A 31-year-old member asked:
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how can i distnguish between bleeding piles and colorectal cancer other than undergoing colonscopy?

2 doctor answers
Dr. Gurmukh Singh
48 years experience Pathology
See your doctor: It is not a matter for self diagnosis and may not require colonoscoply. Your doctor can diagnose piles without need for colonoscopy. If you have blood in stool and no piles, colon cancer needs to be excluded. Discuss the alternatives with your doctor.
Answered on Nov 21, 2017
Dr. David Stein
23 years experience Colon and Rectal Surgery
A good exam: Willexam will usually do the trick. A thorough physical examination with an anoscopy can diagnose piles or hemorrhoids. If the exam does not detect anything you need a colonoscopy.
Answered on Dec 30, 2016
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2 comments
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Dr. David Stein
Dr. David Stein commented
23 years experience Colon and Rectal Surgery
Provided original answer
Agreed!
Nov 16, 2012
Dr. Wendell Goins
41 years experience General Surgery
however if you have certain risks,fam history, or over age 50 you should still undergo colonoscopy despite finding piles on anal exam.
Jul 30, 2012

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No: It's very unlikly to have cancer at your age but colonoscopy is the appropriate think to do identify the source of bleeding.
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Tell doctor: Tell your doctor of your concern prior to colonoscopy so that s/he may examine your anal canal before the procedure. Wish you good health!
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