I've been dealing with piles or fistula for the past month with a 12-inch muscle growth near my anus. There's a lot of itching, swelling, and mild pain. I've tried Ayurveda meds and followed a high-fiber diet with fruits, but the pain hasn't gone away. Now I'm using Himalaya Pilex ointment and tablets, but still no relief. I really don't want surgery what else can I do to manage this?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

It's important to consult a doctor to confirm your diagnosis (piles or fistula) and determine the appropriate treatment plan. While the 12-inch muscle growth is concerning and requires professional evaluation, there are some things you can do to manage symptoms and prevent complications while awaiting a diagnosis and treatment plan:

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I've had piles without bleeding for 5 years but developed a fistula problem in the last three months. There's also a lump formed with my piles now. The fistula keeps leaking pus - can this heal without surgery?

Anal fistulas, once they develop, generally require surgical intervention for a definitive cure, according to the NHS. While in rare cases, fistulas might close up on their own, they often recur if left untreated, leading to infections and abscesses. Your situation, with a newly developed fistula and pus discharge, strongly suggests a need for surgical treatment, as fistulas rarely heal spontaneously

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I'm really worried because my husband and I tried anal sex recently, and it was super painful the first time, so I had to stop. Now, the next day, I've noticed a fleshy lump around the wrinkles of my anus, and it's really painful. It's messing with my normal activities. What should I do about it?

Prioritize, safe, sex practices for a well-being relationship

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I'm dealing with multiple fistulas and they're really painful. I'm trying to figure out whether laser surgery or fistulotomy would be better in the long run. I've heard fistulotomy can be more of a permanent fix, but I'm really not sure about the laser option. Could you give me some advice on this? And also, how long after surgery until I can sit comfortably and get back to working at the office?

laser surgery is better for fistula

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.