I have bleeding in anal area from long time, generally it's bleed's few days and heals, but recently pain started, I have clear images for better understanding, please let me what it is? What is cause of this? What is best solution.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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It could be due to piles symptoms and causes of piles 1. Bleeding after passing stool (bright red colour) 2. Pain while passing stool (it may be painless in internal piles) 3. Itching in anal region 4. A lump hanging down outside anus which may need to be pushed back after passing stool 5. Mucus discharge after passing stool causes- due to increased intra abdominal pressure because of chronic constipation/diarrhoea, lifting heavy weight, prolonged sitting/standing pregnancy, straining while passing stool, heredity treatment 1. Apply proctosedyl ointment 2-3 times daily before and after passing stool. 2. Sit in a bath tub containing warm water with little salt for some time twice daily (sitz bath). 3. Take two tea spoonful lof softovac/naturolax powder with a glass of warm water/milk in the evening or syrup duphalac 3 tsf (15ml) twice daily if there is constipation. 4. Take fiber containing diet, plenty of green leafy vegetables and fruits. 5. If no relief consult a general surgeon for sclero therapy/rubber band ligation/laser or electric coagulation/surgery. 

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