I've been applying Smuth cream for my piles as prescribed, and it's been helping to reduce the size. But now, I've started experiencing really itchy sensations around my anus and the area beneath my scrotum. It's gotten to the point where I can't stop scratching, and now there's this flaky, dry skin developing and peeling off when I do. The doctor suggested I try a sitz bath, but I'm just wondering if there's anything else I should be doing or if this is something to be concerned about? Its really uncomfortable, so any advice would be appreciated.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I've been suffering from a fistula for the past two years and tried homeopathy but it hasn't helped. There's still bleeding and white discharge - should I consider surgery or stick with homeopathy? I'm really worried about this ongoing issue.

Persistent fistula with discharge after homeopathy suggests surgery is needed‚Äîoptions like VAAFT or laser are less invasive and have better cure rates.

Answered by 1 Apollo Doctors

I have a small sentinel pile and my doctor prescribed antibiotics, Anovate, and sitz baths. Will this treatment be enough to get rid of it or is surgery absolutely necessary? I'm worried about whether it'll fully heal without an operation.

Sentinel Piles can be conveniently removed without surgery by Graded Ksharsutra Treatment. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during treatment

Answered by 1 Apollo Doctors

I noticed a small painful boil near my rectum opening and it's really uncomfortable. I've been constipated for a few days and think that might have caused it. I'm worried it could turn into a fistula but I really want to avoid surgery. Can this be treated with medicines or diet changes at this early stage? How can I manage it before it gets worse?

Physical examination needed for your case. Plz consult a surgeon

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.