I've been dealing with an anal fistula for a while now, and it's just incredibly painful. There's this constant pus coming out, which is really concerning. Can you suggest any treatment options that might help with this?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Anal fistulas can be quite painful and uncomfortable. One common treatment option is to use antibiotics to help control the infection and reduce the pus formation. You can try taking a course of antibiotics such as Metronidazole. Additionally, you may benefit from a topical ointment like Nitrogesic ointment to help with pain relief and healing. It's important to keep the area clean and dry to prevent further infection. If the symptoms persist or worsen, it's important to follow up with a healthcare provider for further evaluation and management.

Dr. Ranjith Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I'm using lignocaine 2 jelly for my anal fissure or piles like the doctor recommended. I'm a bit worried and curious about any side effects. Could this cause any problems I should be aware of while using it?

Lignocaine 2% jelly is generally safe for short-term use to relieve pain from an anal fissure or piles. However, overuse or prolonged application may cause skin irritation, numbness, or allergic reactions in some people. If you experience any unusual symptoms, it's best to consult your doctor.

Answered by 1 Apollo Doctors

I had a sentinel skin tag removed surgically but my doctor didn't treat the anal fissure causing it. Now I'm worried the skin tag might come back or get worse. How do I handle this chronic fissure to prevent more issues?

If a sentinel pile is present, it too may be removed to promote healing of the fissure. This may be combined with either injection with Botox or sphincterotomy.

Answered by 1 Apollo Doctors

My husband has been dealing with a high anal fistula for two years and we just got an MRI fistulogram done. The report suggests seton treatment but I've heard it can take around 8 months and might be painful. Another doctor mentioned surgery could lead to motion incontinence. Is seton the only option or are there other treatments we can explore for his condition? I'm really worried about the long recovery time.

needs P/E for better advice.

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.