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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Budapest/Washington: US Vice President J D Vance has said that Lebanon was never included in the ceasefire understanding with Iran, describing the confusion as a “legitimate misunderstanding”.

Speaking to reporters before departing from Hungary, Vance said, “I think the Iranians thought that the ceasefire included Lebanon and it just didn’t. We never made that promise.”

He stressed that the United States had not included Lebanon in the scope of the ceasefire at any stage.

His remarks come amid continued Israeli strikes in Lebanon, where more than 200 people were reported killed, even as ceasefire talks between Iran and the US move forward.

Vance said Israel had “offered … to check themselves a little bit in Lebanon because they want to make sure that our negotiation is successful”.

He warned that if Iran allows the situation in Lebanon to affect the negotiations, it could derail the talks.

“If Iran wants to let this negotiation fall apart in a conflict where they were getting hammered over Lebanon, which has nothing to do with them and which the United States never once said was part of the ceasefire, that’s ultimately their choice,” he said.