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

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 30, 2020 and last reviewed on: Feb 23, 2021

Hi doctor,

I am 40 years old. I am a patient of prolapsed internal piles of third-degree from birth. My piles comes out while passing stools and after passing stools, I push them back with my hands inwards. Sometimes I have pain and bleeding. Will rubber band ligation helps for this type? Does any other treatment help me? I have attached the photos of it.



Welcome to

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.

The Probable causes:

You have hemorrhoids or rectal prolapse.

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