MCQ 21 The most common cause of painless bleeding per rectum in a man is

A.Fissure in ano
B.Diverticulosis
C.Piles
D.None

The correct answer is C.Piles

Hemorrhoids (US English) or haemorrhoids , are vascular structures in the anal canal which help with stool control.They become pathological or piles when swollen or inflamed. In their physiological state, they act as a cushion composed of arterio-venous channels and connective tissue that aid the passage of stool. The symptoms of pathological hemorrhoids depend on the type present. Internal hemorrhoids usually present with painless rectal bleeding while external hemorrhoids present with pain in the area of the anus.