apollo
  • female
  • 29 Years
  • 14/08/2025

I've been dealing with an anal fissure for the past 4 months and the pain is really bad though there's no bleeding during stools My doctor suggested laser surgery but I'm wondering if it can heal without surgery What are my options

Doctor 1

Answered by 1 Apollo Doctors

Yes, anal fissures can often heal without surgery, even if they've been present for several months. Your doctor's suggestion of laser surgery is a valid option, but there are several non-surgical treatments that should be tried first, especially since your fissure has been ongoing for 4 months

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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I'm 21 and dealing with external piles. I haven't been able to talk to my family about it because it's embarrassing, and now they're interfering with getting a government job. It's been about 6 months since I've had any symptoms like bleeding, pain, or itching, but the lump around my anal area still isn't going away. I do get constipated now and then. What should I do about this, and how can I get rid of the lumps?

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I've been having small internal piles and sometimes struggle to pass stool naturally it feels like I can't apply enough pressure during bowel movements. Is laser treatment necessary for something this minor, and how safe is surgery for internal piles?

For minor internal piles and occasional difficulty passing stool, laser treatment is generally not the first line of treatment. Conservative measures like dietary changes, fiber supplements, and stool softeners often provide relief. While laser treatment is safe and effective for some cases, it's not typically needed for mild symptoms. Surgery for internal piles is also generally safe and effective, but it's typically reserved for more severe cases or when conservative measures fail.

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I'm experiencing this pain just above my rectum for the last few days, and it's getting pretty intense, especially when I'm moving around on the bed or walking quickly. I don't feel anything abnormal there, but the pain kicks in when I apply pressure to that area. Do you think this might be inflammation or perhaps something else? What type of doctor should I see for an early check-up?

You should consult a proctologist or gastroenterologist for an early examination. They will assess your symptoms, perform a physical examination and possibly imaging studies to diagnose the cause of the pain. Common causes include hemorrhoids, anal fissures, proctalgia fugax or pelvic floor dysfunction. Self-care measures include applying warm compresses, maintaining good bowel habits and managing stress.

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