I'm having a tough time with this burning and itching around my anus, and there's even blood when I go to the bathroom. I noticed a small piece of tissue or something external there, and it's really painful when I pass stool. The discomfort lasts all day, making it hard to sit or walk. After seeing the doctor, they mentioned it looks minor and focused on easing my constipation with some ointment and syrup to soften the stool. That part's a bit better now, but the opening feels too small, and this external pile makes it difficult when I go to the bathroom. I dealt with piles about two years ago, and medication helped within a few weeksit hasn't been an issue until now. I'm really eager to find a permanent solution for this external issue. Any advice on the best approach to tackle this?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

To help with the pain, itching, and burning, you can use Preparation H ointment to reduce inflammation and discomfort. For permanent relief, you may need to consider a surgical procedure called hemorrhoidectomy to remove the external pile. In the meantime, continue using the ointment as directed and maintain soft stools with the syrup provided by your doctor. If the symptoms persist or worsen, consult your doctor for further evaluation and management.

Dr. Ranjith Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I'm really worried about the side effects of surgery for an anal fissure. Homeopathy says it can be cured with just medicines, but I still have this thick skin layer outside my anus from a chronic fissure that's causing trouble. They strongly advise against surgery, but I'm not sure what to do. Is surgery really risky? What are the possible side effects? I'm scared to go through with it but the discomfort is getting hard to handle.

side-effects include pain,bleeding,infection and headache.

Answered by 1 Apollo Doctors

I've been dealing with piles for a year now and tried allopathic treatment but it didn't help. The itching, burning, and pain are worse at night. Is surgery a good option for this condition?

In recent years, Infrared Coagulation has emerged as a revolutionary treatment for hemorrhoids. IRC is a minimally invasive procedure that uses infrared light to effectively eliminate hemorrhoids at the source. The technique is relatively simple yet highly effective.

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I'm dealing with a healing anal fissure and I'm thinking about having sex with my girlfriend. Could this make my fissure worse or cause any problems?

HPV (Human Papillomavirus) is a common sexually transmitted infection. Treatment for genital warts caused by HPV: 1. Topical treatments: Imiquimod cream, Podofilox solution, or Sinecatechins ointment 2. Cryotherapy: Freezing the warts with liquid nitrogen 3. Surgical removal: Excision or laser treatment 4. Antiviral medications: Interferon or Cidofovir (in severe cases) Consult a dermatologist or a urologistgynecologist for proper evaluation and treatment. Note: HPV itself cannot be "cured," but the symptoms (genital warts) can be treated.

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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.