{"id":3711,"date":"2026-10-26T14:25:59","date_gmt":"2026-10-26T08:55:59","guid":{"rendered":"https:\/\/www.dramitajain.com\/blog\/?p=3711"},"modified":"2026-10-26T14:26:07","modified_gmt":"2026-10-26T08:56:07","slug":"piles-pain-treatment-surgeon-proctologist-south-delhi","status":"publish","type":"post","link":"https:\/\/www.dramitajain.com\/blog\/2026\/10\/26\/piles-pain-treatment-surgeon-proctologist-south-delhi\/","title":{"rendered":"You Treated It for Piles, but the Pain Won&#8217;t Go Away: What Else Could It Be?"},"content":{"rendered":"\n<p class=\"has-black-color has-very-light-gray-to-cyan-bluish-gray-gradient-background has-text-color has-background has-link-color wp-elements-1 wp-block-paragraph\"><a href=\"https:\/\/www.dramitajain.com\/about_us.html\"><strong>Article Medically Reviewed<\/strong>&nbsp;by Dr Amita Jain, MBBS, MS (Gen Surgery), Fellowship (AIIMS), Military-Precision&nbsp;Piles Surgeon,<\/a> <a href=\"https:\/\/www.dramitajain.com\/about_us.html\" target=\"_blank\" rel=\"noopener\">Senior General Surgeon, Proctologist: 30 Years of Surgical Excellence by Ex-Indian Army Surgeon<\/a><\/p>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>Direct Answer Summary<\/strong><\/summary>\n<ul class=\"wp-block-list\">\n<li>Persistent pain after piles treatment may indicate a fissure, fistula, abscess, or another underlying condition.<\/li>\n\n\n\n<li>The location, duration, and pattern of pain can help a specialist identify the cause.<\/li>\n\n\n\n<li>A proper examination is essential when symptoms persist despite treatment.<\/li>\n<\/ul>\n<\/details>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piles treatment can relieve discomfort, swelling, and bleeding, but what happens when the pain continues? Some patients assume that recovery simply takes longer, while others repeat the same treatment without understanding why their symptoms remain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Persistent pain should not automatically be attributed to piles. It may indicate another condition that requires a different treatment approach. Identifying the actual cause is the first step towards lasting relief &nbsp;shares <a href=\"https:\/\/www.dramitajain.com\/about_us.html\" target=\"_blank\" rel=\"noopener\">Dr Amita Jain, Senior General and Laparoscopic Surgeon and Gallbladder Specialist in Delhi<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Else Could Be Causing Persistent Pain After Piles Treatment?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Several conditions can produce symptoms similar to those associated with piles. Recognizing their differences helps guide appropriate diagnosis and treatment.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">\u201cLasting relief begins with identifying the real cause of persistent pain.\u201d Says <a href=\"https:\/\/www.dramitajain.com\/doctor-surgeon-for-piles-treatment-Delhi.html\" target=\"_blank\" rel=\"noopener\">specialized piles surgeon and proctologist in Delhi Dr Amita Jain<\/a>.<\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.dramitajain.com\/doctor-surgeon-for-fissure-surgeon-Delhi.html\" target=\"_blank\" rel=\"noopener\">Fissure<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A fissure is a small tear in the lining of the anal canal. It can cause sharp pain during bowel movements, followed by burning or discomfort that may continue for hours. Bright red bleeding may also occur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hard stools, constipation, and repeated straining can delay healing. Treatment may involve keeping stools soft, prescribed medication, and further procedures in persistent cases.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/www.dramitajain.com\/doctor-surgeon-for-piles-treatment-Delhi.html\" target=\"_blank\" rel=\" noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"540\" height=\"540\" src=\"https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-1.jpg\" alt=\"Piles Treatment not Working Explains Proctologist Dr Amita Jain\" class=\"wp-image-3709\" srcset=\"https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-1.jpg 540w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-1-300x300.jpg 300w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-1-150x150.jpg 150w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-1-144x144.jpg 144w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.dramitajain.com\/doctor-surgeon-for-Fistula-treatment-Delhi.html\" target=\"_blank\" rel=\"noopener\">Fistula<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A fistula is an abnormal tunnel that develops between the anal canal and the surrounding skin, often following an infection. Patients may experience recurring pain, skin irritation, or discharge containing pus or blood.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unlike uncomplicated piles, a fistula generally does not heal on its own and may require surgical treatment. The appropriate procedure depends on the fistula&#8217;s location and complexity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abscess<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An abscess is a collection of pus caused by an infection. It may cause constant, throbbing pain, tenderness, swelling, and sometimes fever.