I've had thrombosed piles for the past week and the pain is unbearable can't sit or walk properly. The doctor recommended surgery to remove them but I'm worried because I already had hemorrhoid surgery back in 2012. Is another surgery really necessary or are there other options to manage this?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Recurrent thrombosed piles with severe pain may require surgery if conservative treatments fail; a second surgery is possible but alternatives like laser can be considered.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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had laser piles surgery and fissurectomy 3 months back is it safe to start gym now especially weight lifting and squats could these exercises cause piles to come back

Yes, Sx is better option but still for final please consult surgeon for full P/E.

Answered by 1 Apollo Doctors

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'm really scared about getting surgery for my fissures and piles, what if my blood pressure shoots up before the operation? How do I know if the doctor will go ahead with the surgery or not, I'm so anxious about this

kindly share report

Answered by 1 Apollo Doctors

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I've had thrombosed piles for the past week and the pain is unbearable can't sit or walk properly. The doctor recommended surgery to remove them but I'm worried because I already had hemorrhoid surgery back in 2012. Is another surgery really necessary or are there other options to manage this?

Recurrent thrombosed piles with severe pain may require surgery if conservative treatments fail; a second surgery is possible but alternatives like laser can be considered.

More Colorectal Surgery Health Queries

had laser piles surgery and fissurectomy 3 months back is it safe to start gym now especially weight lifting and squats could these exercises cause piles to come back

I'm really scared about getting surgery for my fissures and piles, what if my blood pressure shoots up before the operation? How do I know if the doctor will go ahead with the surgery or not, I'm so anxious about this

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