1) In First stage only symptom is painless bleeding
Internal pile masses are treated by Kshar Karma i.e.
local application by some specific medicines.
2) In Second stage; pile mass protrude out during
defecation. Sclerotherapy, Kshar Karma and
Ksharsutra ligation of Pile mass may be required.
3) In third and fourth stage; when the size of pile mass is
big enough; Ksharsutra ligation is the treatment of choice.
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