How do doctors diagnose and treat piles?

Physical examination: Hemorrhoids ("piles") are thin-walled, dilated veins of the anus and rectum. They are usually the result of excessive exertion with defecation. They are easily diagnosed by physical examination. The most common treatments involve modifications of the diet to increase water and roughage (fiber). In most cases, surgical treatments are unnecessary and potentially harmful.

Bleeding, pain: Intl hemorrhoids can give u bleeding with a bowel movement, blood on the toilet paper or in the bowl. If large, they can become trapped and give u pain or at least bad inflamation, itching. Ext. Hemorrhoids can itch and if a clot forms and obstructs them they can b extremely painful and a patch of skin can die off causing infection. Usually begin with fiber and hygine changes, sx if refractory.