Overview
Piles are very common. Constipation, straining, sitting on the toilet for a long time, a low-fibre diet and pregnancy all increase the risk.
Treatment
Treatment depends on the grade of the piles. Early piles are often managed with more fibre and water, stool softeners and medicines. Piles that keep bleeding or come out of the anus may need a procedure or an operation. Rectal bleeding can have other causes too, so a proper examination matters.
Common symptoms
- Bright red blood on the stool or toilet paper
- A lump near the anus that may come out during bowel movements
- Itching, discomfort or mucus discharge
When to see a doctor
- Any bleeding from the back passage, especially after the age of 40 or with weight loss
- A painful, hard lump near the anus
- Heavy bleeding or feeling faint (seek urgent care)
If you have severe pain, vomiting, fever or heavy bleeding, go to the nearest emergency department.
This page is for general information and does not replace a consultation.



