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What are the types of piles?

What Are the Types of Piles? Understanding the Different Types of Hemorrhoids

Piles, also known as hemorrhoids, are swollen and inflamed blood vessels in the rectum or anus. They can cause significant discomfort, pain, itching, and sometimes bleeding. Piles are a common condition, but many people may not be aware that there are different types of piles, each with its own symptoms and treatment approaches.

In this blog, we will break down the different types of piles, their causes, symptoms, and the best ways to manage them.

1. Internal Piles

Internal piles are hemorrhoids that develop inside the rectum, above the anus. They usually don’t cause visible symptoms, but they can still be very painful. Internal piles are the most common type of piles and are often noticed when rectal bleeding occurs during or after bowel movements.

Symptoms of Internal Piles:

Rectal bleeding (bright red blood during bowel movements)

Mucous discharge from the anus

Pain or discomfort during bowel movements (in severe cases)

A feeling of fullness in the rectal area

Internal piles are usually classified into four grades, depending on their severity:

Grade 1: Small, non-prolapsing hemorrhoids that don’t protrude from the anus.

Grade 2: Hemorrhoids that prolapse (stick out of the anus) during bowel movements but return to their normal position afterward.

Grade 3: Hemorrhoids that prolapse during bowel movements and have to be manually pushed back inside.

Grade 4: Severe prolapsed hemorrhoids that cannot be pushed back inside and may require surgical intervention.

2. External Piles

External piles are hemorrhoids that develop outside the anus, under the skin. Unlike internal piles, external piles are visible and can cause significant pain and discomfort. They are often associated with blood clots, which can make them more painful.

Symptoms of External Piles:

Painful lumps near the anus (usually caused by blood clots)

Itching or irritation around the anus

Bleeding during bowel movements

Swelling or inflammation in the anal region

Tenderness or soreness near the anus

External piles can become thrombosed (clot-filled), causing severe pain and inflammation. In these cases, a surgical procedure may be needed to remove the clot and relieve symptoms.

3. Prolapsed Piles

Prolapsed piles occur when internal hemorrhoids protrude or fall out from the anus due to increased pressure. This can happen during bowel movements or with physical strain. Prolapsed piles may be either Grade 3 or Grade 4 internal hemorrhoids.

Symptoms of Prolapsed Piles:

Hemorrhoids that hang outside the anus and are visible

Pain and discomfort when sitting or walking

Bleeding during or after bowel movements

Mucous discharge or leakage

Difficulty in cleaning the anal area due to the prolapse

In some cases, prolapsed piles can be pushed back inside, but in severe cases, surgery may be required.

4. Thrombosed Piles

Thrombosed piles are a type of external hemorrhoid where a blood clot forms within the hemorrhoid. This condition is very painful and can cause significant swelling and inflammation. Thrombosed piles can occur after straining during bowel movements, heavy lifting, or prolonged sitting.

Symptoms of Thrombosed Piles:

Severe pain around the anus

Swelling and hard lump near the anus

Bleeding during bowel movements

Itching or irritation around the affected area

Thrombosed piles often require medical intervention, such as incision and drainage, to remove the clot and reduce pain.

5. Bleeding Piles

While bleeding can occur in any type of piles, bleeding piles specifically refer to hemorrhoids that result in frequent or heavy bleeding. This usually happens during bowel movements when the hemorrhoids become irritated or inflamed. Internal hemorrhoids, particularly in Grade 1 and Grade 2, often cause bleeding, though it may not be visible unless noticed on toilet paper or in the toilet bowl.

Symptoms of Bleeding Piles:

Bright red blood on toilet paper or in the toilet bowl

Occasional spotting of blood on underwear

Pain or discomfort during bowel movements (in severe cases)

Bleeding piles should be treated promptly to avoid complications, as chronic bleeding can lead to anemia or other health issues.

Treatment Options for Piles

The treatment for piles depends on the type and severity of the condition. For mild cases, lifestyle changes, such as eating a high-fiber diet, staying hydrated, and using over-the-counter creams or suppositories, can provide relief. For severe cases, medical treatments like rubber band ligation, sclerotherapy, laser treatment, or even surgery may be necessary.

When to Seek Medical Help

If you experience any of the following symptoms, you should seek medical advice:

Persistent bleeding from the anus

Severe pain or swelling around the anus

Prolapsed hemorrhoids that cannot be pushed back inside

Any changes in bowel movements or stool appearance

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Conclusion

In conclusion, piles (hemorrhoids) come in various types, each with different symptoms and treatment approaches. Whether you’re dealing with internal, external, prolapsed, or thrombosed piles, there are effective treatments available to help manage the condition and provide long-lasting relief.

If you are experiencing any symptoms of piles, it’s important to consult with a healthcare provider to determine the best treatment option for you.