Dr. Ghulam Fareed
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's 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 worse. They prolapse when I have a bowel movement and this has happened for around seven years unless my stool is soft and blood smears my stool. I occasionally have blood when I wipe but it is mainly on my stools if it is hard and sometimes there is mucus and tiny blood clots too. I am very anxious and scared. Would this be normal with bad piles? I do not always have blood when I wipe, it is just on my stool. When I push my prolapse back in I have two large skin tags one I have had for many years. The images I have uploaded are of my prolapse after a bowel movement. My bowel stool with the blood or mucus in is making me very anxious. I am worried. Kindly help.
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.
Patient's Query
Hello doctor,
Thank you for replying. Can I ask how far up the rectum internal piles can be? When I look at my prolapse in the mirror and open it up there is redness but no bleeding whatsoever in all I can see protruding. However, there is still blood on my stool. I am worried that it was from piles surely. Kindly suggest.
Hello,
Welcome back to icliniq.com.
1) Hemorrhoids are nothing but the prolapsed internal mucosa, which increases in size due to prolong straining while passing stools, like in constipation (very commonly associated with pregnancies).
2) Proctoscopy is a simple clinical procedure, where the surgeon can see within the rectum, the actual size and extent of hemorrhoids, so this is how we assess hemorrhoids before treatment.
3) There can be intermittent bleeding, I have seen attached pictures (attachment removed to protect the patient's identity) your hemorrhoids are large and the internal mucosa is very fragile, and can bleed easily with minor strain or passing hard stools.
4) It is not necessary, you will always find out the exact spot of bleeding while performing a self-examination as you explained.
5) I would suggest, visiting the general surgeon once, where a physical examination can be performed along with a proctoscopy. These large hemorrhoids can easily be fixed.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Medical Gastroenterology
Related Questions
Prolapsed Hemorrhoids - Symptoms, Causes, and Treatment
What causes piles? Please suggest some medicines.
My hemorrhoids have popped and are bleeding. What are the medications I should take?
Can piles cause severe pain while passing stools?
I get blood in stools after taking medications for H.pylori infection. Why?
Blood in Stools - Causes, Diagnosis, and Treatment
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
