Small pimple like bumps near the anus with itchiness and mild burning are more commonly due to local skin irritation, allergic reaction, minor infection, or blocked glands rather than piles because piles usually present as swollen veins with pain, bleeding, or pressure, so it is best to consult your doctor for proper examination and confirmation. They can then advise the appropriate treatment based on the exact cause, rather than starting any medication on your own.

Based on your condition, it is recommended to consult your doctor for reassessment so they can check the exact cause of your bleeding and stomach pain and provide the appropriate medication according to your current medical condition.

Pain during stool passage is often caused by constipation, fissures, or haemorrhoids or other conditions, but the exact cause needs proper examination, so if the pain continues or is associated with bleeding, it is recommended to consult your doctor for reassessment and appropriate treatment based on your current condition.

If you have symptoms that feel like piles such as pain, bleeding, or discomfort during stool passage, it is best to see your doctor so they can examine the area, confirm whether it is piles or another condition, and guide you on the right treatment because proper diagnosis helps prevent the problem from becoming more severe and ensures you receive the most suitable care based on your current condition.

Pain outside the rectum can be caused by several conditions such as external hemorrhoids, a skin tear, an abscess, or irritation from constipation, but the exact cause cannot be confirmed without examination, so it is best to consult your doctor for a proper checkup so they can identify the source of the pain and guide you on the most appropriate treatment based on your current condition.

If bleeding continues despite three years of piles symptoms and treatment, including the remedy you took, it is essential to consult your doctor again for reassessment because recurrent bleeding with hard stools often means the underlying cause has not been fully treated, and your doctor may need to examine the area, check for fissures or advanced hemorrhoids, suggest tests if needed, and guide you on proper medical or procedural treatment along with stool softening measures to prevent further injury.

Severe pain from piles often needs proper reassessment. The safest step is to consult a doctor so they can examine her condition and recommend appropriate treatment such as a pain relieving topical cream, a mild anti inflammatory option, or supportive measures like warm water soaks and stool softening guidance, because the correct treatment depends on how severe the piles are and whether there is swelling, irritation, or another cause for her discomfort.

Based on your current condition, it is not recommended to start these medicines on your own while breastfeeding. It is safer to consult your doctor so they can assess your symptoms, check if the fissure is returning, confirm which treatments are safe during breastfeeding, and guide you on the most appropriate and gentle way to manage constipation and discomfort.