Q. I am suffering from external piles, and have blood in my stool regularly. Please help.

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 12, 2020 and last reviewed on: May 23, 2020

i have blood in my stool but no pain . I m suffering from externally piles. But there is no itching nd pain in that.. Almost from a week blood is regularly going through out stool...

Dr. Ajeet Kumar Lohana

Medical Gastroenterology

Hello. I welcome you to icliniq.

The external hemorrhoids can cause bleeing and pain when they are enlarged or secondrary to constipation which produces an abnormal pressure over anus causing swelling of piles.

The definite therapy is surgery, however if certain lifestyle modification are employed the anal hemorrhoids can reasonably be controlled. These life style modifcations are

  1. Avoid constipation by takinh fiber in diet daily. like eating fruits green vegetable or use a commercially available fibers such as ispagol husl or fibrocol. Take this daily irrespective of whether you are constipated or not.
  2. The ideal time to defecate is at morning or 30 min. after taking meal.
  3. Reduce weight.
  4. If having pain at that area apply xylocain gel or diltiazem gel for 3 times daily.
  5. Take good amount of water approx. 2 to 3 liters in a day.
  6. Have some active life style such as exercise daily at least 45 min.
  7. Take Tab daflon 500 mg twice daily for 5 days.
  8. You can use some laxative such as lactulose 15 ml at night or polyethylene glycol sachet twice daily for some time when you bleeding.

I hope this will solve your problem.

The Probable causes:

anal hemorrhoids

Treatment plan:

as above

Regarding follow up:

can follow up after 7 days of treatment

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