Hello! Thanks for putting query in HCM. I am a Gastroenterologist
What treatment you have received for piles?
It may be prolapsed piles only. Actually there are 4 grades of piles. Grade 2, 3 and 4 may come outside per anus. Grade 2 goes in spontaneously, grade 3 may go in manually, and grade 4 remain outside. Otherwise it can be anal tag or wart
You need proper examination like perianal examination and may be sigmoidoscopy
to confirm the actual disease
I hope I have answered your query and this will help you. Remain in touch and get-well soon.