Question 1

I'm dealing with what looks like grade 2 piles do I need surgery or will it go away on its own? Right now I'm taking Himalaya Pilex 2 tablets twice a day and using the ointment too. Is that enough treatment? How long until it heals? I've attached a photo of the swelling for reference.

Accepted Answer

conservative therapy is advised to the patient.

Question 2

I've had both external and internal piles for 3 days now with transparent sticky mucus discharge. The lump near my anus stays swollen and hard outside with mild pain and itchiness. Should I consider surgery at this point and how can I stop the mucus discharge?

Accepted Answer

As a doctor, I‚Äôd suggest starting with conservative treatment like high-fiber diet, plenty of fluids, warm sitz baths, and topical creams (like hydrocortisone or lidocaine). The mucus discharge and swelling often improve with these. Surgery isn't usually needed this early unless there‚Äôs severe pain, bleeding, or persistent prolapse. Do consult a surgeon if symptoms worsen or don‚Äôt improve in a week.

Question 3

I've been dealing with an anal fissure for the last three months, and in the past month, I've been using Smuth ointment after sitz baths and taking Cremaffin Plus at night. It seemed like things were getting better, with about 90% healed, but today I passed a hard stool and the tear happened again in the exact same spot. It's like history repeating itself, as it happened before in another direction but still in the same area. I'm really worried and wondering why this keeps occurring. Can you help me understand what's going on and what I should do?

Accepted Answer

It sounds like you are experiencing recurrent anal fissures despite the initial healing. To help prevent further tearing and promote healing, you can try using Anovate cream after each bowel movement and continue with sitz baths. Additionally, you can take a stool softener like Duphalac to prevent hard stools and reduce straining during bowel movements. Make sure to stay hydrated and include fiber-rich foods in your diet to help with bowel movements. If the issue persists, consult your doctor for further evaluation and management.

I've got this 12-inch soft skin lump hanging around the wrinkle part of my anus, and it's been there for over a year. It's flesh-colored and hasn't caused me any discomfort at all. I'm just wondering, will this lump eventually go away on its own, or is it likely to just stick around?

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More Colorectal Surgery Health Queries

I'm dealing with what looks like grade 2 piles do I need surgery or will it go away on its own? Right now I'm taking Himalaya Pilex 2 tablets twice a day and using the ointment too. Is that enough treatment? How long until it heals? I've attached a photo of the swelling for reference.

I've had both external and internal piles for 3 days now with transparent sticky mucus discharge. The lump near my anus stays swollen and hard outside with mild pain and itchiness. Should I consider surgery at this point and how can I stop the mucus discharge?

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