Medical College, New Delhi. We have a diode laser and an MIPH stapler, and our hospital is rated 4.4 out of 5 from 84 Google reviews (September 2026). You can read our patients' reviews on Google.

I feel shy. How is the examination done?

Many people feel shy, and we understand. We examine you in private, it takes only a few minutes and we explain it to you first. Only the staff who are needed are present, and we keep your details confidential. A proper examination is important because piles, fissure, fistula and sometimes more serious conditions can have similar symptoms. Delaying the check-up usually makes treatment harder, so please do not wait.

Can a fistula be cured with medicines alone?

Usually no. A fistula is a tunnel that has formed between the inside of the anus and the skin. Medicines can reduce pain and pus for a while but rarely close it. Surgery, by laser or by conventional methods such as fistulotomy or fistulectomy, is usually needed. Complex fistulas may need more than one sitting. Our surgeon plans the operation carefully to protect the muscle that controls stool.

What is bawasir ka ilaj, and do all piles need an operation?

Bawasir ka ilaj means piles treatment. Not all piles need an operation. Early piles often settle with more fibre, plenty of water, stool softeners, warm sitz baths and medicines. We usually advise surgery, by laser, MIPH stapler or a conventional method, when piles keep bleeding, come out and do not go back, or cause anaemia. Our surgeon examines you and suggests the least invasive treatment that suits your grade of piles.

What happens at a first visit for piles fissure fistula treatment in Gopalganj?

Our surgeon first asks about your symptoms, bowel habits and medicines, then does a short examination in private. Sometimes a proctoscope, a small tube with a light, is used to see inside. This shows whether you have piles, a fissure, a fistula or something else. Some patients need blood tests, a colonoscopy, or an MRI at another centre for a complex fistula. We then give you a clear plan, with medicines or surgery explained in simple words.

What decides the cost of piles fissure fistula treatment in Gopalganj?

The cost depends on the diagnosis and the method, such as medicines only, laser, MIPH stapler or conventional surgery, the type of anaesthesia, tests before surgery, the length of stay, the room you choose and medicines after discharge. A complex fistula that needs more than one sitting costs more than a simple one. We do not quote a figure without an examination. After the consultation, we give you a clear written estimate before admission.

I am looking for piles treatment near Siwan. Is Gopalganj a good option?

Many of our patients with piles, fissure and fistula come from Siwan, Chhapra, Motihari, Bettiah and nearby Uttar Pradesh. Please call or WhatsApp us on +91 72739 94786 to ask your questions and fix a visit. Most planned procedures need only a short stay, and most patients go home within 1 to 2 days. Please plan for at least one follow-up visit, and bring an attendant and your old reports when you come.

Is piles, fissure or fistula surgery covered under the Ayushman card at our hospital?

Our Ayushman Bharat PM-JAY empanelment covers general and laparoscopic surgery packages, about 50 procedures. Whether your piles, fissure or fistula operation is included depends on the exact package and your eligibility. Please bring your Ayushman card and Aadhaar card to our help desk before admission, and we will tell you clearly whether it is covered. We explain the cost of anything that is not covered before treatment.

What should I eat to avoid constipation after treatment?

Eat more fibre: whole grains, dal, green vegetables, salad, fruits such as papaya and guava, and isabgol if advised. Drink plenty of water through the day. Cut down on very spicy and fried food, maida and alcohol. Do not strain or sit on the toilet for long, and use warm sitz baths as advised. Constipation is a common reason for piles and fissure to come back, so please keep these habits even after you feel better.

Sources and further reading

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This information is for general awareness and does not replace a consultation. Treatment depends on each patient's condition.

Our Specialists

Doctors in this department

Dr. Rajnish Kumar Thakur

Dr. Rajnish Kumar Thakur

Founder and Chief Surgeon: Laparoscopic, Laser, Urology and General Surgeon

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