- male
- 40 Years
- 14/08/2025
I have stage L4 piles and a leading hospital in Chennai recommended surgery. Is normal surgery the better option or should I go for the HAL procedure? Are there still any non-surgical treatments I can try at this stage?

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I'm really worried because I had stapler surgery for piles about two months ago, and now I'm starting to experience the same issues again. What should I do at this point?
Hard Stools and Constipation _Concerns:_ 1. _Prolonged constipation_: Hard stools for over 2 weeks. 2. _Painful bowel movements_: Difficulty passing stools. 3. _Lifestyle changes_: Recent changes may be contributing to constipation. _Possible causes:_ 1. _Low fiber intake_: Inadequate fiber consumption. 2. _Inadequate hydration_: Insufficient water intake. 3. _Physical inactivity_: Sedentary lifestyle. 4. _Stress_: High stress levels. 5. _Medications_: Certain medications can cause constipation. _Lifestyle modifications:_ 1. _Increase fiber intake_: Eat more fruits, vegetables, whole grains, and legumes. 2. _Stay hydrated_: Drink at least 8-10 glasses of water per day. 3. _Exercise regularly_: Engage in moderate-intensity physical activity for at least 30 minutes per day. 4. _Manage stress_: Practice stress-reducing techniques like meditation, deep breathing, or yoga. 5. _Establish a bowel routine_: Try to pass stools at the same time each day. _Supplements and medications:_ 1. _Psyllium husk_: A natural fiber supplement to help soften stools. 2. _Laxatives_: If recommended by your doctor, laxatives can help stimulate bowel movements.
Answered by 1 Apollo Doctors
I've been dealing with piles or fistula for the past month with a 12-inch muscle growth near my anus. There's a lot of itching, swelling, and mild pain. I've tried Ayurveda meds and followed a high-fiber diet with fruits, but the pain hasn't gone away. Now I'm using Himalaya Pilex ointment and tablets, but still no relief. I really don't want surgery what else can I do to manage this?
It's important to consult a doctor to confirm your diagnosis (piles or fistula) and determine the appropriate treatment plan. While the 12-inch muscle growth is concerning and requires professional evaluation, there are some things you can do to manage symptoms and prevent complications while awaiting a diagnosis and treatment plan:
Answered by 1 Apollo Doctors
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.




