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Piles stage 4

I am having piles problem for few years now.At this moment it has become very painful and bbloody. I think it is a stage 4 piles.Need opinion
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Doctor Answers (2) on Piles stage 4

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Dr. Chirayu M. Chokshi Vadodara | Gastroenterologist
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Surgery after sigmoidoscopy
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Harisha N L Bangalore | General Physician
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You need immediate surgical attention.. Consult nearest surgeon for clinical examination as treatment depends upon clinical grading The following is a quick summary of treatment for internal hemorrhoids by grade: Grade 1 hemorrhoids are treated with conservative medical therapy and avoidance of nonsteroidal anti-inflammatory drugs and spicy or fatty foods Grade 2 or 3 hemorrhoids are initially treated with nonsurgical procedures Very symptomatic grade 3 and grade 4 hemorrhoids are best treated with surgical hemorrhoidectomy Treatment of grade 4 internal hemorrhoids requires prompt surgical consultation
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