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What Causes Piles? Piles Symptoms, Risk Factor & Treatment

Have you ever thought about what causes piles? Your anus is lined with spongy tissue that is supplied with blood vessels – the anal cushions – and they aid in the closure of your anus.

These are entirely natural, however, they may occasionally grow into heaps. Piles are often tiny, spherical, discolored masses.

You could feel them on your anus or dangling from your anal canal. The anal canal is a small, muscular tube filled with blood vessels that links your rectum (back channel) to your anus.

When veins surrounding the anus or in the lower rectum become enlarged, this condition is known as hemorrhoids. By the time they reach age 50, over half of all individuals have suffered from hemorrhoids.

Both internal and extrinsic causes of hemorrhoids exist. Hemorrhoids may occur within the anus or rectum. Unlike internal hemorrhoids, which occur in the anus, external ones appear elsewhere. Piles are another name for hemorrhoids.

The most frequent and bothersome kind of hemorrhoid is the external one. Some of the symptoms of hemorrhoids include discomfort, extreme itching, and an inability to sit comfortably. In a fortunate turn of events, they are curable.

Although hemorrhoids (piles) are quite prevalent, they are not something you should brag about to your pals. Due to the fact that many piles are mild and go unnoticed by medical professionals, we do not have an accurate estimate of their prevalence.

Hemorrhoids are so common that many individuals don’t even know what they are since they create no symptoms. When symptoms do arise, however, they may include the following:

  • Excessive bleeding after defecation (the blood is usually bright red)
  • Bottom itching
  • A protrusion of tissue from the anus that, following a bowel movement, may need to be pulled back in.
  • Diarrhoea that causes a mucous discharge
  • Redness, swelling, and pain in the genital area

Unless the blood supply to the hemorrhoid is reduced or cut off, hemorrhoids often don’t cause any discomfort.

How Do You Get Piles?

The anal canal’s lining has a network of tiny veins (blood vessels). Veins in this area might enlarge and fill with extra blood on occasion.

One or more lumps may develop from the enlarged veins and the surrounding tissue (piles).

If you look around your back door and passageway and have stacks, you may not notice anything. This is due to the fact that most piles are located inside the anus and rectum and do not generate any outward symptoms.

The larger interior piles may protrude through your back door, giving the appearance of a discoloured rubbery mass. A pile on the outside will feel like a gentle bump at the edge of your back door.

Types Of Piles

Internal piles begin within your anal canal but may hang down and exit via your anus. They are assessed based on whether or not they come out, and if so, how far they come out.

  • First-degree piles bleed but do not pass through your anus.
  • Second-degree piles emerge from your anus when you poop but then return on their own.
  • Third-degree piles emerge out of your anus and only return if you manually push them back in.
  • Fourth-degree heaps usually dangle from your anus and can’t be pushed back in. If the blood within them clots, they may become quite large and painful.

External piles are swellings that form deeper down your anal canal, near your anus. They may be very painful, particularly if they include a blood clot. Both internal and exterior piles may exist at the same time.

What Causes Piles?

Piles form when the veins in your anal canal swell, which may happen for a variety of causes, including:

If you strain while going to the bathroom, such as if you suffer constipation or long-term diarrhea as you become older – As you become older, your anal canal weakens, making piles more common. Having a chronic cough carrying heavy things

Pile formation is also prevalent during pregnancy. They may form as a result of the increased pressure in your belly (abdomen) when pregnant. They normally improve after giving delivery.

Some individuals assume that stress causes piles, although there is no evidence to back this up. Having piles, on the other hand, maybe distressing.

Another notion is that piles are more likely around the time of your menstruation. However, there is presently no evidence to back this claim.

What Are The Symptoms Of Piles?

Symptoms depend on the type of hemorrhoids you have.

Hemorrhoids on the inside of the body may lead to:

body fluids left on the tissue after defecating protruding anus skin

Hemorrhoid symptoms that manifest on the outside include:

soreness or discomfort in the area of the anus, particularly while seated, excessive itching around the anus, and so on.

Most cases of hemorrhoids are painless. Hemorrhoids on the skin’s surface may bleed, although sometimes a clot will develop. The medical term for this condition is a thrombosed hemorrhoid. Even hemorrhoids on the inside might pop out.

This implies they won’t go back into the anus after being extended. The discomfort from hemorrhoids may be excruciating if they have prolapsed or thrombosed.

Despite their unpleasantness, hemorrhoids seldom need medical attention and generally clear up on their own.

Please see a medical professional if you have any bleeding or if your feces become black. Hemorrhoids are not the only possible source of bleeding, thus it is important to rule out other potential causes. If your hemorrhoids aren’t improved after a week of home therapy, you should consult a doctor.

Pile symptoms can vary depending on the size, position, and grade of the piles.

  • Papules of grade 1 size develop on the anal canal’s lining. From the rear door, they are invisible and imperceptible (anus). The most prevalent kind of pile is Grade 1. Grade 2 or higher enlargement is possible in certain persons.
  • Students in Grade 2 are typically bigger. While straining, they may be partially pushed out of the anus, but if you release the pressure, they will instantly return within.
  • When using the restroom, a prolapsed anus causes a third-grade-level hangout. One or more tiny, squishy lumps may protrude from your anus. One solution is to use a finger to gently coax them back into the anus.
  • As a result of prolapse, the anus of a person of Grade 4 will always hang down outside the body. As a rule, they don’t become very big, although sometimes they do.

Risk Factor

When veins around the anus are compressed too much, bleeding occurs. Factors and causes that might include:

  • Hemorrhoids are more likely to develop in those who: have a history of hemorrhoids in their family; have chronic constipation or diarrhea; sit for extended periods of time, particularly on the toilet; routinely engage in heavy lifting or other activities that strain the body; are overweight.
    being pregnant, which may cause hemorrhoids to become more irritating; engaging in anal sexual activity (an
  • Enlarged uterus presses on the vein in the colon, causing it to bulge)
    aged fifty and above

How Are Piles Diagnosed?

