I'm 21 and dealing with external piles. I haven't been able to talk to my family about it because it's embarrassing, and now they're interfering with getting a government job. It's been about 6 months since I've had any symptoms like bleeding, pain, or itching, but the lump around my anal area still isn't going away. I do get constipated now and then. What should I do about this, and how can I get rid of the lumps?

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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Answered 04/07/2025

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I've been dealing with a fistula since 2013 and already had two surgeries but it's still not fixed Now my doctor is recommending laser surgery since the fistula is connected to my anal canal I'm really confused about whether to go for it or not Does laser surgery work better for this type of fistula and what are the risks compared to regular surgery

Laser fistula surgery is minimally invasive and may reduce recurrence compared to conventional surgery;risks include incontinence if muscle is damaged.

Answered by 1 Apollo Doctors

I had a lacer surgery for anal fistula and I'm really worried about keeping the wound clean to avoid infection can you tell me the best way to care for it so it heals properly

Apollo is best for it.

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I've got fourth-degree piles with really bad bleeding, pain, and itching it's so uncomfortable I can barely sit or walk sometimes. Right now, I'm using diltigesic gel and taking hamamelis mother tincture, but nothing's helping. The pain and bleeding won't stop. Should I consider surgery, or are there other non-surgical treatments that might work better?

With fourth-degree piles, surgical intervention like a hemorrhoidectomy is usually necessary to remove the prolapsed hemorrhoids and address the persistent pain, bleeding, and discomfort. While lifestyle changes and some home remedies can offer temporary relief, they don't address the underlying cause of the prolapse

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.