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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Shanghai (PTI): The Indian trio of Deepika Kumari, Ankita Bhakat and teenager Kumkum Mohod held their nerve in a tense shoot-off to beat home favourites China and clinch the women's recurve team gold medal at the Archery World Cup Stage 2 here on Sunday.

In a final marked by fluctuating fortunes, India edged past the home side 5-4 (28-26) in the shoot-off after the four-set regulation ended 4-4.

The victory was especially sweeter as India had earlier stunned record 10-time Olympic champions South Korea in the semifinals en route to their first World Cup women's team gold since 2021.

Deepika, who was also part of India's World Cup-winning teams in Guatemala City and Paris in 2021, now has seven World Cup team gold medals to her name since 2010.

It was also the Indian women recurve team's first World Cup medal in three years, its previous podium finish coming in Stage 4 in Paris in 2023 where Ankita was a member of the winning team.

India's campaign in Shanghai has thus already yielded two medals after compound archer Sahil Jadhav opened the country's account, securing a bronze on Saturday.

India also remained in contention for another podium finish later in the day with recurve archer Simranjeet Kaur set to compete in the semifinals. She is a win away from her maiden individual World Cup medal.

Travelling without a full-time national coach amid the continuing impasse over appointments, it was the vastly experienced Deepika who led from the front, constantly motivating her teammates during breaks and changeovers.

Prafull Dange, who was the designated women's recurve coach after his ward Kumkum topped the national trials, largely remained in the background as Deepika guided the side through the pressure moments against a hostile home crowd and vocal Chinese support staff.

Against a young Chinese side comprising Zhu Jingyi, Huang Yuwei and teenage archer Yu Qi, who all made their World Cup debuts only last year, India looked in control initially but nearly let the match slip after taking the opening set (54-53).

Shooting last in the Indian order, Deepika set the tone with successive 10s as India edged the first set despite Ankita (8-8) and 17-year-old Kumkum (10-8) putting up an inconsistent show.

Deepika continued her fine rhythm in the second set with another perfect 10 as India briefly held a one-point advantage (28-27) midway through the end. But China responded strongly with two 9s and a 10 in their final three arrows of the second set to post 55.

Ankita replied with a 9, but Kumkum managed only an 8, leaving Deepika needing a 10 to level the set.

The four-time Olympian, however, slipped to a 7 as India lost the set 52-55 and China drew level at 2-2.

The hosts then moved ahead in the third set. The teams were initially tied at 56, but a review upgraded China's final arrow from 8 to 9, handing them the set 57-56 and a 4-2 lead.

India appeared on the verge of defeat in the fourth set despite Deepika rediscovering her touch with two 10s. Kumkum's final arrow landed in the 7-ring as India posted a modest 54.

China required two 10s and a 9 from their last three arrows to seal the match.

Zhu and Huang delivered perfect 10s, leaving 18-year-old Yu Qi needing a 9 for victory in front of the home crowd.

But the youngster shot an 8, allowing India a dramatic escape and forcing a shoot-off.

The Indians peaked at the right moment in the decider. Ankita opened with a 9, Kumkum followed with a superb 10, and Deepika calmly delivered a 9 when only an 8 was needed to seal the title.