Anal fissure has healed but sentinel pile still there, although it got a little smaller its not going away. Should I wait longer? Other treatments? Pls

"piles" and fissures. "piles" are hemorrhoids, which are blood vessel hernias in the anal region. "Fissures" are unrelated to the occurrence of hemorrhoids, and both can be caused by straining with bowel movements. Surgical treatments are painful and usually not indicated except in extreme cases. Suggest using mild laxatives on occasions to help prevent more of either, but what is there will not "fo away".