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?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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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

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I've been dealing with complete rectal prolapse for over 10 years since I was young and now I'm 19. I'm scheduled for TRRPCS surgery but I'm not sure if it's the best option for me especially since I want to join the defense forces. Are there better surgical alternatives I should consider that would fit my active career goals?

TRRPCS is a good option for young patients with prolapse; however, rectopexy or laparoscopic procedures may offer better durability for physically demanding careers.

Answered by 1 Apollo Doctors

Is surgery really the only option for external hemorrhoids or are there other treatments I can try first

please approach a surgeon in apollo hospital

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my dad has been dealing with piles for a while now and avoids oily or spicy food completely - are there any effective ayurvedic treatments or medicines that could help or would he eventually need surgery

Ayurvedic treatment may help mild piles. Diet control and herbal remedies can manage symptoms, but advanced cases may eventually require surgery.

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.