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Talk to General Physician on Suspected Piles

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Asking for Self, Male, 29 years old, Rawalpindi

AoA Drs! I'm feeling a medium sized, external lump that I suspect as a symptom of pile. It gets swollen sometimes and irritate while remains un-inflated most of the times. Should I take some precautionary medicine or it'll diminish itself? Attaching a pic for examination please. Thanks in advance

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