I went to see a doctor who said I have external piles but I haven't had any bleeding or pain for the past year. Before that, there was occasional bleeding but it stopped. If there's no discomfort now, how can I still have piles? The doctor used an instrument to check and confirmed it. What's the best way to handle this can it resolve on its own or do I need surgery? I've attached the prescription for reference. What do you suggest?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

It's understandable to be concerned about having piles that don't cause pain or bleeding, but the doctor's diagnosis using an instrument means they are likely present. External hemorrhoids can resolve on their own, and many cases don't require surgery. However, it's important to follow the doctor's advice and address any underlying issues that may be causing them

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I'm dealing with a fistula issue that's been bothering me for the past year, and it's been draining pus continuously. I really need to find a good doctor who specializes in fistulas. Can you help me figure out what kind of treatment options might be available or suggest any tips for finding the right specialist? I'm pretty worried about this situation and would appreciate any advice you have.

Probably rectal abscess..can consult your nearest surgeon he will decide if you need surgery..

Answered by 1 Apollo Doctors

I've been dealing with piles and a fissure, and my proctologist recommended laser surgery since it's at grade 2. Is laser surgery usually successful in one go? Also, what medications can I take to manage the pain or discomfort until I can schedule the surgery?

Laser surgery for grade 2 piles is usually effective in one go with fast recovery; pain relief until surgery can be managed with sitz baths, lignocaine gel, and stool softeners.

Answered by 1 Apollo Doctors

How long does it take to heal after laser fistula surgery for a grade 1 intersphincteric fistula and what kind of complications should I watch out for post-surgery

conervative tt is advised .

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.