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An abscess needs prompt medical assessment and often requires drainage. Simply continuing piles medication may not resolve the underlying infection.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.dramitajain.com\/doctor-surgeon-for-piles-treatment-Delhi.html\" target=\"_blank\" rel=\"noopener\">Thrombosed External Piles<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sometimes, a blood clot forms inside an external pile, causing sudden, intense pain and a tender lump. This condition can require a different management approach from ordinary piles, depending on the severity and duration of symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Other Possible Causes<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Constipation, postoperative complications, skin irritation, and certain inflammatory bowel conditions can also contribute to persistent discomfort. Ongoing bleeding or unexplained changes in bowel habits may require further investigation to exclude other significant conditions.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why a Proper Reassessment Matters<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When pain continues despite treatment, a proctologist or qualified colorectal specialist may review the original diagnosis, treatment history, and current symptoms. A physical examination is often necessary, while additional investigations may be recommended when the diagnosis remains uncertain or a deeper infection is suspected.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients should avoid repeatedly using creams or painkillers without medical guidance. Persistent symptoms deserve reassessment rather than assumptions that the original condition is still responsible.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can Piles Treatment Itself Cause Pain That Lasts Longer Than Expected?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Some discomfort may occur after piles treatment, particularly following surgical procedures. However, the duration and intensity depend on the treatment method, healing progress, and individual circumstances. Pain that worsens, persists beyond the expected recovery period, or returns after improving should be reviewed by a specialist. Infection, delayed healing, or another underlying condition may need to be ruled out.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/www.dramitajain.com\/Senior-Proctologist-Colorectal-Surgeon.html\" target=\"_blank\" rel=\" noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"540\" height=\"540\" src=\"https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-2.jpg\" alt=\"Piles Treatment not Working Explains Proctologist Dr Amita Jain\" class=\"wp-image-3708\" srcset=\"https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-2.jpg 540w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-2-300x300.jpg 300w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-2-150x150.jpg 150w, https:\/\/www.dramitajain.com\/blog\/wp-content\/uploads\/2026\/10\/Piles-Treatment-not-Working-Explains-Proctologist-Dr-Amita-Jain-2-144x144.jpg 144w\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">How Can You Tell Whether the Pain Is From Piles or a Fissure?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Piles may cause swelling, a lump, itching, or bleeding, while an anal fissure commonly produces sharp pain during bowel movements that can continue afterwards. However, symptoms can overlap, and pain alone cannot confirm the diagnosis. A clinical examination helps identify the cause and determine the most appropriate treatment.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\">Common Causes of Pain After Piles Treatment<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-cyan-bluish-gray-background-color has-background has-fixed-layout\" style=\"border-width:18px\"><tbody><tr><th class=\"has-text-align-center\" data-align=\"center\">Possible cause<\/th><th>Common symptoms<\/th><th>Why reassessment matters<\/th><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Fissure<\/strong><\/td><td>Sharp pain during bowel movements, burning, possible bright red bleeding<\/td><td>A tear may require specific treatment to heal.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Fistula<\/strong><\/td><td>Recurring pain, swelling, pus or blood discharge<\/td><td>A fistula may require surgical treatment.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Abscess<\/strong><\/td><td>Constant, throbbing pain, swelling, tenderness, sometimes fever<\/td><td>Prompt assessment is needed; drainage is often required.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Thrombosed external piles<\/strong><\/td><td>Sudden, severe pain with a tender lump<\/td><td>A blood clot may need specific management.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Post-treatment healing or complications<\/strong><\/td><td>Tenderness, discomfort, or pain that persists or worsens<\/td><td>The specialist can assess recovery and rule out complications.