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

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Answered 10 days ago

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Question

I'm feeling some irritation around my anus and it's been going on for the last three days. Could you suggest any medicine or cream for this? I'm wondering, could this be piles?

I've been dealing with piles and fissures for about a year now and medicines haven't helped much. I'm 25 and really worried should I consider surgery at this point? What would you recommend for my situation?

Question

I've been having a lot of swelling and really bad pain in my perineum and one side of my anus. I can feel this firm lump near the anus opening and the whole perineum area is super swollen and firm too. It's incredibly painful and sometimes I get the chills and a fever from all the pain. I've been taking paracetamol to help a bit, but the pain just keeps coming back when it wears off. It's been like this for three days now, and it's just getting worse. I tried sitting in hot water and it gives some temporary relief, but I'm worried. What could this be and how do I treat it?

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