When the protrude like a bunch of grapses, bleed frequently, and there is much rawness, soreness and burning sensation in the anus and rectum, usually with diarrhoea and prolapsus of ani, then take Aloes 30, 3 pills, 3 times a day. You will feel definitely better within few doses. In severe and/or chronic case, you have to consult your Homoeopathic Doctor.