Dear Sir, I am suffering from gas flatulence 10-14 times in a day since last 3 months. My health is very good. All executive health check up report is normal. Age 44, wt 81 kg, ht 5 10 fit. Recently one monthback I got discomfort & little blood on finger while washing after defacttion. I showed it to surgeon who told me that I have external piles second grade.  Can tbis flatulence cause piles.  Pl advise treatment & medicine.  I am working at middle management position & has got80% office job & traveling.  I am applying pilorute cream 2 times and taking lactulose 15 ml in night.