- male
- 35 Years
- 14/08/2025
I had fistula surgery 6 years ago but the problem is back again for the past year with pain, swelling, and pus or blood discharge. I'm thinking of getting laser surgery this time to fix it for good can you recommend a good clinic or doctor for this?
Answered by 1 Apollo Doctors
It's understandable that you're looking for a reliable solution for your recurring fistula. While laser surgery is a viable option, the best approach for you will depend on the specific nature of your fistula and your individual health history. Consulting with a qualified colorectal surgeon is crucial to determine the most suitable treatment plan
Dr. Kamran Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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View allI've been having a lot of swelling and really bad pain in my perineum and one side of my anus. I can feel this firm lump near the anus opening and the whole perineum area is super swollen and firm too. It's incredibly painful and sometimes I get the chills and a fever from all the pain. I've been taking paracetamol to help a bit, but the pain just keeps coming back when it wears off. It's been like this for three days now, and it's just getting worse. I tried sitting in hot water and it gives some temporary relief, but I'm worried. What could this be and how do I treat it?
Your symptoms, including severe pain, swelling, and a firm lump in the anal region, perineal swelling, chills, fever, and temporary relief with hot sitz baths and paracetamol, suggest a possible perianal abscess or anal fistula consult general surgeon
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I'm having a lot of pain right at the edge of my anus and lower back, and it's making it really hard to sit or go to the bathroom. I've also noticed some swelling in that area, and it hurts more if I try to stretch the muscle. Can you help me figure out what might be going on and suggest who I should see about this?
Could be an anal fissure or hemorrhoids. For confirmation you will have to consult a specialist. To help with the pain and discomfort, you can try using over-the-counter ointments like Anusol or Preparation H to help reduce swelling and promote healing. Additionally, taking a stool softener like Colace can help make bowel movements less painful. Make sure to drink plenty of water and eat a high-fiber diet to avoid constipation. If the symptoms persist or worsen, it is advisable to consult a gastroenterologist for further evaluation and management.
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I have piles but no pain so far and my doctor recommended surgery should I consider it right away or try medication first to see if it helps
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.

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