Prolonged phone use on toilet causing haemorrhoids, say doctors
New Delhi, Feb 23 (PTI): Prolonged mobile phone use while sitting on the toilet is contributing to a surge in haemorrhoids and anal fistulas, doctors have said.
The habit, coupled with a sedentary lifestyle and poor diet, is putting increased strain on the rectal area, leading to painful conditions that often require medical intervention, they added.
Dr Jignesh Gandhi -- a senior robotic and laparoscopic surgeon at Gleneagles Hospital in Mumbai -- highlighted the concern, linking it to a sedentary lifestyle and excessive phone use in toilets.
He was speaking at the 74th foundation day of ESIC Hospital in Okhla on Saturday.
Dr Ravi Ranjan, a surgery specialist at the hospital, said it recorded more than 500 cases of haemorrhoids and fistulas in a year.
He pointed to poor lifestyle habits such as low water intake, excessive consumption of junk food and extended time on the toilet as key contributors.
Marengo Asia Hospital surgeon Dr Birbal said, "Chronic constipation from poor diet and prolonged time spent sitting on the toilet create a vicious cycle."
"This puts undue stress on the rectal area, leading to painful inflammation, which can result in haemorrhoids and, in severe cases, anal fistulas," he added.
The experts said the rising number of such cases was straining government hospitals.
They also highlighted the potential of minimally invasive procedures such as radiofrequency ablation of haemorrhoids under local anaesthesia (Rafaelo) to ease the burden.
"The Rafaelo procedure, approved by the US Food and Drug Administration and widely used in the UK's National Health Service, offers quicker recovery, same-day discharge, and reduced waiting times compared to traditional surgical methods," said Ranjan.
However, despite being introduced in India about three to four years ago, awareness about radiofrequency treatments remains low among surgeons, he noted.
In high-volume institutions such as ESIC and AIIMS, where patient backlogs extend for months due to limited operation theatres, radiofrequency ablation can prove to be revolutionary, the doctors said.
Since the procedure can be performed in minor operation theatres or outpatient department settings under local anaesthesia, they suggested it could help treat 40-50 patients a day in both government and private hospitals.
Doctors are urging greater awareness and adoption of advanced treatments such as Rafaelo to improve patient care while alleviating pressure on India's healthcare system.
Gleneagles Hospital's Gandhi said, "With wider adoption of radiofrequency procedures, we can ensure faster and more effective relief for patients while easing the load on hospitals."
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Grok obscene AI content: X submits response, IT Ministry examining it, say sources
New Delhi (PTI): The IT Ministry is examining the response and submissions made by X following a government directive to crack down on misuse of artificial intelligence chatbot Grok by users for the creation of sexualised and obscene images of women and minors, sources said.
X had been given extended time until Wednesday, 5 PM to submit a detailed Action Taken Report to the ministry, after a stern warning was issued to the Elon Musk-led social media platform over indecent and sexually-explicit content being generated through misuse of AI-based services like 'Grok' and other tools.
Sources told PTI that X has submitted their response, and it is under examination.
The details of X's submission were, however, not immediately known.
On Sunday, X's 'Safety' handle said it takes action against illegal content on its platform, including Child Sexual Abuse Material (CSAM), by removing it, permanently suspending accounts, and working with local governments and law enforcement as necessary.
"Anyone using or prompting Grok to make illegal content will suffer the same consequences as if they upload illegal content," X had said, reiterating the stance taken by Musk on illegal content.
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On January 2, the IT Ministry pulled up X and directed it to immediately remove all vulgar, obscene and unlawful content, especially generated by Grok (X's built-in artificial intelligence interface) or face action under the law.
In the directive on Friday, the ministry asked the US-based social media firm to submit a detailed action taken report (ATR) within 72 hours, spelling out specific technical and organisational measures adopted or proposed in relation to the Grok application; the role and oversight exercised by the Chief Compliance Officer; actions taken against offending content, users and accounts; as well as mechanisms to ensure compliance with the mandatory reporting requirement under Indian laws.
The IT Ministry, in the ultimatum issued, noted that Grok AI, developed by X and integrated on the platform, is being misused by users to create fake accounts to host, generate, publish or share obscene images or videos of women in a derogatory or vulgar manner.
"Importantly, this is not limited to creation of fake accounts but also targets women who host or publish their images or videos, through prompts, image manipulation and synthetic outputs," the ministry said, asserting that such conduct reflects a serious failure of platform-level safeguards and enforcement mechanisms, and amounts to gross misuse of artificial intelligence (AI) technologies in violation of stipulated laws.
The government made it clear to X that compliance with the IT Act and rules is not optional, and that the statutory exemptions under section 79 of the IT Act (which deals with safe harbour and immunity from liability for online intermediaries) are conditional upon strict observance of due diligence obligations.
"Accordingly, you are advised to strictly desist from the hosting, displaying, uploading, publication, transmission, storage, sharing of any content on your platform that is obscene, pornographic, vulgar, indecent, sexually explicit, paedophilic, or otherwise prohibited under any law...," the ministry said.
The government warned X in clear terms that any failure to observe due diligence obligations shall result in the loss of the exemption from liability under section 79 of the IT Act, and that the platform will also be liable for consequential action under other laws, including the IT Act and Bharatiya Nyaya Sanhita.
It asked X to enforce user terms of service and AI usage restrictions, including ensuring strong deterrent measures such as suspension, termination and other enforcement actions against violating users and accounts.
X has also been asked to remove or disable access "without delay" to all content already generated or disseminated in violation of applicable laws, in strict compliance with the timelines prescribed under the IT Rules, 2021, without, as such, vitiating the evidence.
Besides India, the platform has drawn flak in the UK and Malaysia too. Ofcom, the UK's independent communications regulator, in a recent social media post, said: "We are aware of serious concerns raised about a feature on Grok on X that produces undressed images of people and sexualised images of children".
"We have made urgent contact with X and xAI to understand what steps they have taken to comply with their legal duties to protect users in the UK. Based on their response, we will undertake a swift assessment to determine whether there are potential compliance issues that warrant investigation," Ofcom said.
