- female
- 35 Years
- 14/08/2025
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
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
Answered 14/08/2025
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View allI've had both external and internal piles for 3 days now with transparent sticky mucus discharge. The lump near my anus stays swollen and hard outside with mild pain and itchiness. Should I consider surgery at this point and how can I stop the mucus discharge?
As a doctor, I’d suggest starting with conservative treatment like high-fiber diet, plenty of fluids, warm sitz baths, and topical creams (like hydrocortisone or lidocaine). The mucus discharge and swelling often improve with these. Surgery isn't usually needed this early unless there’s severe pain, bleeding, or persistent prolapse. Do consult a surgeon if symptoms worsen or don’t improve in a week.
Answered by 1 Apollo Doctors
I'm noticing that near the opening of my anus, there's this extra piece of skin hanging out, kind of like a small bulb. It's not painful, but it's really noticeable and seems larger than a small piece of skin should be. I'm a bit worried about what this could be and wondering if it's something I should be concerned about. Can you provide any insights on what this might be and if I should have it checked out?
it is external pile mass consult surgeon
Answered by 1 Apollo Doctors
I've been dealing with an anal fissure for a year now. At first, the pain wasn't too bad and didn't happen often, but over the last month, it's gotten really bad with constant pain and itching. I've seen 23 doctors and they all say surgery is the way to go. Is there any chance it could be treated without needing an operation?
-I'm sorry to hear about the ongoing discomfort. It's possible to manage an anal fissure without surgery, especially if it hasnt healed despite treatment. You may benefit from lifestyle changes like increasing fiber intake, using stool softeners, and p
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.