My piles mass comes out while passing stool, and I have to push it back in. Please help.

Hi,

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I have gone through the attached photo (attachment removed to protect patient identity). You can have third-degree piles or a prolapsed rectal mucosa. People with chronic constipation can have a rectal wall prolapse. You can differentiate it while examining the mass on rectal and anal examination. Endoscopic band ligation can be helpful if it is hemorrhoid. It is harmful in the case of rectal prolapse. The rectal prolapse can be corrected by rectopexy. It repairs the wall of the rectum. It is performed by a surgeon. So you need to consult a surgeon to differentiate these two.