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Kavya Patel

Recovered
PT-10253MRD/2024/485626 yrs · Female+91 88823 54036Kochi
Blood Group
A-
BMI
19.9
Surgeon
Dr. Thomas Mathew
Surgery Date
29 Mar 2026

Patient Information

Full Name
Kavya Patel
Age / Gender
26 yrs · Female
Contact
+91 88823 54036
MRD Number
MRD/2024/4856
Blood Group
A-
City
Kochi
Admission Date
27 Mar 2026
Anaesthesia
Regional
BMI
19.9

Clinical Findings

Chief Complaint
Bleeding per rectum with prolapsing mass

Symptoms

PruritusProlapsing massRectal bleedingMucoid discharge
Duration of Symptoms
10 months
Diagnosis
Grade III Internal Hemorrhoids

Past Medical History

Smoker

Investigations

TestResultStatus
Complete Blood CountHb 13.4 g/dLNormal
MRI Pelvis / FistulogramNo abnormal tractNormal
ProctoscopyChronic fissureAbnormal
HistopathologyBenign, no malignancyNormal

Surgery Details

Procedure
Open Hemorrhoidectomy
Surgeon
Dr. Thomas Mathew
Anaesthesia
Regional
Duration
83 min
Blood Loss
72 ml
Date
29 Mar 2026

Operative Note

Laser ablation of hemorrhoidal cushions under spinal anaesthesia.

Post Operative Notes

Patient tolerated procedure well. Vitals stable. Shifted to ward in satisfactory condition.

Follow Up History

  1. 16 Apr 2026Pain score: 9/10
    Recovery: ExcellentMedication: Topical GTN 0.2%

    Continue sitz baths

  2. 08 May 2026Pain score: 5/10
    Recovery: On trackMedication: Diclofenac SR

    Continue sitz baths

  3. 22 May 2026Pain score: 3/10
    Recovery: SlowMedication: Cefixime 200mg

    Continue sitz baths

  4. 17 Jun 2026Pain score: 0/10
    Recovery: ExcellentMedication: Diclofenac SR

    Suture line clean

Diagnosis & Treatment

Primary Diagnosis

Grade III Internal Hemorrhoids

Piles (Hemorrhoids)
Planned Treatment
Open Hemorrhoidectomy
Next visit: Discharged

Complications

No complications recorded — uneventful recovery.

Attached Images

Pre-op Photo
MRI Scan
Histopath
Post-op Photo

Sample attachments · demo placeholders