Hi. Thanks for your query. Noted the history and understood your concerns. Painless bleeding per rectum in stool, with known history of piles/hemorrhoids in past is indicative of hemorrhoids only. Another reasons can be a polyp and is usually painless, bleeding due to fissure in ano will cause some discomfort or pain. Hence I would advise you the following: Stop alcohol and spicy foods. Have Sitz bath in a tub with warm water. Laxatives only if the stools are hard. Per-rectal digital examination, ano-proctoscopy by a General Surgeon so that a proper diagnosis and management can be done. Take foods high in fibers. Avoid stress and anxiety. Follow the advise of the Surgeon on examination.