With your presenting symptoms , it's wise for you to consult with a general surgeon in your area for a clinical examination to determine what exactly you  are  having.

Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Hi dear External piles and fistula are two different things . While external piles if not causing any complaints can be left alone . Fistula can cause issue later on and many people suggest to get it treated /operated . It depends upon the size and location of fistula so its better that u go to a general surgeon and get urself examined for further guidance. Take care

Gastroenterologist

Patient's detailed medical history is required. It is recommended to consult a doctor professional through the Practo app or visit a local medical facility for a thorough evaluation. Please keep in mind that detailed medical history is crucial for proper diagnosis and treatment.

Get yourself checked physically by a laparoscopic surgeon

Need few more details Kindly consult