7 doctors weighed in:

L'm having pile problem on and off for number of years, tried various ointment but after a while bleeding starts again, do I need surgery?

7 doctors weighed in
Dr. Charles Cattano
Internal Medicine - Gastroenterology
5 doctors agree

In brief: Hemorrhoids or not?

Are you sure you have just hemorrhoids? Bleeding from the rectum that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.
) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaid's, anticoagulants can cause bleeding), get evaluated.

In brief: Hemorrhoids or not?

Are you sure you have just hemorrhoids? Bleeding from the rectum that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.
) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaid's, anticoagulants can cause bleeding), get evaluated.
Dr. Charles Cattano
Dr. Charles Cattano
Thank
Dr. Aamir Siddiqi
Family Medicine
1 doctor agrees

In brief: May be

Hemorrhoids are large blood vessels.
If you can feel these and not able to push these back, then these are prolapsed. It is also important to be sure that the bleeding is not secondary to other causes and a clonoscopy may be needed. Take fiber supplement like metamucil and drink plenty of clear liquids. If problem continues you may need surgical excision.

In brief: May be

Hemorrhoids are large blood vessels.
If you can feel these and not able to push these back, then these are prolapsed. It is also important to be sure that the bleeding is not secondary to other causes and a clonoscopy may be needed. Take fiber supplement like metamucil and drink plenty of clear liquids. If problem continues you may need surgical excision.
Dr. Aamir Siddiqi
Dr. Aamir Siddiqi
Thank
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