I've had them since having dc1 5 years ago, and they got worse with dc2. The past 18 months they have been awful, they bleed a ridiculous amount every time I go to the toilet, even the slight pushing to have a wee causes them to bleed.
There's also a lot of jelly like mucus which smells terrible. I think they're mainly internal but if I've been on my feet for more than a couple of hours they drop down and I'm in considerable pain for a day or two.
I saw the GP a year ago who diagnosed irritated piles and constipation, I was given movicol which I still take whenever I get backed up but the piles haven't improved at all.
So I think a trip back to the doctor is in order, but what can I expect? Is filling the toilet bowl with blood normal when you have piles?