- Male
- 40 Years
- 14/08/2025
I've been dealing with piles that have gotten pretty long and keep coming out of my anus - can this be treated with medications or do I definitely need surgery
Answered by 1 Apollo Doctors
Prolapsed piles that protrude often need surgical treatment;large symptomatic ones rarely resolve fully with conservative care.
Dr. Dhankecha Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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View allWhat treatments work best for piles and can they be cured without surgery
Piles, also known as hemorrhoids, are swollen veins in the anus and rectum that can cause pain, itching, and bleeding. While not always cured without surgery, several nonsurgical treatments can effectively manage symptoms and reduce the size of piles. These include dietary changes, topical treatments, and medical procedures like rubber band ligation and sclerotherapy. Surgery is often reserved for severe cases or when nonsurgical treatments are not effective
Answered by 1 Apollo Doctors
I went to see a doctor who said I have external piles but I haven't had any bleeding or pain for the past year. Before that, there was occasional bleeding but it stopped. If there's no discomfort now, how can I still have piles? The doctor used an instrument to check and confirmed it. What's the best way to handle this can it resolve on its own or do I need surgery? I've attached the prescription for reference. What do you suggest?
It's understandable to be concerned about having piles that don't cause pain or bleeding, but the doctor's diagnosis using an instrument means they are likely present. External hemorrhoids can resolve on their own, and many cases don't require surgery. However, it's important to follow the doctor's advice and address any underlying issues that may be causing them
Answered by 1 Apollo Doctors
I have a painful swelling near my anus but no bleeding, is surgery the only option or can it be treated another way? Also what foods should I stay away from to help with this?
It could be a perianal abscess or thrombosed pile; sitz baths, pain meds, and dietary changes help—surgery is needed only if it worsens.
Answered by 1 Apollo Doctors
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.



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