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Hemorrhoids or piles, are swollen veins in  anus and lower rectum. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Internal hemorrhoids cause painless bleeding whereas external hemorrhoids can cause pain , itching and swelling . Clinical examination is the best way to identify. Colonoscopy is helpful for diagnosing gastrointestinal diseases, such as inflammatory bowel disease, polyps and colon cancer.

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If constipation increase your problem then it is haemorrhoid

If there is frank,painless bleeding just before passing stool is mostly hemorrhoid.

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Hemorrhoids are like sure shot diagnosis with simple history and examination rather than any tests or imaging ... Pt. Often may present with pain / without pain , Blood / wdt blood like episodes ... The hemorrhoids may be internal , external or mixed ....

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