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Haemorrhoids piles , anal tears and anal fissures can all result in bleeding from the anus, which can be quite alarming. Most of the time you are not aware of having haemorrhoids but in most cases you will feel a small lump which is just inside or outside the anus. Bleeding from a pile can be quite scary when first discovered but it is not serious. If there is an irritation or an itch associated with piles, ask your pharmacist for advice. There are a number of preparations that can help ease the discomfort.