While piles (hemorrhoids) cause local discomfort, they typically do not cause fever or body pain. These symptoms suggest a potential complication, such as an infection, a perianal abscess, or a thrombosed hemorrhoid. I strongly advise against self-medication and urge you to consult a doctor immediately for a physical evaluation. For temporary relief of the fever and pain, you can take Paracetamol. Warm sitz baths can also help soothe local discomfort. However, because you have a fever, a professional examination is crucial to determine if antibiotics or specialized treatments are required. Please seek medical attention promptly.

To treat anal fissures, we use stool softeners to prevent straining, topical anesthetics (like lidocaine) for pain, and nitroglycerin or diltiazem ointments to relax the sphincter muscle and promote healing. While these medications, alongside warm sitz baths, can successfully heal an active fissure and reduce swelling, a sentinel pile cannot be treated or removed with medication alone. A sentinel pile is a permanent skin tag of fibrous tissue that forms due to chronic irritation. If it continues to cause discomfort, itching, or hygiene issues after the fissure has healed, it must be surgically removed.