- male
- 40 Years
- 14/08/2025
I have a painful swelling near my anus but no bleeding, is surgery the only option or can it be treated another way? Also what foods should I stay away from to help with this?
Answered by 1 Apollo Doctors
It could be a perianal abscess or thrombosed pile; sitz baths, pain meds, and dietary changes help—surgery is needed only if it worsens.
Dr. Dhankecha Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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I've been dealing with piles for a while now and my doctor recommended surgery but I'm really nervous about it - is surgery the only option or are there other treatments I could try first
For advanced cases (Grade III and IV) or when non-surgical methods fail, surgical intervention may be the best option. Common surgical procedures include: Hemorrhoidectomy: This involves the complete removal of hemorrhoids and is highly effective for severe cases.
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I'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
Answered by 1 Apollo Doctors
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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.