apollo
  • 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 and wondering if what I'm dealing with is a hemorrhoid. It started itching really badly after I had anal sex without using any lube, and as soon as we were done, I felt uncomfortable. I checked and saw something protruding, so I tried to push it back in, but that didn't seem to help. Now it feels bigger, it itches a lot more, and it's still protruding. Could you help me figure out what's going on?

That could be hemorrhoid,visit your general surgeon for evaluation and appropriate management,donot attempt to scratch it or push it back inside.

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I have both internal and external hemorrhoids but no pain or itching yet One doctor recommended surgery for a permanent fix Should I get surgery right away and if so which method is best hemorrhoidectomy stapled hemorrhoidectomy PPH rubber band ligation or lateral internal sphincterotomy Or should I stick with meds for now

While having both internal and external hemorrhoids can be a concern, the presence of pain and/or itching may not always necessitate immediate surgery. A doctor's recommendation for surgery, especially a permanent fix, should be discussed thoroughly considering the severity of symptoms and the potential benefits and risks of different surgical options. If you are experiencing no pain or itching, and hemorrhoids are relatively small, non-surgical treatments like rubber band ligation or sclerotherapy may be considered first. Surgical options like hemorrhoidectomy, stapled hemorrhoidectomy (PPH), or lateral internal sphincterotomy are usually reserved for more severe cases or when other treatments have failed

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I'm experiencing this strange pain in my bottom when I sit for a long time. It really burns, but interestingly, when I stand, run, or sleep, the pain goes away. I don't feel any pain or see blood when I go to the toilet, although I am dealing with a little constipation. There's no blood or pus in my stool either. Some people are telling me it might be piles, others say it could be fissures or maybe even a fistula. I'm really confused and would appreciate some guidance on what this might be.

take medical treatment

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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.