###Human: I am suffering from external piles, and have blood in my stool regularly. Please help. ###Assistant: Hello. I welcome you to icliniq. The external hemorrhoids can cause bleeing and pain when they are enlarged or secondrary to constipation which produces an abnormal pressure over anus causing swelling of piles. The definite therapy is surgery, however if certain lifestyle modification are employed the anal hemorrhoids can reasonably be controlled. These life style modifcations are I hope this will solve your problem. anal hemorrhoids as above can follow up after 7 days of treatment