apollo
  • Male
  • 35 Years
  • 14/08/2025

my friend has an anal fistula and is really worried about treatment options is surgery the only way to fix this or are there other medical treatments that could help first

Doctor 1

Answered by 1 Apollo Doctors

Anal fistulas usually need surgical correction like fistulotomy, though some early-stage cases may respond to fibrin glue or laser ablation.

Dr. Dhankecha Suggests...

Consult a Colorectal Surgeon

Answered 14/08/2025

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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?

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

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

9 months ago I had surgery to remove hemorrhoids but now I'm noticing an external hemorrhoid growing again It doesn't hurt but the size keeps increasing My doctor prescribed Smuth cream but it's not helping Is there any way to shrink or get rid of hemorrhoids without another surgery

It's understandable that you're looking for options to manage recurring hemorrhoids after surgery, especially since your current treatment isn't working. While the Smuth cream might offer temporary relief, it's unlikely to shrink the hemorrhoid. Some options to consider without surgery include lifestyle changes, over-the-counter remedies, and minimally invasive procedures like rubber band ligation or sclerotherapy. It's crucial to consult with your doctor to determine the best course of action for your specific case.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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