Pile Mass is Prolapsed and it wont go inside then it hangs around anus like a CauliFlower and Further it may project like a finger and Mass, it may transform to Necrosis. Bleeding : Gushing like .Many Drops . Non Bleeding : Only Mucus Discharge. Male & Female : Chronic long standing H/O Piles .grade 3. Advanced PIles : Piles infected, Necrosed. Gangrenous are result of early stages treated with Quacks, threading, resulting in Stricture also.