These can be Associated with Blood or Not. There is a possibility of prolapsed internal mass ,skin,or pile mass .Usually this will happen during stools, after stools this may reduce .This is Alarming situation . Females : Chronic Constipation, along with LifeStyle Disorders, Less intake of Water. Thyroid ,Insomnia. Males : Chronic Constipation, along with LifeStyle Disorders, Less intake of Water. H/o Irregular Food Habits, Insomnia, Night duties, less fibre intake and water. Age Group : 21 Years to 60 Years.