I have external piles that sometimes swell and pains extremely, its already been 3-4 years and I haven't said a word to anyone due to fear and embarrassment, I get constipated very easily and I'm not able to digest my food properly, The hemorrhoids sometimes bleed! It feels itchy and sometimes sharp pain! The size of the hemorrhoids around the anus are of like a size of the pulse(chana) I don't know the stage of piles I'm at and would like to have myself checked since I can't handle it anymore! Can the problem be solved without surgery? I'm afraid of surgery and would to get treated non surgically.