Examination first.
The doctor checks the type and stage of piles and rules out other causes of bleeding.
Bright red blood while passing stool is often from piles (ratha moolam), but not always. A gentle examination tells you what it is and what care fits.

Piles are swollen blood vessels in and around the anal canal. When they bleed, people in Tamil Nadu often call it ratha moolam (ரத்த மூலம்). The blood is usually bright red and may be seen on the stool, on tissue or in the toilet.
Bleeding piles are more often internal piles, which may bleed without much pain. External piles are more often felt as a painful swelling.
A fissure (a small tear), infection, polyps and other bowel conditions can also cause bleeding. Dark or black stool, blood mixed through the stool, weight loss, a lasting change in bowel habits or a family history of bowel disease all need careful assessment, and sometimes referral for further tests.
Heavy bleeding, dizziness or weakness needs urgent medical care.
The number of visits and recovery depend on your condition. The doctor explains both, and the cost, before treatment begins.
The doctor checks the type and stage of piles and rules out other causes of bleeding.
Ayurveda and Siddha medicines, more fibre and water, and softer stools to reduce straining.
A controlled application of an Ayurvedic preparation, considered for suitable piles after examination.
A medicated thread, considered for selected cases. Visits and follow-up are explained first.
Types, stages, diet and treatment options for piles.
Ul moolam and veli moolam: how they differ.
Sharp pain and a little bleeding may be a fissure.
No. Bleeding piles are a common cause of bright red blood, but a fissure, an infection, polyps or other bowel conditions can also cause bleeding. That is why the doctor examines you before suggesting treatment.
Any new or repeated bleeding is worth an examination. Seek urgent care if bleeding is heavy, if you feel dizzy or weak, or if bleeding comes with weight loss, a change in bowel habits or severe pain.
After a gentle examination, the doctor may suggest medicines, diet and bowel-habit changes, Kshara Karma or Kshara Sutra depending on the type and stage of piles. The method, visits and cost are explained before you decide.
Yes. Women doctors are available for women patients who prefer one. Mention it when you call or arrive.
மூலத்துடன் ரத்தப்போக்கு இருப்பதை பொதுவாக ரத்த மூலம் என்று குறிப்பிடுவார்கள். ரத்தப்போக்கிற்கு வேறு காரணங்களும் இருக்கலாம். தொடர்ந்து ரத்தம் வந்தால் மருத்துவ பரிசோதனை அவசியம்.
மலம் கழிக்கும்போது ரத்தம், அரிப்பு, வீக்கம் அல்லது கட்டி போன்ற அறிகுறிகள் இருக்கலாம். இதே அறிகுறிகள் வேறு காரணங்களாலும் வரலாம். சரியான காரணத்தை அறிய மருத்துவரிடம் பரிசோதனை பெறுங்கள்.
Information on this website is for general awareness and is not a substitute for a consultation. Treatment results vary from person to person.
Looking for a piles hospital in Tirupur, or a piles clinic near you? Subash Clinic is on Mangalam Road in Karuvampalayam, near KVB ATM. We treat piles (moolam, மூலம்), fistula (pavuthiram, பவுத்திரம்) and fissure with Ayurveda and Siddha care, including Kshara Sutra, with examination rooms, a procedure room, day-care beds and our own pharmacy under one roof.
Patients visit us from
Walk in, no appointment needed. Or talk to us on WhatsApp before you come.
No. 5(1)/4, Venkatachalapuram 1st Street, Mangalam Road, near KVB ATM, Karuvampalayam, Tiruppur, Tamil Nadu 641604
Monday – Saturday: 8:00 am – 2:00 pm, 4:00 pm – 9:30 pm
Sunday: 8:00 am – 2:00 pm
Open on holidays