Piles, also known as hemorrhoids, are swollen blood vessels that develop around the anus. They can cause bleeding and discomfort.

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I suffer from piles and have blood clots and mucus in my stools after a bowel movement. Why?

Query: Hello doctor, I have had piles since I was pregnant at 18 and they bled quite badly, which was alarming. I am now 36 and after having four children my piles have gotten worse. I always had bleeding on and off over the years. However, since having my son who is now 6-year-old my piles have been wo...  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq.com. I am reviewing your case history and attached files and will get back to you in a while. Kindly reply after getting a detailed response. Thank you.  Read Full »

My hemorrhoid surgery postponed due to low HB. How to prevent further anal shrinkage?

Query: Hi doctor,I am a 24-year-old woman suffering from hemorrhoids. I have a feeling that my anus is reducing in size. My doctor has advised me to do surgery for removing it. But my hemoglobin levels are low. So my doctor recommended me to increase the hemoglobin levels. I am taking iron supplements to i...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You have to remove piles through surgery as it is increasing in size. Anal shrinkage is not a complication of piles. Because of the enlargement seen in piles, the anal area looks shrank. You can take a stool softener for piles like Cremaffin syrup (Liquid Paraffin with M...  Read Full »

Is LASER treatment safe for piles?

Query: Hello doctor,Is laser treatment for piles safe or not? Any side effects? Please let me know which one is better, laser surgery or normal surgery. Waiting for your reply.  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to icliniq.com. For piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. For grade one - those who bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard s...  Read Full »

Will the banding procedure be effective in curing my piles?

Query: Hi doctor,I am a 27 years old unmarried girl. I have bright red blood in the stool. I have consulted three doctors each of them did a proctoscopy. They said that I have one or two internal piles. I also have pain during and after defecation in the anal and buttock areas. I have always been a chronic...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to icliniq.com. Bleeding of piles may or may not present daily. It depends on a lot of factors like the grade of piles, underlying constipation, etc. Since you have grade two piles with recurrent bleeding, it is advisable to undergo surgery. Nowadays it isbetter to go for the stapler...  Read Full »

How to get rid of pain, infection, and fever caused by piles?

Query: Hi doctor,I am suffering from piles for nearly about a year. Suddenly yesterday, I felt pain around my anus, and I had a 101 degree Farenheit fever. I saw that there is an infection around my anus.  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome back to icliniq.com. What do you mean to say by piles? Is it painless bright red blood in stools? How do you know it is an infection? Do you have constipation? For advice specific to your problem, please upload past medical records and detailed evolution of your symptoms. And a pic...  Read Full »

I have a history of hemorrhoids on and off, which subsides on treatment, but the present episode is very painful and itchy. Kindly help.

Query: Hello doctor,I am 52 years of age. I have a history of piles or hemorrhoids from my late teens onward. The condition was on and off. I have never had surgery. In the past, I was treated with Daflon 500 and Anovate cream. With a change of diet (less meat), the problem used to get solved. The above me...  Read Full »

Dr. Muhammad Kashif Humayun

Answer: Hello, Welcome to icliniq.com. After reviewing your history and pictures (attachments removed to protect the patient's identity), you got acute on chronic anal fissure with sentinel piles. Your external piles are somewhat prolapsed also. Most likely due to strain while passing stools. These two fa...  Read Full »

I have anal bleeding because of piles. What treatment can be had?

Query: Hello doctor, I am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. What should I do?  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. I would suggest the following at this point in time. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Tablet Tranexamic acid 500 mg thrice daily for five days. Consult your specialist doctor, discuss with him or her an...  Read Full »

I have external and internal piles associated with itching. What to do to resolve itching?

Query: Hi doctor, I am 28 years old and my height is 6 feet 2 inches, and I weigh 98 kg. I have external and internal piles. And, I have itching but no bleeding. Also, I am not under any medications. Kindly suggest a solution to my problem.  Read Full »

Dr. Ajeet Kumar

Answer: Welcome to icliniq.com. I see your weight seems to be very high and you also have constipation. In this case, it is common to have external and internal piles. In the picture that you have uploaded, I can only see the external piles (attachment removed to protect the patient's identity). Since inte...  Read Full »

Can skin thinning result from Anovate cream?

Query: Hi doctor, Around 1 year ago, I was diagnosed with anal fissure. My doctor has prescribed me a topical steroid cream, Anovate and I used it for about eight months. My fissure was healed, but I was left with constant pain, itching and pricking sensation around the anus while walking. I was not able ...  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hello, Welcome to icliniq.com. Anal fissure develops due to erosion of anal mucosa during hard straining particularly in constipated person. This is the main cause for it. So, prevention or treatment of constipation is very important. Once the anal mucosa get eroded due to straining, then the normal...  Read Full »

My wife could notice blood in her stools.Could you please advise us with proper guidance?

Query: Hello doctor, My wife (age 33 years) has been suffering from piles related issues since last 10 years. It occurred after her delivery (in 2003) and was harmless at that time. We are having an eleven year old daughter. Recently she started experiencing pain and itching while going to toilet. Also sh...  Read Full »

Dr. Jaydeep Tripathy

Answer: Hello, Welcome to icliniq.com. I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is a...  Read Full »

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