I'm sorry to hear that you're experiencing pain and bleeding due to piles (haemorrhoids). This condition occurs when the veins in the anal and rectal area become swollen and inflamed, causing discomfort.

One treatment option that may help relieve your symptoms is a topical cream called Smuth Cream. It contains several active ingredients:

• Calcium dobesilate: Helps strengthen blood vessel walls and reduce swelling.
• Hydrocortisone: A steroid that reduces redness, itching, and inflammation.
• Lignocaine: A local anesthetic that helps numb the area and reduce pain.
• Zinc: Acts as an astringent and antiseptic to promote healing.

Smuth Cream is applied externally or rectally as prescribed by a doctor. It can help alleviate pain, itching, swelling, and bleeding associated with piles. However, it should be used exactly as directed, avoiding overuse or prolonged application to minimize side effects like irritation or burning.

If you notice persistent or worsening symptoms, or if you experience severe bleeding, it is important to consult a colorectal surgeon or a gastroenterologist promptly for further evaluation and management.

Recommendations:

• Use prescribed topical treatments like Smuth Cream as directed.
• Maintain good hygiene and avoid straining during bowel movements.
• Increase dietary fiber and fluid intake to prevent constipation.
• Seek medical advice from a colorectal specialist to discuss your symptoms and appropriate treatment options.

If your symptoms become severe or you experience significant bleeding, please seek urgent medical care.To narrow down potential causes, we will need some more information.Please tell me your age and gender. I understand you're experiencing pain and bleeding due to piles.