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

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What could be the reason for persistent anal pain that starts after passing hard stools?

Query: Hi doctor, For the past one month, I am having pain in my anus. It pains while throwing waste and even while sitting. There is a skin flap that has appeared at the end of the anus towards the outer side. There are two flaps one is more white in color and the other is reddish. It is not bleeding ho...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to icliniq.com. The picture (attachment removed to protect patient identity) and the symptoms suggest you have an external pile mass. The pain is due to an underlying fissure, or simply a crack at the anal opening. These usually result from hard stools or constipation. You need to start ...  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 which bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard...  Read Full »

How can I get relief from piles?

Query: Hi doctor, I am 35 years old female. I usually suffer from piles for seven days always. But this time, I am suffering from piles for the past 15 days. They are painful and itchy. I have watery substance coming out. My diet is mainly vegetarian, and my stools are not very hard. But it is painful to ...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to icliniq.com. You have piles with clotted blood inside. The blood clot is the cause for pain. You need to do a sitz bath three times a day. Sit in warm water in the basin for 10 minutes. Avoid constipation and hard stools. Have two to three liters of water daily. Avoid constipating f...  Read Full »

I noticed blood in stool. Is this due to piles or cancer?

Query: Hi doctor, While passing motion just some time back, I noticed blood in the stool and immediately I wiped my anus area with a tissue. There was a good quantity of blood (bright red color) and few stools also were red in color. I wiped off the anus and completed my bowel movement. The rest of the mo...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to icliniq.com. The clinical picture looks typical of bleeding from piles. This is unlikely due to cancer. Do not worry. However, to make to be sure, you need to consider a colonoscopy or sigmoidoscopy. This blood comes whenever pressure happens on the pile mass, usually when you have...  Read Full »

I think I have a fissure in my anal area. Please check and tell me.

Query: Hello doctor,I think I have a fissure in my anal area. I do not have any constipation, rectal, or anal pain. I do not have bloating or any abdominal pain. I also do not have any piles. I do not have any straining during bowel movement. I do not have any blood in the stools. I am sending you anal pic...  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to icliniq.com. I have gone through the clinical images (attachment removed to protect patient identity). It looks like small external piles with a suspicious fissure. No active intervention is needed. Keep yourself well hydrated. Avoid constipating foods. Make sure your motio...  Read Full »

Can I undergo banding for bleeding internal 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 proctoscopy.  They said that I have one or two internal piles. I also have pain during and after defecation in the anal and buttock area. I have always been a chro...  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 is better to go for the stapler h...  Read Full »

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