<s>[INST] hi,good afternoon sir,As my mom suffering with breast cancer and she(52 age) had her operation 2 years ago in Apollo hyderabad and after she also had 6 chemos and then we will get report then arise a bone cancer in some areas and for that they feared again to have chemo and then they are using ayurvedic medicines from last 4 months frm the ayurveda doctor of manglore and at present with that heat of medicines she had got piles and blood is coming n she suffering with lot of pains and fever in the night,so plz give some suggestion [/INST] Hello In all such cases blood per rectum can not be only due to piles. You will have to get the exact diagnosis first. If it is piles then blood can be checked with use of laxatives and coagulants. you can use local analgesic also as ointment. In ayurveda we use panch sakar churan as laxative, bol badh ras as coagulant , and pilex ointment locally. </s>