apollo
  • male
  • 30 Years
  • 14/08/2025

I've been dealing with an anal fistula for around 4 years and have only tried homeopathic treatment so far but it hasn't worked. Is homeopathy still an option for me or should I consider surgery at this point?

Doctor 1

Answered by 1 Apollo Doctors

Given that your anal fistula has persisted for 4 years without improvement, it’s unlikely to heal with homeopathy alone. Chronic fistulas typically require surgical intervention for definitive treatment. I recommend consulting a colorectal surgeon to discuss your options.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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I've had anal pain for the past two months and noticed a tear when I checked in the mirror some people said it might be an anal fissure. Three days ago, I saw a general surgeon but he didn't examine the area and just gave me pain meds for five days along with diet advice. I've been following the diet for a month and taking the meds for three days, but the pain hasn't stopped. How long does it usually take for this to heal, and is surgery the only option or can it be fixed with diet like fruits and veggies? Why hasn't it gotten better yet?

Anal fissures typically heal within 6-8 weeks with conservative treatment, and diet plays a significant role in this process. If the pain persists beyond this timeframe, it may indicate a chronic fissure that requires more aggressive treatment.

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I had a fistula surgery 8 months ago which went well but now I have a small fissure again. My surgeon checked with a finger test and just advised me to eat a balanced diet and keep my stool soft. My question is - is it okay if I only clean the outside after passing stool and not put my finger inside to clean like doctors do during the anal exam? I'm worried that inserting a finger might cause infection in the fissure and lead to another fistula

Post-fistula surgery fissure cleaning externally is sufficient.Resisting internal cleaning is okay;if symptoms worsen,consult your surgeon.

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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.

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