Piles can get back to normal with treatment.. so ur colonoscopy reports can still be right..
Piles problem usually is due to our habits, stress, diet, persistent High rectal pressure n many more..
If ur having severe pain n blood in stools, best is to Consult a surgeon.. teleconsultation won't help u Bec many more things like hemorrhoids, ulcer, fistula wil also have same symptoms..
IBS wil not have blood in stools.
So unlikely to be IBS.
Next Steps
visit a surgeon in person.. get Rectal examination done. and go ahead with further treatment.
Health Tips
take high fiber diet, bananas, green leafy vegetables, more water 3 lits per day, avoid eating wheat products.