<span class="wordai-block rewrite-block enable-highlight" style="box-sizing: border-box; display: inline; color: #414141; font-family: sans-serif; letter-spacing: 1px;" data-id="3">Piles and anal fissures may cause pain, bleeding or itching and may cause difficulty when the bowel movements.</span> <span class="wordai-block rewrite-block enable-highlight" style="box-sizing: border-box; display: inline; color: #414141; font-family: sans-serif; letter-spacing: 1px;" data-id="4">I'm interested in knowing more about how doctors can differentiate between these situations and when conservative treatment such as medication or even a procedure is suitable.</span> What are the signs<span class="wordai-block rewrite-block enable-highlight" style="box-sizing: border-box; display: inline; color: #414141; font-family: sans-serif; letter-spacing: 1px;" data-id="2"> that should prompt anyone to seek medical examination?</span>