I went to a general surgeon for constipation and noticed a small flesh near my anus. After a proctoscopy, she said I have grade 1 piles inside and a fissure outside. She suggested laser surgery for both as a permanent solution but I'm unsure if it's necessary since grade 1 piles can often be treated without surgery. Is laser surgery risky or should I consider other options first?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

do all requred lab report first to understand risk and progress.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I was diagnosed with fistula in ano back in 2015 and had open surgery for it in June that year, but I'm still dealing with issues like itching, bleeding, and irritation around my anus. I also struggle with constant constipation. What could be causing these problems to persist even after surgery, and what can I do to finally get relief?

follow-up with the surgeon is advised to the patient.

Answered by 1 Apollo Doctors

My husband has had this round lump near his anus for a few months now. Sometimes it's really painful, and other times it's not bothering him at all. Should we be concerned about this? What type of doctor would be best to consult for something like this?

Ask him to avoid straining for stools, avoid lifting heavy objects and have high fiber diet. And consult a general surgeon

Answered by 1 Apollo Doctors

I have a small sentinel pile and my doctor prescribed antibiotics, Anovate, and sitz baths. Will this treatment be enough to get rid of it or is surgery absolutely necessary? I'm worried about whether it'll fully heal without an operation.

Sentinel Piles can be conveniently removed without surgery by Graded Ksharsutra Treatment. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during treatment

Answered by 1 Apollo Doctors

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Piles

do all requred lab report first to understand risk and progress.

More Colorectal Surgery Health Queries

My husband has had this round lump near his anus for a few months now. Sometimes it's really painful, and other times it's not bothering him at all. Should we be concerned about this? What type of doctor would be best to consult for something like this?

I have a small sentinel pile and my doctor prescribed antibiotics, Anovate, and sitz baths. Will this treatment be enough to get rid of it or is surgery absolutely necessary? I'm worried about whether it'll fully heal without an operation.

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