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Internal & external piles

Piles since 3 month. Pain while urine passing. I attached colonoscopy report. My question is surgery required for me.
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Doctor Answers (1) on Internal & external piles

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Dr. S. Lokesh Chennai | General Surgeon
Answered
The haemorrhoids seem to be large and most definitely requires intervention. The pain while passing urine could be due to associated infection.
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