My sister faced the problem of piles five years back, and now she has small flesh in the anal region. Is it an anal fistula?

Q. What does a small, painless flesh in the anal region suggest?

Answered by
Dr. Ishwar Chandra Rai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 31, 2022 and last reviewed on: Jun 21, 2023

Hello doctor,

My sister faced the problem of piles five years back, which got resolved with a good diet and medications. But she has a small flesh in the anal region, maybe an anal fistula. It does not generally cause pain except at the time of her period. Also, the flesh does not create any problems at all. Is it safe, or do we need to follow anything to sort this out? Kindly help.



Welcome to

A flash bulge at the anal verse indicates piles or sentinel tags. In the case of a fistula, fluids ooze with irritation; however, in the case of tissue in the anus region, there is pain and burning after defecation. Therefore, the line of treatment depends on the condition. As you mentioned, she has a history of piles, so there is a possibility of reoccurring piles. Hence, once again, she should follow the previous diet and lifestyle.

Thank you.

Treatment plan:

I would suggest some Ayurvedic medicines, which work well in piles.

Preventive measures:

Avoid spicy and fried junk foodstuffs.

Drink plenty of lukewarm water regularly.

Do regular kapalbhati, mandukasana, and ardhamatyendrasana.

Regarding follow up:

Provide your feedback after 15 days.

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