I'm a 61-year-old man with uncontrolled diabetes for the past 10 years and was recently diagnosed with piles and fistula. My doctor recommended surgery but I'm worried about complications due to my high blood sugar levels. Are there any effective non-surgical treatment options I could explore for this condition

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Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For a 61-year-old diabetic man with piles and fistula, non-surgical options like medication, diet, and lifestyle modifications can be explored. However, it's crucial to work closely with a doctor to assess the severity of the condition and potential risks associated with surgery, especially considering the complications of diabetes.

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Answered 14/08/2025

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I've been dealing with piles for a long time and it's really bothering me lately. Can you suggest the best medication to manage it without surgery? Also, what foods or habits should I avoid to help it heal faster and get back to normal?

avoid spicy,oily ,smoking cessation.

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I've been dealing with an anal fistula for a while now, and it's just incredibly painful. There's this constant pus coming out, which is really concerning. Can you suggest any treatment options that might help with this?

Anal fistulas can be quite painful and uncomfortable. One common treatment option is to use antibiotics to help control the infection and reduce the pus formation. You can try taking a course of antibiotics such as Metronidazole. Additionally, you may benefit from a topical ointment like Nitrogesic ointment to help with pain relief and healing. It's important to keep the area clean and dry to prevent further infection. If the symptoms persist or worsen, it's important to follow up with a healthcare provider for further evaluation and management.

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What's the better option for treating anal fistula surgery or Kshar Sutra? How do the costs compare and which one has a lower chance of the problem coming back?

Anal fistula surgery offers quicker healing;Kshar Sutra is less invasive and better suited for low fistulae but may require longer treatment time and expertise.

Answered by 1 Apollo Doctors