- 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'm really concerned about my situation. I think I might have piles, but I haven't seen a doctor yet. I've been using Anovate for about 78 months, and it used to help with the pain. However, since coming abroad and having to walk a lot, the pain has become unbearable, especially when walking, and now I can feel a bump in my anus. There's also some bleeding when I pass stool. I'm planning to return to India in a week, but the pain is getting too much to handle, and it's hard to walk. I'm using stool softeners, but they're not really helping, and the bump just seems to be getting bigger. Anovate isnt working anymore, and I'm not sure what else I can do until I get back. Can you advise me on how to manage this until I can see a doctor?
Sounds like you are experiencing worsening symptoms of piles (hemorrhoids). Since you are already using Anovate, you can try using Preparation H cream along with it for better relief. Apply Preparation H cream to the affected area twice a day, especially after passing stool. Additionally, you can take oral pain relief medication like Ibuprofen 400mg to help with the pain and inflammation. It is important to continue using a stool softener like Duphalac to prevent straining during bowel movements. Make sure to stay hydrated and eat a high-fiber diet to help with bowel movements. If the symptoms persist or worsen, it is advisable to consult with a doctor for further evaluation and treatment.
Answered by 1 Apollo Doctors
I'm dealing with some really painful internal piles, especially during the monsoon season and when I sit on hard surfaces. I'm wondering if cipladine cream is safe and effective to use for this?
as it is symptomatic better to get surgical excisiion done,visit surgeon for appropriate management
Answered by 1 Apollo Doctors
I've been struggling with a fissure for over 20 years now and it's been really tough. I'm considering surgery, but I'm also open to other permanent solutions if there are any. What would you recommend? I'm based in Pune and would love some guidance.
Considering your 20-year history with fissures, surgical intervention might be a viable option; in Pune, you can consult appolo hospitals
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.