I had anal fissure due to gastric and dehydration. It got healed by adding water, fibre, laxative and flozen aa, zenflox tz in my diet and sits bath. However I have a swelling/tissue from inside which I feel while applying ointment for smooth pooping or pilex. I consulted ayurvedic doc who said it?s sentinel pile at 2 places due to fissures at 2 places. Currently I don?t have pain in pooping/ no burning nothing. Bt this is v uncomfortable and I am having pricking pain sometimes. I don?t sit bcoz I am scared and it feels sometimes I notice it swell more and subside also during sits bath. The ayurvedic doctor suggested ksharashutra but m not wanting any surgical or parasurgical options. Please recommend me some medications by which it can naturally subside in size/inflammation. I don?t think it?s external piles. I think it?s sentinel piles as well like the ayurvedic doctor told me.