- 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
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I just got a sonogram report showing two tracks in my anal fistula and I'm considering laser surgery how effective is this treatment and what should I expect during recovery
Laser surgery, specifically FiLAC (Fistula-Tract Laser Closure), offers a minimally invasive approach to treating anal fistulas and is generally considered effective, particularly for certain types of fistulas. Success rates vary, but generally range from 60% to 85%, depending on factors like fistula complexity and patient health. Recovery is typically quicker than with traditional surgery, with most patients returning to normal activities within a few weeks.
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I have both internal and external hemorrhoids but no pain or itching yet One doctor recommended surgery for a permanent fix Should I get surgery right away and if so which method is best hemorrhoidectomy stapled hemorrhoidectomy PPH rubber band ligation or lateral internal sphincterotomy Or should I stick with meds for now
While having both internal and external hemorrhoids can be a concern, the presence of pain and/or itching may not always necessitate immediate surgery. A doctor's recommendation for surgery, especially a permanent fix, should be discussed thoroughly considering the severity of symptoms and the potential benefits and risks of different surgical options. If you are experiencing no pain or itching, and hemorrhoids are relatively small, non-surgical treatments like rubber band ligation or sclerotherapy may be considered first. Surgical options like hemorrhoidectomy, stapled hemorrhoidectomy (PPH), or lateral internal sphincterotomy are usually reserved for more severe cases or when other treatments have failed
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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.