HomeAnswersInternal MedicinepilesHow can we differentiate if the blood in stools is due to piles or ulcers?

Is my bleeding stool due to an ulcer or piles?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Infanteena Marily F.

Published At September 6, 2021
Reviewed AtDecember 1, 2023

Patient's Query

Hi doctor,

I am having a lot of bleeding when I defecate, and it gives me body weakness for the past week. I took capsule Amoxicillin, but it did not stop it. I do not know if it is a sign of pile or ulcer because I got cramps.

Answered by Dr. Utkarsh Sharma


Welcome to icliniq.com.

I understand your concern and will help you with it.

If it is a splash of fresh blood, you will probably suffer from hemorrhoids (piles).

A bleeding ulcer will not cause you to bleed fresh blood, and the stool will be black in that case.

Is there any bulging in the anus? If yes, then it means the hemorrhoid is external.

Do not worry. Around 75 percent of people suffer from hemorrhoids at some point in life. But, most of the time, it just appears worse than it is.

Early hemorrhoids (initial grade) can be treated by healthy bowel habits and a healthy diet.

It would be best if you get rid of constipation and maintain a healthy bowel habit.

Do not strain. Always respond to nature's call.

Do not sit in the toilet for long hours.

Increase dietary fiber in your meals if you are constipated. The soluble fiber in a banana, papaya, mango will help.

Take a sitz bath if your hemorrhoid is external and painful. If needed, watch online videos and get to know them.

I suggest an ointment (like shield ointment) containing Phenylephrine, Allantoin, Hydrocortisone 30 minutes before a bowel movement. It will reduce pain and swelling.

Walk for atleast 30 minutes regularly, and it will help.

Get a CBC (complete blood count) done to check hemoglobin levels.

I hope this will help. Take care and all the best.

Investigations to be done

Complete blood count.

Probable diagnosis


Regarding follow up

If conservative treatment does not help.

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

Dr. Utkarsh Sharma
Dr. Utkarsh Sharma


Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Internal Medicine

*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.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy