Care course
Piles and anorectal care course
Who it may suit
Short answer: a piles and anorectal care course is a period of structured care, with a daily routine and follow-up, that Dr. D.K. Sharma may suggest after a ₹500 consultation. Book a consultation to discuss whether a course is available and suitable for you.
Urgent signs: bleeding that does not stop, black stool, or severe anal pain with fever needs in-person care today, not a course. The full list is under “What it does not promise”.
A piles and anorectal course is offered only after a consultation with Dr. D.K. Sharma (BAMS), and only if he thinks structured care would help more than one visit.
It may suit you if piles or a fissure keep returning, once the cause of the pain or bleeding has been looked at properly.
Bleeding from the back passage always needs its cause checked first. Some anorectal problems are surgical and are referred, so a course is not the first step for them.
What is different for piles and anorectal care
The order is the same for every course: consultation, then your Dinacharya guide, then a follow-up if a course is suggested. It is explained on care courses.
For piles, the consultation is mostly questions: how long it has gone on, when the pain or bleeding happens (during stool, after, or unrelated), your bowel habit, and what you have already used, including chemist creams. An examination is not automatic. If it is needed, the reason is explained first. Piles and anorectal concerns describes this in full.
Bring the cream or tablets you have tried. A video consultation can cover the history, but telling piles from a fissure usually needs an examination in Ludhiana.
Ask about course availability, follow-up and cost during your consultation.
What it does not promise
No course promises that piles will not return or that surgery will never be needed.
A fistula, heavy bleeding, or bleeding with weight loss or a change in bowel habit goes to a specialist first. Get in-person care today for bleeding that does not stop, black stool, or severe anal pain with fever.
Questions
Will I need an examination before a piles course?
Possibly. If the cause of pain or bleeding is unclear, an examination comes first, in Ludhiana or with another doctor.
Full answer
What does it cost?
The consultation costs ₹500. Ask about any course fees during the consultation.
Full answer
For background, see piles, itching or a lump, fissure pain or blood in stool. To start, book a consultation. All courses: care courses.









