question: Sir am 24 year old female ... I had lump at anal past 1year and no pain but recently I had blood coming out and there is a lot of pain ... And when I blow my tool the pain is killing me ... Is surgery is necessary.. I don t want to go to surgery ... And wat happens if I had monthly periods which I use cloth as I had lot of bleeding during periods I can t use normal pads ... Is this effect the piles