I was operated for fistula, and the wound healed in 1mon, but as soon as it healed a lump near the anus came with tremendous pain while walking sitting. While passing stools it was horrible. Dr. told me it was thomossobed pile. He gave me pain killers, stool softener and anti biotic ofloxacin 2000 ornidazole 500 mg. For 10 days. For 2 days it took but I did not worked out. I started ayurvedic treatment and some home remedy such as isabgul. Conditioned had got better lump was subsiding a bit and pain lowered aftr 7 days. But the discharge from lump was continuing the was small tear in the pile and discharge was coming frequently. I showed to surgeon who suggested me daflon 500 twice a day and same antibiotic for infection. I had both ayurvedic and allopathy simultaneously. Aftr completion of 15 days of ayurvedic, and 10 days of allopathy, lump is subsiding by end of the day, but in morning after using washroom for 2 to 3 time lump get out again with mild pain and if I go for 4th time the cut is again generated from pile which pains for 2 4 hrs. Nw I am also having burning sensation in stomach from last 24 hr and bit of nausea. I take sits bath 3 times a day. Can you please suggest me how to get rid of this. Or I need to operated?