apollo
  • Male
  • 40 Years
  • 14/08/2025

I've been dealing with really bad burning and itching around my anus along with bleeding. It's super painful when I pass stool, and the burning sensation lasts all day. Is it possible to treat piles completely without surgery? Can medications alone fix this for good? What should I do to heal it completely?

Doctor 1

Answered by 1 Apollo Doctors

Piles can often be treated without surgery using diet, Sitz baths, and meds—avoid spicy food, stay hydrated, and use creams.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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I've got fourth-degree piles with really bad bleeding, pain, and itching it's so uncomfortable I can barely sit or walk sometimes. Right now, I'm using diltigesic gel and taking hamamelis mother tincture, but nothing's helping. The pain and bleeding won't stop. Should I consider surgery, or are there other non-surgical treatments that might work better?

With fourth-degree piles, surgical intervention like a hemorrhoidectomy is usually necessary to remove the prolapsed hemorrhoids and address the persistent pain, bleeding, and discomfort. While lifestyle changes and some home remedies can offer temporary relief, they don't address the underlying cause of the prolapse

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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've been dealing with a fissure and it's really painful, especially during bowel movements the pain lingers all day. I'd prefer to see a female doctor for a checkup and want to know if surgery might be needed. Can you help me understand my options?

Complaint since when?? Have u examined by any surgeon?? Acute or chronic fissures?? R u doing sitz bath?? What gel / oint u r using?? Next Steps Get clinical examination by surgeon Health Tips Do Sitz bath also

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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.