Chronic Fissure & Piles Treatment : Symptoms, Surgery Options & Recovery
2 months ago
My wife has been suffering from piles-related issues for the past 7–8 years, which started after pregnancy. She previously underwent a thread treatment, but the problem still persists. She experiences severe pain during motion, especially when stools are even slightly hard, and sometimes there is swelling or something coming out from the anal area. There is not much bleeding, but the pain is quite intense and recurring. She also has digestion issues like gas and discomfort. We are planning to shift to Bangalore soon, so I wanted to understand if this is a serious condition and if it can be treated permanently. Will surgery be required, and how painful is it?
Answers (1)
Top Doctor
Based on your description, your wife is most likely suffering from a chronic fissure (long-standing anal tear) along with possible piles (hemorrhoids). This condition is quite common, especially after pregnancy, and tends to persist if not treated properly. The severe pain during motion and tightness is usually due to spasm of the anal muscle (sphincter), which prevents proper healing.
In long-standing cases like this, medicines and home remedies may give temporary relief but do not provide a permanent cure. A minor surgical procedure is often the most effective solution. This procedure helps relax the muscle and treat the root cause, providing long-term relief from pain and discomfort.
The surgery is ,simple and minimally invasive and usually requires just one day of hospital stay. The pain after surgery is generally less than the pain she is currently experiencing, and most patients can resume normal daily activities from the next day without the need for prolonged bed rest.
Before deciding on treatment, a physical examination is necessary to confirm whether it is a fissure, piles, or a combination of both, and to determine the stage (grade) of piles if present. Based on that, the doctor will suggest the most suitable treatment approach, including options like laser or open surgery if required.
Along with treatment, maintaining a fiber-rich diet, adequate fluid intake (2.5–4 liters daily), and good bowel habits is very important to prevent recurrence. Overall, this condition is treatable and not dangerous, but timely intervention will ensure better relief and quality of life.
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