You need a general surgery consultation to confirm the diagnosis first. It may or may not be haemorrhoides(piles)..can be confirmed only after local examination

Hello this may be due to thread worm infestation or fissure inano or haemorrhoids kindly consult proctologist and decide bye

Any history of constipation?  It may be anal fissure... First of all you start stool Softner and get hemoglobin level done... If itching is there then deworming may help..

Dear Client, I feel you have had no diagnosis at this stage, you have presumed it is piles/Haemorrhoids. Piles can be treated without surgery, depending on the size and symptoms. Symptom control can be achieved with medications.

Hello. I understand your concern. The above symptoms can be managed by the following medicines . Tab Bandy plus one stat. Tab Oflox-Oz twice daily after meals. Anovate cream twice daily. Tab Allegra 180 mg once daily at night. I would also like to add , please answer the following questions. Since when is this problem? Any history of bleeding ? Any history of chronic constipation? Is the problem diagnosed ? Apart from this , get the following tests done , so that I can send you a perfect Treatment Plan and a Super Diet Plan to give Full satisfactory treatment protocol. Haemogram. Dr Amarpreet Singh New Delhi

Hello There. I can understand your concern. first of all you need to consult a general surgeon in person for further evaluation. we need to know the severity of your problem so then we can tell what kind of treatment will be required. if it can be managed by medicines, he will prescribe you medicines, if not he will tell you your options. Best regards, Dr. Anil kumar jain.

Adel 2 Germany with some water befor meal 3 time daily six month.