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

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

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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Answered 14/08/2025

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My dad has been dealing with a fistula for the past 10 years. Should he consider surgery or are there other treatment options we should look into? It's been really tough for him and I'm not sure what the best course of action is.

fistulectomy is advised to the patient.

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I'm struggling with piles and really want to get rid of this issue. Can you recommend a top pile surgeon in a Delhi hospital?

refer to general physician

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I've heard fistulas can be treated without surgery what exactly does that involve? Is it something I can do from the UK, or would I need to travel? Also, does the treatment work the same for every type of fistula or does it depend on the case?

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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.