Hey. I'm new here. I'm 23 and I had pain and blood during BM since 6 days. I had piles since 6-7 years. Now pain is less and no blood. I still went to the doctor and he said I have sentinel pile and fissure and should get it surgically removed. Should I go for surgery or take medicines and change lifestyle? 
PS: I have money problems and want to avoid surgery if possible.

Hey. I'm new here. I'm 23 and I had pain and blood during BM since 6 days. I had piles since 6-7 years. Now pain is less and no blood. I still went to the doctor and he said I have sentinel pile and fissure and should get it surgically removed. Should I go for surgery or take medicines and change lifestyle?  PS: I have money problems and want to avoid surgery if possible.

Good luck - 🙏 Let us know how it goes! @M

I'm taking medicine for a few days and then will consult a second doctor too. Thanks for the suggestion.

If not his, a second professional opinion never hurts

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Yes you're right. I just wanted to wait for a while. To get some money and lose some weight so recovery becomes easier.

Those options are not mutually exclusive - you can do them all - but probably surgery is the only real sustainable solution @M

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I went to the specialist. He said it's an anal fissure with sentinel pile and I should get the surgery done to remove the sentinel pile and the fissure will heal on its own otherwise it might get worse. I know I'm sounding a little freaked out and all over the place, I'm sorry for it.