Ans: Bunches of blood vessels in the anus called anal cushions, when enlarged/bleed are called piles


a. Bleeding with motion.

b. Swelling/mass projecting from anus.

c. Pain – when blood clots inside.

d. Fullness in rectum/ feeling of incomplete passing of motion.

e. Others – itching, soiling etc.

Ans: For any bleeding, examination of anal canal and rectum by proctoscopy/ preferably video rectoscopy at the earliest is a must, to diagnose the cause of bleeding and exclude diseases like cancer, ulcerative colitis etc.


a) Chronic constipation( straining and difficulty in passing stools).

b) Prolonged sitting.

c) Dry and spicy food.

d) Pregnancy.

e) Smoking or alcoholism.

f) Mental stress.


Healthy life style .

a) Active physical life.

b) Semi- solid high fibre diet.

c) Avoid alcohol, smoking, junk food, spicy food.

d) Stress free life.


a) 1st degree Piles (early stage) – Life style changes and a few medicines.

b) 2nd degree Piles – Non invasive procedures like IRC.

c) 3rd and 4th degree (late stage) – Minimally invasive hi-tech procedures like DG-HAL LASER TREAT MENT WITH NEO V SYSTEM

Ans: 10 to 24 hours depending on the stage

Ans: Minor procedures 1- 2 days. Later stages 4-5 days

Ans: 10 – 30 minutes

Ans: Local/ short general/ spinal

Ans: Negligible

Ans: Almost nil

Ans: Varies between Rs.50,000 to Rs. 1,20,000 depending on stage of disease and procedures done.

Ans: No


Ans: No

Ans: It is the glucose intolerance with onset or 1st recognition during pregnancy

Ans: It is due to the maternal metabolic changes occurring during the pregnancy. Most of which are designed to provide continuous supply of energy and nutrients to the growing fetus as also the nutritional needs of the mother.

Ans: There may not be any major symptoms

Ans: May be a general ill health and also a future chance of being a diabetic later.

Ans: It affects the baby in plethora of ways like congenital anomalies if in very early pregnancy, to very big babies, respiratory distress at birth and may be still birth also.

Ans: Most of the times it reverts to normal and in severe cases may be retained as diabetes.

Ans: The following are the risks like obesity, family history of diabetes, member of high ethnic group, elderly gravida, PCOS etc.

Ans: We use a single test called OGCT at the 1st visit of the lady for checkup

Ans: The tests are regular self-monitoring of blood, glucose, Hb AIC (Lab)

Ans: Have to avoid risk factors like obesity and take proper diet (avoiding excess calories) with ample amount of physical activity.

Ans: Dermatologists are qualified to treat any problem affecting the skin(psoriasis, eczema, pimples, allergies, lichen planus), hair(hairloss, dandruff) or nails(in-growing nails, nail infections). We also treat Sexually Transmitted Diseases(STDs/VD) and Leprosy.

Ans: Acne or pimples, are disorders of the pilosebaceous unit or oil glands. Acne occurs on the face, chest, back and upper arms. Diseases like rosacea, acneform eruptions, folliculitis and They are self limiting but leave behind permanent scars in severe cases. They are treated medically by application of creams, antibiotic tablets, isotretinoin tablets and hormone therapy. Procedures like IPL and chemical peels are combined with medical therapy for longer lasting results.

Ans: Hair loss is multifactorial.

a. Telogen hair loss is a form of temporary hair shedding by the body in response to stressful factors like illness(fever), anemia, pregnancy, mental stress and nutritional deficiency. It can also result from dandruff and other infections of the scalp, hormonal imbalance (thyroid disorders), due to certain medicines and change in weather or place of living.

b. Male and female pattern hair loss. This is a genetically determined progressive hair loss which leads to balding over a period of a few years. People with a family history of baldness tend to get affected earlier and more severely. Male hormones play a major role in this type of hair loss.

c. Alopecia Areata. An autoimmune disease where our body’s defense cells or white blood cells attack the hair roots anywhere in the body leading to circular or oval patches of baldness. Common in scalp and beard area but can occur anywhere in the body. d. Others(rare causes). Hair shaft disorders(in children), Lupus, chemotherapy, lichen planopilaris, pseudopelade of Broq, frontal fibrosing alopecia, follicular mucinosis.

Ans: Yes, depending on the cause. If there is no scarring or loss of follicles in the area of hair loss it can be treated. Various applications, shampoos and tablets are available. Procedures like intra-lesional triamcinolone or PRP injections are required in some cases.

Ans: A hair transplant is a surgery where individual hair follicles are taken from the patient’s own body and transplanted into area which are balding. Transplanted hair grow like normal hair, can be combed, cut or shaved and are more resistant to balding.

Ans: Hair loss can be covered up by micro tattoos which give the appearance of a recently shaved head. Hairpieces and wigs can be used designed for each individual to look natural. Instant hair fibre is a powder that resembles natural hair and can be used to temporarily cover bald areas.

Ans: it is a disease where white patches start developing all over the body over a period of months to years. It is due to destruction of pigment producing cells called melanocytes.

Ans: Vitiligo can be treated. Treatment includes limiting the spread of disease and inducing repigmentation.

a. Medical therapy with tacrolimus, psoralens, corticosteroids

b. Tablets to limit spread of disease

c. Phototherapy (PUVA, Narrow band UVB, broad band UVB, Excimer lamp)

d. Vitiligo surgery: UTEG, Melanocyte transfer, mini punch grafting

e. Camouflage: Tattooing, concealer agents (in areas resistant to all forms of treatment)

Ans: Light or Laser energy is used to destroy hair follicles without damaging the surrounding skin. Various devices like IPL, Diode, Nd YAG, Alexandrite etc. are used for this. LASER therapy does not pose any risk and is safe to do in all age groups. The results are usually very long lasting (several years) and in many cases permanent. The process involves multiple monthly sessions over a period close to 1 year or more.

Ans: scars are permanent marks on the skin after damage to the deeper layers of skin. Scars can be due to previous skin disease like Acne (pimples), due to surgeries or trauma (accidents). Procedures like fractional CO2 LASER, Dermaroller, Subcision and PRP are used depending on type of scars. These treatments are done in multiple sessions lasting 9 months or more. Gradual improvement can be noticed in every session, usually after the first 3 months.

Ans: Anti-ageing therapy is multifold. Treatment varies from application of anti-ageing creams and regular use of sunscreens to advanced procedures like LASERs, Botox, Fillers and PRP. LASERs are used to remove scars and pores and improve quality of the skin, Botox/Neuronox is used to treat wrinkles, Fillers are materials injected into areas which have lost volume to give them a full look again.

Ans: a. No false promises, no hidden charges.

b. We believe in accurate diagnosis, prompt treatment and carefully monitoring our patients during treatment.

c. We spend sufficient time discussing patient’s doubts regarding the diagnosis and treatment.

d. We are equipped with an in house laboratory and attached to a hospital in case any other facilities are required.

e. Our dermatologist is specially trained in LASERs, Cosmetology and Dermatosurgery.

f. Charma is equipped with a state of the art LASER operating room where all procedures are performed by the Dermatologists only.

g. Available throughout the day and over the phone in case of doubts.

h. Virtual consult facility is available for those who cannot come for follow up visits which saves your travel time, waiting time and costs involved in travel.

Ans: a. Online through our website

b. By calling our front desk 080-26597027/9880003953