I've been having small internal piles and sometimes struggle to pass stool naturally it feels like I can't apply enough pressure during bowel movements. Is laser treatment necessary for something this minor, and how safe is surgery for internal piles?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

For minor internal piles and occasional difficulty passing stool, laser treatment is generally not the first line of treatment. Conservative measures like dietary changes, fiber supplements, and stool softeners often provide relief. While laser treatment is safe and effective for some cases, it's not typically needed for mild symptoms. Surgery for internal piles is also generally safe and effective, but it's typically reserved for more severe cases or when conservative measures fail.

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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my husband keeps getting a perianal abscess every 23 days that bursts on its own and keeps coming back for the past 2 months. he doesn't have much pain but the doctor said it's a chronic fissure. he's really scared of surgery and the doctor hasn't suggested it yet what could be causing this to keep happening and are there other treatment options besides surgery

kindly share report

Answered by 1 Apollo Doctors

I'm dealing with piles, but they haven't been painful at all. My doctor has mentioned surgery as an option, but I'm wondering if I should try medication first. What do you think? Should I consider other treatments before jumping into surgery?

try with first medicine

Answered by 1 Apollo Doctors

I've been noticing this itchy lump right at the opening of my anus for over a month now. It's not always itchy, but it's definitely there. I'm trying to figure out what it might be and what kind of doctor I should see about it. Any advice?

The itchy lump at the anus opening could be a hemorrhoid, anal tag, or a skin condition like eczema or psoriasis; schedule an appointment with a general surgeon

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.