apollo
  • Male
  • 35 Years
  • 20/02/2025

I'm experiencing this strange pain in my bottom when I sit for a long time. It really burns, but interestingly, when I stand, run, or sleep, the pain goes away. I don't feel any pain or see blood when I go to the toilet, although I am dealing with a little constipation. There's no blood or pus in my stool either. Some people are telling me it might be piles, others say it could be fissures or maybe even a fistula. I'm really confused and would appreciate some guidance on what this might be.

Doctor 1

Answered by 1 Apollo Doctors

take medical treatment

Dr. Dr Khaleel Suggests...

Consult a Colorectal Surgeon

Answered 04/07/2025

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I've been reading about rectal prolapse and saw something about contradictions for surgery does that mean surgery isn't an option for a complete prolapse? I'm worried because my symptoms are getting worse and I'm not sure what to do next

needs P/E for better advice.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been dealing with anal fissure pain on and off since late 2019 and have been using Anovate cream with laxatives, plus increasing fiber and fluids. It's really disruptive and painful I want to get rid of it for good. Does surgery work better than these treatments? For now, I'm trying sitz baths and fiber supplements but would like to know if there are better options

While your current approach with Anovate, laxatives, increased fiber and fluids, sitz baths, and fiber supplements is a good starting point, it's understandable that you're seeking more definitive relief after experiencing anal fissures for several years. Surgery, specifically a lateral internal sphincterotomy, is often a highly effective option for chronic or refractory anal fissures, but it's also associated with a small risk of incontinence. If medical treatments haven't been successful, discussing surgical options with your doctor is a valid next step

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Doctor 1Doctor 2

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Is it possible to treat piles without needing surgery? I've been dealing with discomfort and bleeding, and I'm worried about going under the knife. Are there effective home remedies or medications that can help?

Antibiotics are advised in mild cases.If symptoms persists haemorrhoidectomy eiyher open or closed haemorrhoidectomy is advised for the patient.

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