is the main sign of first stage Internal Piles. Constipation
or straining too much while sitting for long for passing stool are main reasons for this problem so you need to avoid all these. In first stage Piles can be conveniently treated by Kshar Karma. In this treatment specialized medicines are applied in anal region at weekly interval. Generally 3-4 Kshar Karma sittings are required for complete treatment of Piles. You can contact through Lybrate or consult in clinic.