HomeAnswersInternal Medicinepiles

Can piles cause severe pain while passing stools?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been having serious pain when going to the toilet, but the pain lasts for up to 8 hours afterward. I sometimes have blood on the toilet paper as well. I have been to the doctor before and even took myself to the hospital, and after a small rectal exam, every time they tell me it is a pile or a hemorrhoid.

I am convinced it is not because this has been going on for three years now. How can something so natural cause me so much pain? It even gets to the point where it wakes me up at night in agony, depending on when I last had a bowel movement.

My actual bum hole is worrying me as well. It started off as a little tear (fissure), now I have got a big tear with what looks like a skin tag hanging off it, as doctors in the past have said. It cannot be a skin tag, as if you look properly, it is actually part of my bum hole, as there is a part missing. Please help.

Thank you.

Answered by Dr. Hariharan

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I feel very saddened by your symptoms. I have seen many patients with this problem, which causes unbearable pain and anxiety to them. You may be having either an anal fissure or piles, but the treatment is almost similar.

1. Eat a lot of vegetables and whole grains. Fiber will heal the problems quickly.

2. Eat a different fruit every day. Avoid spicy and oily foods.

3. Never forcefully defecate. This will increase the tear or hemorrhoid. Use your stool softener twice a day.

4. You can take an ayurvedic drug on a long-term basis for complete healing, like Pilex tablet twice a day for 3 to 4 months.

5. Take Calcium Dobesilate tablets at night for a month.

6. Buy Calcium Dobesilate containing hemorrhoidal cream. It has an applicator (a cone with a hole in both ends), insert it into the anus and press the tube morning and night.

7. Is your blood pressure under control? Sometimes, increased blood pressure may also cause a hemorrhoid or fissure.

By doing this, you can see your pain and other symptoms slowly relieved in two to three months. If the problem increases, please opt for surgery. It will give you a faster recovery.

I hope this helps you.

Thank you.

Answered by
Medically reviewed by Dr. Divya Banu M
Published At September 1, 2019
Reviewed At October 29, 2025

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hariharan

Diabetology

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

pilesanal pain

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.