I noticed a small muscle-like bulge near my anal area but there's no bleeding. Could this be piles or an external hemorrhoid? Do I need surgery for this or are there other treatment options?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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A small, muscle-like bulge near the anus without bleeding could be an external hemorrhoid, also known as piles. Hemorrhoids are swollen veins that can develop inside or outside the anus and rectum. While often harmless and may resolve on their own, it's important to consult a doctor for diagnosis and to rule out other potential causes, especially if you experience pain or bleeding

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I've been dealing with an anal fistula for around 4 years and have only tried homeopathic treatment so far but it hasn't worked. Is homeopathy still an option for me or should I consider surgery at this point?

Given that your anal fistula has persisted for 4 years without improvement, it‚Äôs unlikely to heal with homeopathy alone. Chronic fistulas typically require surgical intervention for definitive treatment. I recommend consulting a colorectal surgeon to discuss your options.

Answered by 1 Apollo Doctors

I've had an anal fissure at the 6 o'clock position for the last two months and been using laxatives and ointments. There's also some external bulging at 11 o'clock, but my doctor said it's normal due to the fissure and constipation. Will this heal with just medicine or will I eventually need surgery? I'm currently doing ayurvedic treatment too.

please approach a surgeon in apollo hospital

Answered by 1 Apollo Doctors

my dad was advised to get fissure surgery but i'm not sure if it's really needed can fissures be treated with just medicines or is surgery the only option also what are the possible side effects after the surgery

Initially treated with the conservative therapy ,if patient is not responding fistulectomy is advised to the patient.

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.