Is surgery always necessary for sentinel piles or can they be treated with oral meds or topical gels? I've heard mixed things and want to know if there are non-surgical options that actually work

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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Surgery for sentinel piles isn't always necessary. While it may be the best option in some cases, especially for chronic or severe issues, non-surgical treatments like lifestyle modifications, oral medications, and topical gels can often provide effective relief and resolution

Dr. Kamran Suggests...

Consult a Colorectal Surgeon

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Answered 14/08/2025

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I've had an anal fissure with a sentinel tag since December 2018. It improves with treatment but flares up again as soon as I stop meds. Doctors say surgery is the only fix, but I really want to avoid that. Are there any other options that could help long-term without needing an operation?

surgery opinion is advised to the patient.

Answered by 1 Apollo Doctors

I'm 17 and have an anal fistula diagnosed by a surgeon. My mom prefers homeopathic treatment, but I'm not sure it's working. She's against surgery what are my other options or signs I should look for to know if it's improving?

kindly share report

Answered by 1 Apollo Doctors

I've noticed a small bump or pimple right at the opening of my anus for the past couple of days, and it's quite painful and uncomfortable. I'm wondering if I need to see someone in the gastroenterology department or if there's another type of specialist I should consider. Any advice on what this might be and whom I should consult?

consult gastroenterogisr

Answered by 1 Apollo Doctors

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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.