What is Piles?

Haemorrhoids, commonly known as piles are swollen and inflamed veins in the anal canal that can cause pain, discomfort, and bleeding. Internal haemorrhoids specifically develop inside the anal canal. If left untreated, they may lead to complications such as skin irritation, rashes, and, in severe cases, advanced-stage haemorrhoids requiring surgical intervention Prompt and appropriate treatment is crucial to managing piles effectively and preventing the condition from worsening

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Identifying the Signs

Signs of Internal Haemorrhoids (Piles) Include

Painless rectal bleeding, often noticed as bright red blood on toilet paper or in the stool

A feeling of incomplete bowel movement or fullness in the rectum

Mucus discharge after passing stool

Occasional discomfort or mild irritation

Signes of External Haemorrhage { Piles } include

Swelling or lumps around the anus

Pain or discomfort, especially when sitting or during bowel movements

Itching and irritation in the anal area

Bleeding, typically seen on toilet paper or in the stool

Signs of External Haemorrhoids (Piles) Include

Swelling or lumps around the anus

Pain or discomfort, especially while sitting

Itching and irritation in the anal region

Bleeding during or after bowel movements

Tenderness or soreness around the affected area

Types

Internal Haemorrhoids

Grade 1: Haemorrhoids remain inside the rectum and do not protrude. They may cause painless bleeding but usually have no visible symptoms.
Grade 2: These haemorrhoids may prolapse (push out of the anus) during bowel movements but return inside on their own. Symptoms can include mild discomfort and bleeding.
Grade 3: Haemorrhoids prolapse outside the anus and do not return on their own. They need to be manually pushed back in and may cause significant discomfort, irritation, and bleeding.
Grade 4: These are permanently prolapsed haemorrhoids that cannot be pushed back inside. They can cause severe pain, swelling, and complications, often requiring medical intervention or surgery.

External Haemorrhoids

Non-Thrombosed External Haemorrhoids

- These appear as soft, swollen lumps around the anus.
- They may cause itching, mild pain, and irritation.
- Bleeding can occur, especially after bowel movements.
  Thrombosed External Haemorrhoids
  - These develop when a blood clot (thrombus) forms within the haemorrhoid.
  - Symptoms include severe pain, swelling, and a hard, bluish lump near the anus.
  - They can cause intense discomfort, especially while sitting or passing stool.

Causes

Internal Factors

Chronic Constipation or Diarrhea – Straining during constipation or frequent bowel movements from diarrhea puts excessive pressure on the rectal veins. Pregnancy – Increased abdominal pressure during pregnancy can cause veins in the rectum to swell. Aging – As the body ages, the tissues supporting the rectal veins weaken, making piles more likely

External Factors

Prolonged Sitting – Sitting for extended periods, especially on the toilet, can worsen pressure on anal veins. Heavy Lifting – Frequent lifting of heavy objects can increase strain on the lower rectum. Low-Fiber Diet – A diet lacking fiber can lead to hard stools and difficulty passing bowel movements

Additional Factors

Liver Disease – Liver conditions can increase blood pressure in the veins, leading to hemorrhoids. Inflammatory Bowel Disease (IBD) – Chronic conditions like Crohn’s disease or ulcerative colitis can cause irritation and swelling in the rectal area.

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What is Piles?

Identifying the Signs

Types

Internal Haemorrhoids

External Haemorrhoids

Causes

Internal Factors

External Factors

Additional Factors

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