- male
- 30 Years
- 14/08/2025
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
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
Answered 14/08/2025
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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.


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