A 43-year-old man attends the surgical outpatient clinic complaining of intermittent bleeding per rectum for the past 2 months. The blood is always bright red, separate from the stool and drips into the pan. He also complains of itching around the anus. There is no other past medical history of note.

Physical Examination Rectal examination and proctoscopy shows internal haemorrhoids. What is the probable diagnosis? The answer will be posted soon. Source: 100 cases of surgery