I've been having severe pain in my anus and was told it's a fistula and fissure. The pain was so bad that there was blood with my stool for four days, but after some treatment, the pain eased up. Now I'm noticing pus keeps coming out regularly. I'm really confused about whether this can heal with medicine or if surgery is the only option. What would be the best treatment for this?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

Fat reduction surgeries like liposuction carry risks like contour irregularities and anesthesia complications; cost varies but non-surgical options like cryolipolysis exist.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I'm 50 and have a small fissure but the pain is unbearable. I've been taking painkillers for 2 days and sitting in hot water but nothing helps. Should I consider surgery at this point and if so, what would the cost be?

While surgery for an anal fissure is an option, it's usually not the first course of action, especially for a small fissure. Most fissures heal with conservative treatments like dietary changes and topical medications. If pain is unbearable and persists despite two days of pain medication and sitz baths, it's advisable to consult a doctor for further evaluation and guidance. The cost of surgery in India can vary, but generally ranges from ‚Çπ35,000 to ‚Çπ50,000

Answered by 1 Apollo Doctors

I had surgery for external piles 5 years ago but lately I've been feeling mucus around my anal area - could this be internal piles? How can I check if it's internal piles or something else?

MRI is the investigation of choice.

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I have first stage piles and struggle with hard bowel movements. My doctor recommended enlarging the anal canal without operating on the piles. I'm a bit confused is this procedure safe and effective for my condition? What should I expect if I go through with it?

Anal canal dilation can help early piles; it‚Äôs a safe, non-surgical outpatient option if properly done.

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.