Question 1

I'm really worried because I had stapler surgery for piles about two months ago, and now I'm starting to experience the same issues again. What should I do at this point?

Accepted Answer

Hard Stools and Constipation

_Concerns:_

1. _Prolonged constipation_: Hard stools for over 2 weeks.
2. _Painful bowel movements_: Difficulty passing stools.
3. _Lifestyle changes_: Recent changes may be contributing to constipation.

_Possible causes:_

1. _Low fiber intake_: Inadequate fiber consumption.
2. _Inadequate hydration_: Insufficient water intake.
3. _Physical inactivity_: Sedentary lifestyle.
4. _Stress_: High stress levels.
5. _Medications_: Certain medications can cause constipation.

_Lifestyle modifications:_

1. _Increase fiber intake_: Eat more fruits, vegetables, whole grains, and legumes.
2. _Stay hydrated_: Drink at least 8-10 glasses of water per day.
3. _Exercise regularly_: Engage in moderate-intensity physical activity for at least 30 minutes per day.
4. _Manage stress_: Practice stress-reducing techniques like meditation, deep breathing, or yoga.
5. _Establish a bowel routine_: Try to pass stools at the same time each day.

_Supplements and medications:_

1. _Psyllium husk_: A natural fiber supplement to help soften stools.
2. _Laxatives_: If recommended by your doctor, laxatives can help stimulate bowel movements.

Question 2

I've had an anal fissure for about 8 months now with an 8mm mass near the front. It only hurts during bowel movements when my stool is hard, otherwise no pain at all, but there's a little pus at the site. Do I need surgery for this? If so, what are the side effects? Would lateral internal sphincterotomy (LIS) be recommended and what are its side effects?

Accepted Answer

Given the presence of an anal fissure for 8 months, a mass, pain during hard stools, and pus, surgery might be needed to address the chronic nature of the issue and potential infection. Lateral internal sphincterotomy (LIS) is a surgical option but it's crucial to discuss its risks and benefits with a doctor, including the possibility of sphincter incontinence.

Question 3

My sister is dealing with severe piles and we're really confused about the best treatment. Some doctors recommend laser surgery while others advise against it and suggest regular surgery instead. Which option would be safer long-term without causing future problems?

Accepted Answer

3rd degree piles fistulectomy is advised.

I've heard fistulas can be treated without surgery what exactly does that involve? Is it something I can do from the UK, or would I need to travel? Also, does the treatment work the same for every type of fistula or does it depend on the case?

Treatment with fibrin glue is currently the only non-surgical option for anal fistulas. It involves the surgeon injecting glue into the fistula while you're under a general anaesthetic. The glue helps seal the fistula and encourages it to heal.

More Colorectal Surgery Health Queries

I'm really worried because I had stapler surgery for piles about two months ago, and now I'm starting to experience the same issues again. What should I do at this point?

My sister is dealing with severe piles and we're really confused about the best treatment. Some doctors recommend laser surgery while others advise against it and suggest regular surgery instead. Which option would be safer long-term without causing future problems?

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