Symptoms of piles include bleeding with the stool , swelling of the flesh in the anus , which sometimes hangs outside the anus and has to be inserted by hand. This blood is usually fresh red. Even if there is cancer in the anus, blood goes. Do n't judge yourself , you have piles. It is not possible for anyone to make an accurate diagnosis without a special type of rectal examination , such as sigmoidoscopy or colonoscopy. Modern technology makes it possible to treat most piles patients without surgery. This method is called ring ligation method. As a result of this method of treatment, now 80-90 percent of the patients are getting better without any operation. Often we face an embarrassing problem. That is, the patients ask , I have heard that if the operation is done again, then what is the benefit of the operation ? It cannot be answered in one word. We need to review the history of medical science before patients can answer this question. Many diseases of the rectum and anus were difficult to cure by surgery in earlier times. If piles or fistula operation was done, it was the rule again. Piles , anal fissures and fistulas. But common patients consider all the diseases as piles. So when there is a problem after the treatment of these diseases, they complain that the piles have happened again.