- male
- 30 Years
- 14/08/2025
Is it possible for a fistula to come back just 20 days after surgery? I noticed a small pimple-like bump near the surgical wound and I'm worried it might be recurring
Answered by 1 Apollo Doctors
Unfortunately, despite proper treatment and complete healing, an abscess or a fistula can come back. If an abscess comes back, it suggests that perhaps there is a fistula that needs to be treated. If a fistula comes back, additional surgery will likely be required to treat the problem.
Dr. Kamran Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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View allI'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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my friend has an anal fistula and is really worried about treatment options is surgery the only way to fix this or are there other medical treatments that could help first
Anal fistulas usually need surgical correction like fistulotomy, though some early-stage cases may respond to fibrin glue or laser ablation.
Answered by 1 Apollo Doctors
I have both internal and external hemorrhoids but no pain or itching yet One doctor recommended surgery for a permanent fix Should I get surgery right away and if so which method is best hemorrhoidectomy stapled hemorrhoidectomy PPH rubber band ligation or lateral internal sphincterotomy Or should I stick with meds for now
While having both internal and external hemorrhoids can be a concern, the presence of pain and/or itching may not always necessitate immediate surgery. A doctor's recommendation for surgery, especially a permanent fix, should be discussed thoroughly considering the severity of symptoms and the potential benefits and risks of different surgical options. If you are experiencing no pain or itching, and hemorrhoids are relatively small, non-surgical treatments like rubber band ligation or sclerotherapy may be considered first. Surgical options like hemorrhoidectomy, stapled hemorrhoidectomy (PPH), or lateral internal sphincterotomy are usually reserved for more severe cases or when other treatments have failed
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.