<s>[INST] Hello doctor,My father,aged 60,is suffering from bleeding problem out of piles regularly for the past 12 days while passing Stool.He did not tell us about this problem.We found him weak,and thus took him to the doctor.He was diagnosed anaemic,and has been prescribed Wyeth,Mox and Dafflon.He has been suggested to undergo a laser operation.Prior to this, when he was 36, he had alredy undergone a piles operation.Please suggest the best treatment and doctors in kolkata.We are very much tensed.Thank You. [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Laser therapy is best treatment for hemorrhoids for this age.2. MOX is given to control infections. Daflon prevents further bleeding.3. If anemia is severe, packed red cells transfusion is necessary. Iron and vit B12 therapy necessary to improve treatment. Get laser therapy done at the earliest. Fiber rich diet along with adequate hydration to make stools soft is essential to prevent further hemorrhoids. Avoid straining during passage of stools.Hope it helps.Any further queries, happy to help again. </s>