I'm having a tough time dealing with pain after using the washroom for about a month now. I saw my GP, and he diagnosed me with a fissure and gave me some meds like CiploxTzH and Rinifol, plus Smuth Laxative and Anovate cream. A week later, the pain was a bit better, but I got worried and went to see a surgeon. He said I've got a fissure and two Grade III piles, with a lump outside the anus, and suggested surgery. Surgery freaks me out, so I got a second opinion from another surgeon. He also mentioned surgery but said it's not too urgent unless things get worse. He gave me 2Dilgel for the fissure. But when I use it, there's this terrible burning sensation around the lump. He said it should get better in 2-3 days. Is 2Dilgel really good for both fissures and piles? Also, is it okay to use coconut oil internally for fissures? What should be my next steps?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

yes u can take 2.. dilgel .

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I noticed a perianal abscess a few months back and took medication but now surgery has been suggested I heard about ayurveda kshara sutra does it work as well as surgery

excision of the abscess,surgery opinion is advused.

Answered by 1 Apollo Doctors

I've had piles without bleeding for 5 years but developed a fistula problem in the last three months. There's also a lump formed with my piles now. The fistula keeps leaking pus - can this heal without surgery?

Anal fistulas, once they develop, generally require surgical intervention for a definitive cure, according to the NHS. While in rare cases, fistulas might close up on their own, they often recur if left untreated, leading to infections and abscesses. Your situation, with a newly developed fistula and pus discharge, strongly suggests a need for surgical treatment, as fistulas rarely heal spontaneously

Answered by 1 Apollo Doctors

I've had an outgrowth near my anus for the past 3 years that causes itching. I also have constant gas and acidity issues my stomach always feels full of gas. The gas puts pressure on my heart, and I have to strain during bowel movements. I had a VSD heart surgery back in 1999. Is surgery an option for the anal outgrowth since I'm not on any medications right now?

surgery opinion is advised to the patient.

Answered by 1 Apollo Doctors

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