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Hemorrhoids - Piles Treatment Specialist

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Hemorrhoids are swollen veins that are found in the lowest region of your rectum and anus. Some of the time, the walls of these blood vessels stretch so far apart that the veins show signs of inflammation or irritation, particularly when you excrete. Swollen hemorrhoids are likewise called piles. One of the most widely recognized reasons for rectal bleeding is the presence of Hemorrhoids. They're seldom risky and generally clear up in a short period of time; however you should seek consultation from your doctor to ensure, that it isn't anything critical.


Piles are aggravated and swollen accumulations of tissue in the Anus. They can have a range of sizes, and they could be internal or external. Piles that are internal are usually situated somewhere in the range of 2 and 4 centimeters (cm) over the opening of the anus, and they are more common. External piles occurs on the outside edge of the anus.

Facts on Piles

  • Piles may occur due to constant long term constipation, diarrhea, lifting heavy weights without supervision, pregnancy period, or forcibly passing a stool.

  • Piles are graded on a scale from I to IV. At grades III or IV, surgery may be necessary and is recommended.

  • After a bowel movement, blood can be observed.

  • A person suffering from piles may get the feeling that the bowels are still full, even after a bowel movement.

  • A hard and painful lump can be felt near the anal region. There are chances of the presence of coagulated blood. Piles containing blood are likewise called thrombosed external hemorrhoids

There are 4 types of Piles:

  • Grade I: Small inflammations lining the inside of the anus, mostly they are not visible.

  • Grade II: Piles in Grade II are slightly larger than piles in grade I , these also remain inside the anal region. It is possible that they may get pushed out during bowel movement, but will return inside to its original position on its own.

  • Grade III: Known as prolapsed hemorrhoids, these appear outside the anal region. The person concerned may feel the hemorrhoids hanging from the rectum, but are easily re-positioned.

  • Grade IV: There is rarely any possibility of repositioning the hemorrhoids back inside the anus and needs treatment, usually large and remains in the external anal region.

In the case of External piles, generally small lumps are formed on the external anal region. It can be itchy and painful if a blood clot originates, as the clot can block the blood flow . Thrombosed external piles, or hemorrhoids with blood clots, require immediate medical attention.

Causes of Piles :

One of the most common factors for Piles is due to increased pressure in the lower anal region. Blood vessels surrounding the anal region and in the rectum will stretch under pressure and may swell or bulge, forming piles. This may be due to:

  • Chronic Constipation
  • Chronic Diarrhea
  • Lifting heavy weights
  • Pregnancy
  • Straining when passing a stool

The tendency to develop piless may also be inherited and increases with age.

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