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">When Should You Seek Medical Attention?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Arrange a medical review if pain persists, worsens, or returns after treatment. Seek urgent medical attention if you develop fever, chills, increasing swelling, or pus discharge, as these may indicate an infection. Severe pain or heavy, ongoing bleeding also requires urgent evaluation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piles are only one possible cause of discomfort in this area. A fissure, fistula, abscess, or another condition may require a different treatment plan. If the pain does not improve, reassessing the diagnosis is more useful than simply repeating the same treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Frequently Asked Questions (FAQs)  on Piles and Pain<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\t\t<div class=\"sp-easy-accordion-block sp-eab-regular-accordion alignwide\"\n\t\t\t\t>\n\t\t\t<div class=\"sp-eab-wrapper sp-eab-vertical-accordion sp-eab-7cc980bfdc01\">\n\t\t\t\t\t\t\t\t<div class='sp-eab-accordion sp-eab-mode-vertical sp-eab-vertical-one sp-d-flex' data-accordion-settings=\"{&quot;mode&quot;:&quot;vertical&quot;,&quot;activeEvent&quot;:&quot;click&quot;,&quot;defaultAccordionOpen&quot;:&quot;first-item&quot;,&quot;selectedItemOpen&quot;:0,&quot;openMultiItemAtaTime&quot;:false,&quot;scrollToTopOnLoad&quot;:false,&quot;scrollToTopOnClick&quot;:false,&quot;accordionItemToUrl&quot;:false,&quot;animationEffect&quot;:false,&quot;applyAccessibility&quot;:true}\">\n        \t    \t\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-2db87010574a\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-eab-parent-7cc980bfdc01\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-eab-parent-7cc980bfdc01'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\t<strong>1. What conditions are most commonly mistaken for piles when pain persists?<\/strong>\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-eab-parent-7cc980bfdc01'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-17c5c485 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Persistent discomfort attributed to piles is frequently caused by other perianal conditions, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anal Fissures:<\/strong> Small tears in the anal lining causing sharp pain during and after bowel movements.<\/li>\n\n\n\n<li><strong>Anal Abscesses:<\/strong> Localized collections of pus that cause constant, throbbing pain and swelling.<\/li>\n\n\n\n<li><strong>Anal Fistulas:<\/strong> Abnormal tunnels between the anal canal and the skin, often resulting from an infection and causing recurrent discharge.<\/li>\n\n\n\n<li><strong>Thrombosed External Piles:<\/strong> Blood clots inside an external vein, causing sudden, acute pain and a firm lump.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div>\n<\/div>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-8b6cb3664780\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-eab-parent-7cc980bfdc01\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-eab-parent-7cc980bfdc01'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\t<strong>2. How do the symptoms of an anal fissure differ from typical piles?<\/strong>\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-eab-parent-7cc980bfdc01'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">While both conditions can present with bright red bleeding, their pain patterns differ. Uncomplicated internal piles are typically painless or produce a mild ache, fullness, or itching. In contrast, an anal fissure causes sharp, tearing pain during defecation, followed by a burning or aching sensation that can persist for several hours.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-ba9051de7623\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-eab-parent-7cc980bfdc01\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-eab-parent-7cc980bfdc01'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\t<strong>3. Why are standard piles medications ineffective for an anal abscess or fistula?<\/strong>\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-eab-parent-7cc980bfdc01'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">Piles treatments (such as topical ointments and suppositories) are designed to reduce local swelling and mild venous irritation. They cannot eradicate a trapped bacterial infection (abscess) or close an established anatomical tract (fistula). An abscess generally requires surgical drainage, while a fistula usually requires specific corrective surgery to heal.<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-b12394a88481\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-eab-parent-7cc980bfdc01\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-eab-parent-7cc980bfdc01'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\t<strong>4. What causes pain to continue after receiving treatment for piles?