Please meet general surgeon physically. Can meet me if in noida

Hey Painless bleeding suggest piles. Weakness is due to blood loss. Grading is done as follows Grade 1- only bleeding Grade 2 - piles mass also comes outside during defaction along with bleeding which goes inside own its own Grade 3 - piles mass comes out during defaction along with bleeding but needs manual repositioning through fingers Grade 4 - piles mass is outside permanent along with bleeding what we call is prolapse of piles mass Basically piles is diagnosed on basis of patient history and clinically (proctoscopy)and no test is required for this. You can get a CBC done for haemoglobin levels since there is heavy bleed and weakness which may require further management