Piles vary in size and location, and many people with piles do not realize they have it. Types of Piles
Internal Piles: These occur within the re**um and are usually not visible during an external examination. They are graded on a four-point scale like:
Grade I: The growth does not cause symptoms and does not protrude out of the a**s1. Grade II: The piles may prolapse from the a**s but return ins
ide independently1. Grade III: The piles prolapse and only recede within the a**s with manual intervention. Grade IV: The piles prolapse outside of the a**s and a person cannot push them back in. External Piles: These form small lumps on the outside edge of the a**s. They are very itchy and can become painful if a blood clot develops. Symptoms Symptoms of piles include painful lumps in and around the a**s, itching and discomfort around the a**s, discomfort during and after passing stools, and bloody stools. In severe cases, piles can lead to excessive a**l bleeding, infection, f***l incontinence, a**l fistula, and strangulated hemorrhoid. Causes Piles result from increased pressure in the lower re**um. The blood vessels around the a**s and the re**um will stretch under pressure and may swell or bulge, forming piles. This may be due to chronic constipation, chronic diarrhea, lifting heavy weights, straining when passing a stool. Risk Factors Certain factors may increase a person’s risk of developing piles, including pregnancy, obesity, having a**l in*******se, eating a low-fiber diet, regularly lifting heavy items. If piles persist for more than one week of home treatment or if consistent bleeding from the re**um is experienced, it is advised to seek medical assistance.
