Pause Tablet (tranexamic acid) may help reduce bleeding, and if it works, improvement may be seen within a few days. However, the exact time varies from person to person. It depends on factors such as the severity of your piles, your overall health, other medical conditions, the medicines you are taking, your diet, lifestyle, and how your body responds to treatment. Since Pause Tablet helps control bleeding but does not treat the underlying cause of piles, it should be taken only as advised by a doctor. If the bleeding continues, worsens, or returns, consult your doctor for a proper examination and appropriate treatment.