<\/strong>\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-eab-parent-7cc980bfdc01'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">Pain may continue due to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incorrect initial diagnosis:<\/strong> The primary source of pain was another condition, such as a fissure or abscess.<\/li>\n\n\n\n<li><strong>Normal post-procedural recovery:<\/strong> Some surgical interventions require extended healing periods.<\/li>\n\n\n\n<li><strong>Post-treatment complications:<\/strong> Infection, delayed wound healing, or severe constipation can prolong discomfort.<\/li>\n\n\n\n<li><strong>Secondary developments:<\/strong> A new issue, such as a thrombosed external pile, may have developed concurrently.<\/li>\n<\/ul>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div\n\t\t\t\tid =\"sp-eab-item-6a4b56709484\"\n\t\t\t\tclass=\"sp-eab-accordion-item eab-item-eab-parent-7cc980bfdc01\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sp-eab-accordion-item-wrapper\">\n\t\t\t\t\t\t\t\t<h3 class='sp-eab-accordion-heading sp-d-flex sp-align-center eab-heading-eab-parent-7cc980bfdc01'\n\t\t\t\t\t\t>\n\t\t\t\t<span class='sp-eab-accordion-header-wrapper sp-d-flex sp-align-center eab-icon-position-end'>\n\t\t\t\t\t<span class='sp-eab-accordion-header-start sp-d-flex sp-justify-left sp-align-center'>\n\t\t\t\t\t\t<span class='sp-eab-title-subtitle-wrapper sp-d-flex'>\n\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-wrapper sp-d-flex sp-align-center'>\n\t\t\t\t\t\t\t\t<span class='sp-eab-accordion-title-text'>\n\t\t\t\t\t\t\t\t\t<strong>5. What clinical signs indicate the need for urgent medical evaluation?<\/strong>\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class='sp-eab-accordion-header-end eab-icon-animated'>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class='sp-eab-expand-collapse-icon sp-d-block'>\n\t\t\t\t\t\t\t<i class='sp-eab-expand-icon eab-icon-angle-down-solid'><\/i>\n\t\t\t\t\t\t\t<i class='sp-eab-collapse-icon eab-icon-angle-up-solid'><\/i>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<\/span>\n\t\t\t<\/h3>\n\t\t\t\t\t\t\t<!-- accordion body -->\n\t\t\t\t\t<div class='sp-eab-accordion-content eab-content-eab-parent-7cc980bfdc01'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='sp-eab-accordion-content-wrapper'>\n\t\t\t\t\t\t\t<div class='sp-eab-accordion-body'>\n\t\t\t    \t\t\t\t\n\n<p class=\"wp-block-paragraph\">A medical reassessment should be sought promptly if persistent pain is accompanied by &#8220;red-flag&#8221; symptoms, which include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Systemic signs of infection, such as fever or chills.<\/li>\n\n\n\n<li>Pus, foul-smelling drainage, or fluid leaking from the perianal area.<\/li>\n\n\n\n<li>Constant, severe, throbbing pain that worsens independently of bowel movements.<\/li>\n\n\n\n<li>Heavy, ongoing rectal bleeding.<\/li>\n<\/ul>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Specialized piles surgeon and proctologist in Delhi Dr Amita Jain talks about pain after piles surgery what could be the reason for this not going away<\/p>\n","protected":false},"author":1,"featured_media":3710,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[362,62,1009,938],"tags":[1051,86,1052,1039,973,967,968,969,1042],"class_list":["post-3711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-best-doctor-for-painless-piles-surgery","category-best-laparoscopy-surgeon-in-delhi-for-piles","category-best-proctologist-in-delhi","category-dr-amita-jain-leading-proctologist-in-delhi","tag-best-female-piles-surgeon-in-delhi","tag-best-piles-surgeon-in-delhi","tag-best-piles-surgeon-in-noida","tag-best-piles-surgeon-in-south-delhi","tag-best-proctologist-for-fissure-in-gurgaon","tag-best-proctologist-for-piles-treatment-in-delhi","tag-best-proctologist-for-piles-treatment-in-gurgaon","tag-best-proctologist-for-piles-treatment-in-noida","tag-proctologist-in-delhi"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"Specialized piles surgeon and proctologist in Delhi Dr Amita Jain talks about pain after piles surgery what could be the reason for this not going away\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Dr Amita Jain \u2013 Senior General Surgeon, MBBS, MS, Fellowship (AIIMS), Proctologist, ,30+ Years of Surgical Experience\"\/>\n\t<meta name=\"google-site-verification\" content=\"Xp_T0LW5kW9Wi7_EU7N0nWMq6b4aWGfFWk09DsSo-TQ\" \/>\n\t<meta name=\"msvalidate.01\" content=\"4DA6F075819FA7A29414F52DA960B556\" \/>\n\t<meta name=\"p:domain_verify\" content=\"c0ef4e296fb274d9283c8d8de982b4b0\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/www.dramitajain.com\/blog\/2026\/10\/26\/piles-pain-treatment-surgeon-proctologist-south-delhi\/\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.3\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Blog by Dr Amita Jain, General and Laparoscopic Surgeon in India - Blog by Dr Amita Jain the Leading General and Laparoscopic Surgeon\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Piles Treatment Failed? 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