Im having piles/fissures and constipation again and again since 2years(gap of months between). Now currently I'm having piles/fissure like things again and i felt that I'm also unable to have a bowel movement. So i took bc17 from a homeo chemist. taking aloe vera juice about half a cup everyday. It worked well but still things didn't feel confident. I went to another homeo doctor and he said it's nothing to worry about and its just that i have irregularities of digestive system which led to constipation and piles/fissure. His medi worked well. No constipation now, but pile/fiss isn't perfectly and i feel a tiny lump below. today i noticed red spots which probably looks like blood. my stool is in better shape than it was before. it softer now but still i feel i have to struggle a little at the start. my medicines haven't ended but I'm getting scared as to what is happening.  there is no pain. im eating home food + fruits(papaya) everyday since 4 months. Do i have to undergo surgery?