Hi
Piles is a very common condition and especially in modern society with our current life style. They don't normally cause difficulty blockage but the problems comes if you are constipated and the stools are hard.
To improve on this, the general advise is ensure that you have adequate amount of fluids daily (>2L) and a good amount fruit and vegtables daily for the fibre. This will ensure you are regular and the stools are soft to prevent the straining and constipation that will agravate the piles. Laxative may help to keep the stools soft.
The blood that you pass from piles (due to hard stools and constipation) is generally due to the surface of the piles being scratched or traumatised by the stools. This is very alarming but if it is coming from the piles, then rest assure that there is nothing to worry about.
The blood generally should be bright red blood as oppose to your deep red blood. This may suggest that it can be coming from higher up in your colon and not your piles. Either way, it is very important that you have it check out by getting your colon looked at and to see where the bleeding is coming from by way a simple procedure called colonoscopy.
Colonoscopy is a test which passes a flexible camera up your colon from below and it looks directly into the colon and e=it examines the lining of the colon. It will be done as a day-case where you just go into hospital to have it performed and then you will discharged a few hours later. If it is just your piles then that can be treated easily depending on how big your piles are. If there is any other lesions seen during the procedure such as polyps, it can be removed at the same time. For other larger lesions, a biopsy can be taken. It is still very important to check where the bleeding is coming from and definitely to exclude the possibility of colon cancer as the cause of your bleeding.
