My husband has been dealing with a high anal fistula for two years and we just got an MRI fistulogram done. The report suggests seton treatment but I've heard it can take around 8 months and might be painful. Another doctor mentioned surgery could lead to motion incontinence. Is seton the only option or are there other treatments we can explore for his condition? I'm really worried about the long recovery time.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Consult a Colorectal Surgeon

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Answered 14/08/2025

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I've been having severe pain in my anus and was told it's a fistula and fissure. The pain was so bad that there was blood with my stool for four days, but after some treatment, the pain eased up. Now I'm noticing pus keeps coming out regularly. I'm really confused about whether this can heal with medicine or if surgery is the only option. What would be the best treatment for this?

Fat reduction surgeries like liposuction carry risks like contour irregularities and anesthesia complications; cost varies but non-surgical options like cryolipolysis exist.

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I'm dealing with piles, but they haven't been painful at all. My doctor has mentioned surgery as an option, but I'm wondering if I should try medication first. What do you think? Should I consider other treatments before jumping into surgery?

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I've noticed this small hard lump near my anus. It doesn't really hurt unless I press on it, then it hurts a bit. Should I be concerned about this? What could it be?

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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.