- Male
- 35 Years
- 14/08/2025
I've had piles without bleeding for 5 years but developed a fistula problem in the last three months. There's also a lump formed with my piles now. The fistula keeps leaking pus - can this heal without surgery?
Answered by 1 Apollo Doctors
Anal fistulas, once they develop, generally require surgical intervention for a definitive cure, according to the NHS. While in rare cases, fistulas might close up on their own, they often recur if left untreated, leading to infections and abscesses. Your situation, with a newly developed fistula and pus discharge, strongly suggests a need for surgical treatment, as fistulas rarely heal spontaneously
Dr. Kamran Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
0
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More Colorectal Surgery Health Queries
View allWhat's the better option for treating anal fistula surgery or Kshar Sutra? How do the costs compare and which one has a lower chance of the problem coming back?
Anal fistula surgery offers quicker healing;Kshar Sutra is less invasive and better suited for low fistulae but may require longer treatment time and expertise.
Answered by 1 Apollo Doctors
Is there any permanent surgery for anal fissures that guarantees they'll never come back in my lifetime? I'm really worried about this recurring issue and want a one-time solution
fistulectomy is the solution,sx opinion is advised.
Answered by 1 Apollo Doctors
I've been dealing with piles for about 4 years now most days it's manageable but sometimes the pain gets really bad. Are there any non-surgical treatments or lifestyle changes that could help reduce the flare-ups?
High-fiber diet, hydration, and Sitz baths may reduce pile symptoms—surgery is only needed if conservative methods fail.
Answered by 1 Apollo Doctors
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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