Long-standing anal fissures often improve with a high-fibre diet, plenty of water, stool softeners, warm sitz baths, and medicated ointments to relax the anal muscle. However, if symptoms persist for years, a minor surgical procedure may be needed for permanent relief. So, consult a surgeon for proper evaluation.

A small pimple-like swelling near the anus that occasionally discharges thick fluid is most commonly suggestive of a fistula-in-ano (an abnormal tract between the anal canal and skin). It may not always be painful, but persistent discharge is a warning sign. It is unlikely to heal completely with ointments alone. You should consult a general surgeon for proper examination. Early treatment helps prevent complications and repeated infection. Avoid squeezing it, maintain good hygiene, and keep the area dry until you see a doctor.

A fistula, for many years, usually does not turn into cancer, but it can keep causing infection, discharge, and discomfort if left untreated. It does not heal completely with medicines alone in most cases, so surgery is often the main way to treat it and prevent repeated problems. Early treatment can help avoid complications and improve quality of life. Consult your doctor to assess the condition and decide the most suitable treatment option.

Anal fistula usually requires a minor surgical procedure for permanent treatment, as ointments alone cannot cure it. External piles can often be managed with a fibre-rich diet, sitz baths, and anti-haemorrhoid ointments, but persistent symptoms need a doctor's evaluation.

A posterior deep fissure is a painful tear in the skin at the back of the anus, usually caused by constipation or passing hard stools. It is treated with a high-fibre diet, stool softeners, warm sitz baths, and medicated ointments. Long-standing cases may need a minor surgical procedure.