Also described as: “Bawasir, latrine mein khoon”
Common symptoms
- Bright red blood on the stool or in the pan
- A lump or swelling near the anus
- Pain during or after passing stool (fissure)
- Itching or discharge
- Pus or a recurring boil near the anus (fistula)
See a doctor promptly if
- Dark or mixed blood in stool
- Change in bowel habit
- Weight loss or anaemia
- Age above 45–50 with new bleeding
Not all bleeding is piles
Piles (haemorrhoids) are the most common cause of bright red bleeding, but polyps, colitis and colon cancer can also bleed. That is why a proper examination — and sometimes a colonoscopy — is important before labelling bleeding as piles.
Non-surgical treatment
- Fibre, fluids and avoiding straining
- Medicines to reduce swelling and bleeding
- Rubber band ligation — a quick outpatient procedure for internal piles
- Sclerotherapy in selected cases
Fissure and fistula
Most fissures heal with stool softeners, sitz baths and medicated ointments. Fistulas usually need surgical treatment; Dr. Kalia will guide you to an appropriate colorectal surgeon if needed.
How we can help
Consultation & Second OpinionA detailed, unhurried consultation for stomach, bowel, liver and pancreas problems — or a second opinion on a diagnosis, report or planned procedure.
ColonoscopyA camera examination of the large bowel to investigate bleeding, bowel changes or anaemia, remove polyps and screen for colon cancer.
Frequently asked questions
Many internal piles respond to diet changes, medicines and rubber band ligation. Large or prolapsed piles may need surgery.
It is usually done without anaesthesia and causes mild discomfort or a feeling of fullness for a day or two.
Medically reviewed by Dr. Shivam Kalia MBBS, MD (Medicine), DM (Gastroenterology) · Consultant Gastroenterologist & Hepatologist