Hi I have had fresh blood for the last few days with and without bowel movement, my doctor said it is most likely the pile he felt just inside. I have just noticed when i got up this morning some small clots and blood stuck to my motion which has concerned me. I had a colonoscopy 3 years ago which was ok and it confirmed piles, i also had a polyp removed durig a prior colooscopy 5 years ago. I need to know if bleeding piles can cause my clots and bleeding before passing motion. I am well apart from this.