I've had an anal fissure at the 6 o'clock position for the last two months and been using laxatives and ointments. There's also some external bulging at 11 o'clock, but my doctor said it's normal due to the fissure and constipation. Will this heal with just medicine or will I eventually need surgery? I'm currently doing ayurvedic treatment too.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Dr. Dhankecha Suggests...

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Answered 14/08/2025

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I've been having a lot of swelling and really bad pain in my perineum and one side of my anus. I can feel this firm lump near the anus opening and the whole perineum area is super swollen and firm too. It's incredibly painful and sometimes I get the chills and a fever from all the pain. I've been taking paracetamol to help a bit, but the pain just keeps coming back when it wears off. It's been like this for three days now, and it's just getting worse. I tried sitting in hot water and it gives some temporary relief, but I'm worried. What could this be and how do I treat it?

Your symptoms, including severe pain, swelling, and a firm lump in the anal region, perineal swelling, chills, fever, and temporary relief with hot sitz baths and paracetamol, suggest a possible perianal abscess or anal fistula consult general surgeon

Answered by 1 Apollo Doctors

I've been dealing with a recurring fistula or abscess for the past two years it goes away for a few months but keeps coming back. I really don't want surgery, and while a recent round of antibiotics during dental treatment cleared it up temporarily, the issue returned. What could be causing this cycle, and are there other treatment options besides surgery?

fistulectomy is advised,sx opinion.

Answered by 1 Apollo Doctors

Can rectal prolapse make it harder to pass stool or gas normally or is surgery the only way to fix this issue

surgery opinion is advised to the patient.

Answered by 1 Apollo Doctors

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