Hello doctors I was suffering from internal small piles six months ago. HDP report was also normal .bello i have attached a picture of colonscopy and my recent picture is that a pile? And does those lumps goes on their own as its been six months only inflamation has stopped compeletly and some minor symtoms went by using annovate crem. Are internal piles necesary to operate? And is that lump is off pile between the red colur surounding .