 Hello, I'm Dr. Govind Nandakumar. I'm a gastrointestinal surgeon at Manipal Hospital's Bangalore. Today I'd like to tell you a little bit about common anal problems that patients may experience. Pain while using the restroom, bleeding, discharge or pus in the anal area is quite common. Young patients may experience pain in the anal area with some bleeding, especially when they are working long hours or working in the corporate setup. This requires an evaluation by a colorectal surgeon, a surgeon that is familiar with diseases of the anal rectal area. The most common ailments that this area experiences are a fissure which is a deep cut in your anal area from recurrent heart bowel movements or a fistula which is an abnormal tunnel that develops, leads to an abscess and an infection and thirdly, hemorrhoids or what's commonly called piles. Piles are actually normal to have so you don't need anything done to you if you have normal piles. It's only when they bleed or get infected that you need to think about some sort of treatment. One word of advice to everybody is to include fiber in your diet so that you can keep your colon, rectum and anal area healthy in the long run. Thank you.