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

I've been dealing with fissures for 5 years and seen multiple doctors who say surgery is only needed if it grows bigger. But the pain and itching are constant and really affecting me. I recently saw an ad for laser treatment for fissures and piles could this be a solution for me? Or should I consider homeopathy or ayurveda instead?

Doctor 1

Answered by 1 Apollo Doctors

Yes, laser surgery can be a good option for anal fissures, particularly for chronic or stubborn cases that don't respond well to conservative treatments. Laser surgery, specifically lateral internal sphincterotomy (LIS) with a laser, offers a minimally invasive approach with potential benefits like reduced pain, faster recovery, and lower risk of complications compared to traditional LIS.

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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my father has been dealing with a fissure and tried anovate cream along with antibiotics but still isn't feeling better is surgery the only option left for him

If a fissure persists beyond 6-8 weeks of conservative treatment (like Anovate cream and antibiotics), surgery may be considered. However, it's not always the only option, and a colorectal surgeon can assess the best course of action. Surgery, when necessary, often involves a lateral internal sphincterotomy (LIS), which involves cutting a small part of the anal sphincter muscle to release tension and promote healing

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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?

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.

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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

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