Pain and discomfort at the anus is not only piles. There may be other variants of disease in proctology which causes discharge and pain and some other associated symptoms. Examination by experts can confirm the diagnosis. Proctologist can examine the pathology very gently according to pathology. If fissure in ano is the primary diagnosis then proctoscopic examination is not indicated as it increases the pain. To Confirm the internal pathologies like polyp hypertrophied papilla internal piles proctoscopy examination is required. Vithaai piles Hospital doctor Sarita and doctor Atul Patil are the expert who takes care of their patients since examination.