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Welcome and thank you for your question.
Piles, as you probably already know, are caused by engorged veins.Piles generally do not cause too much bleeding unless the the veins rupture - this will also cause clots inside the veins from leaking out.
Another cause for blood clots can be rectal polyps. These polyps can sometimes bleed heavily enough to cause formation of blood clots.
Please ask your doctor for a colonoscopy to rule out or confirm polyps.
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Yes, you can wait till Monday. But if the bleeding increases, you will need to see a doctor.
Yes, payment is by question.
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