Conversation: The conversation between human and AI assistant.
[|Human|] Sir am 24 year old female ... I had lump at anal past 1year and no pain but recently I had blood coming out and there is a lot of pain ... And when I blow my tool the pain is killing me ... Is surgery is necessary.. I don t want to go to surgery ... And wat happens if I had monthly periods which I use cloth as I had lot of bleeding during periods I can t use normal pads ... Is this effect the piles
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. You have bleeding piles.  It causes pain and bleeding.  You should avoid constipation.  Take plenty of water and green leafy vegetables, for pain relief UPU can use local anesthetic gel like lignin gel. Permanent treatment options is surgery.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.