Piles are inflamed and swollen collections of tissue in the anal area. They can have a range of sizes and they may be internal or external.
Everyone has hemorrhoids. However, when the hemorrhoids guarding the anal passage become too big due to inflammation. so, that the vein walls become stretched, thin and irritated by passing bowel movements. When piles develops.
Piles are collections of tissue and vein that become inflamed and swollen.
The size of piles can vary and they are found inside or outside the anus.

Piles can be broadly classified into two categories:

Internal Piles – are located far within the rectum and can’t be seen or felt. The only symptom is usually bleeding.
External Piles – are located around the anus right under the skin, where there are many pain-sensing nerves. They therefore, hurt as well as bleed.

Symptoms of piles

An individual with piles may experience the following symptoms:

  • A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called external hemorrhoids.
  • After passing a stool, a person with piles may experience the feeling that the bowels are still full.
  •  Piles cause complications associated with hygiene as the anal area becomes difficult to clean after defecation poor hygiene around the anal area can lead to several infections.
  • Itchiness around the analarea.angrene, if the blood supply to an internal haemorrhoid is cut of.
  • Bright red blood is visible after a bowel movement.
  • The area around the anus is itchy, red and sore.
  • Pain occurs during the passing of a stool.

Causes of piles

  • A number of factors are responsible for the development of piles.
  • Irregularity in bowel movement with susceptibility towards constipation and diarrhea is one of the causes.
  • Constipation aids the condition of piles by giving way to prolonged straining.
  • Absence of fiber, imbalanced diet with insistence on junk food contributes towards piles.
  • Constant sitting or standing for long hours at a stretch.
  • Sitting for long periods of time on the toilet.
  • Anal intercourse.
  • Pregnancy.
  • Constant heavy lifting.
  • Pregnancy may well give rise to the condition of piles with the developing fetus exerting pressure on the vascular structure.
  • Previous surgery of bowel.


  • The course of treatment which follows the findings of rectal examination includes the administration of anti inflammatory drugs of non steroidal nature.
  • Generally surgical removal of the inflamed vessels is resorted to as the last possible alternative.
  • Re sectioning of the inflamed tissue which involves partial surgical interference is also made use of so that one can avoid the intensely painstaking procedure of total removal.
  •  If constipation happens to be the underlying cause, insistence is given on the inclusion of green and yellow vegetables apart from being well hydrated by increasing the fluid intake removal of haemorrhoids.
  • Using an infrared photo, laser or electrical coagulation to burn tissue affected by piles.
  • Sclera therapy to eliminate varicose veins which could be the cause of piles.

Home remedies for piles

  • Black Cumin Seeds Reduce Pain Associated with Piles .
  • Triphala powder must be taken regularly to remove constipation and hence prevent piles from developing.
  • Drinking good amounts of water prevents constipation and thus piles.
  •  Radish juice taken in the morning and night is one of the best home remedies for piles.
  • Figs are effective Remedy for Piles.
  • Buttermilk is advised as a part of the regular diet for people with piles.
  • Castor oil External application and regular intake, works well to alleviate the pain and symptoms of piles.

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