Hemorrhoids may often be identified simply by looking at the anus. Your physician may do further testing to rule out any potential anomalies in the anus before he or she gives you a definitive diagnosis.

A digital rectal exam is the method through which this is checked. The doctor will insert a gloved, lubricated finger into your rectum for this test.

A further test, like as an anoscopy, sigmoidoscopy, or colonoscopy, may be recommended by your doctor if you have risk factors for gastrointestinal illness.

In order to detect any problems in the anus, rectum, or colon, your doctor will use a tiny camera during each of these examinations.

In contrast to the anoscopy, which explores just the anus, the sigmoidoscopy, which investigates the last 2 feet (50 centimeters) of the colon, and the colonoscopy, which explores the whole colon, analyses the entire gastrointestinal tract.

A tiny fiber-optic camera is placed into your rectum via this tube to capture your internal organs’ internal structures. This procedure gives your doctor a good look at the interior of your rectum, where the hemorrhoid is located, for a more thorough diagnosis.

Use Healthline’s FindCare feature to locate a general practitioner, gastroenterologist, or another medical professional in your area.

What Are The Treatment Options For Piles?

Hemorrhoids may be treated in two places: at home and at the doctor’s office.

You should see a doctor if you suspect you have piles or if you have bleeding, pain, or discomfort in your anal canal (back tube) whenever you defecate.

A pile diagnosis often follows a doctor’s inquiry about your symptoms and a thorough examination. Typically, the examiner will look down your back as part of the test.

Your physician will inspect your genitourinary tract for symptoms of piles or other abnormalities by running a finger along it while wearing gloves and lubrication.

A proctoscopy is a kind of further examination that your doctor may recommend. To perform this treatment, a proctoscope is used to look at your colon from the inside. If a specialist feels that more investigation into your bowels (by colonoscopy) is warranted in order to rule out other problems, you may be sent to such a person.

Relieving Suffering

A daily 10-minute soak in a tub of warm water might help ease discomfort. An external hemorrhoid may be relieved by sitting on a warm water bottle.

Learn the steps of making a warm compress in your own kitchen.

Take an over-the-counter (OTC) suppository, ointment, or lotion for the pain if the burning and itching become severe. Hemorrhoid suppositories are readily available both over-the-counter and at pharmacies.

Supplements With Fiber

It is also possible to take an over-the-counter fibre supplement to assist soften stool in cases of constipation. Psyllium and methylcellulose are two examples of popular dietary supplements in this category.

The Use Of Home Remedies

Hemorrhoid pain may be alleviated by using over-the-counter topical remedies like hydrocortisone or hemorrhoid cream. Hemorrhoid pain may be alleviated with witch hazel pads, too.

Hydrocortisone and hemorrhoid cream are both readily available on the internet.

Helpful, too, is a daily sitz bath for 10 to 15 minutes.

Maintain personal cleanliness by washing your anus with warm water after each day’s shower or bath. But you shouldn’t use soap, since it might make your hemorrhoids worse. You should also use soft toilet paper after you use the restroom.

Hemorrhoid swelling may be reduced by applying a cold compress to the anus. You may also get relief from the pain or discomfort by using an over-the-counter pain medicine such as acetaminophen, ibuprofen, or aspirin.

Master the art of the homemade cold compress.

Methods In Medicine

If hemorrhoids persist after self-care, your doctor may suggest a ligation with a rubber band. The rubber band prevents blood flow to hemorrhoids, thereby ending the surgery.

Hemorrhoids will shrink as a result of the lack of blood flow. Only a trained medical expert should carry out this treatment. Just don’t do it on your own.

Injection treatment, also known as sclerotherapy, may be recommended by your doctor if rubber band ligation isn’t feasible. Your doctor will inject a drug straight into a blood vessel during this treatment. As a result, the size of hemorrhoid will decrease.


Hemorrhoids may be prevented or alleviated by not straining while relieving bowel movements. You should also attempt to drink more water. Drinking enough water can keep your stool from hardening.

Avoid getting hemorrhoids by going to the bathroom as soon as you feel the need to pass gas. Constipation may be avoided by regular exercise and by avoiding long periods of sitting, particularly on hard surfaces like concrete or tile.

Hemorrhoids are less likely to occur if you eat meals rich in dietary fiber.

Some examples of high-quality sources of dietary fiber are:

  • grains of wheat and rice that are brown
  • oatmeal
  • pears
  • carrots
  • buckwheat
  • bran

The bulk created by the fiber in the diet helps soften the stool, making it more manageable to pass.

Strangulation is a potential problem with drooping piles. This indicates that the pile’s life support system has been disabled.

Within the mass, a clot (thrombosis) might develop. If this happens, it hurts like heck. After 48 to 72 hours, the pain normally reaches its height and then progressively subsides over the next 7 to 10 days.

In addition, there are skin tags around the anus, discomfort, breaches in the skin (which may very infrequently cause a severe infection), discharge, and a sealing down of the back channel as other possible consequences (stenosis).


Hemorrhoids are swollen veins in the anus and rectum that protrude through the skin.

Rectal varices are quite prevalent and result from pressure on the rectal veins. Constipation that doesn’t go away, straining or pushing during defecation, a family history of hemorrhoids, and pregnancy are all potential triggers.

Most cases of hemorrhoids heal without treatment. Warm baths, hydrocortisone, or a hemorrhoid cream or suppository may be used as symptomatic treatments.

Regular exercise, lots of water, and an increase in fiber in the diet have all been shown to reduce constipation and the risk of subsequent hemorrhoids.