I'm sorry to hear that you're experiencing bleeding during bowel movements due to piles (haemorrhoids). This can be uncomfortable, but there are several measures you can take to help reduce bleeding and manage symptoms:

• Use a prescribed topical cream: A cream like Anovate, which contains a steroid (beclomethasone), a vessel-constricting agent (phenylephrine), and a local anesthetic (lignocaine), can reduce inflammation, swelling, and pain. Use it exactly as directed by your doctor.

• Maintain soft stools: To avoid straining, increase your intake of fiber-rich foods such as whole grains, dals (lentils), vegetables, and fruits. Incorporate Indian staples like millets (bajra, jowar), and seasonal produce to help ease bowel movements.

• Stay hydrated: Drink plenty of water throughout the day to keep stools soft.

• Avoid straining: Try not to strain or sit on the toilet for prolonged periods.

• Limit alcohol and spicy foods: These can worsen constipation or irritation.

• Practice good hygiene: Gently clean the anal area after bowel movements with water or unscented wipes.

If bleeding persists, worsens, or is accompanied by severe pain, it is important to consult a colorectal surgeon or a gastroenterologist for further evaluation and treatment.

If you experience heavy bleeding or dizziness, seek emergency medical care immediately.

Please consult a specialist doctor to get a proper diagnosis and personalized treatment plan.To narrow down potential causes, we will need some more information.I understand that you are experiencing bleeding from piles during bowel movements. Please tell me your age and gender.