In cases like yours I find that best treatment, advice& follow-up is administered by a proctologist. Colorectal surgeons are not as interested or as thorough enough for these problems as are proctologists who devote full time to taking care of them. You'll be expertly guided & advised about hygiene and your other anorectal issues. Tying off internal hemorrhoids may be recommended& fissure treated.
Answered 8/26/2023
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