What is Pile?

Pile is also widely identified as hemorrhoids. Pile is the dilated or inflammed veins of a region in the anal canal. Moreover, it can be categorized according to its location in the anal sphincter. The first categorization is the internal hemorrhoids, which are located internally of the anal sphincter. The external hemorrhoids on the other hand, are located externally of the anal sphincter. Additionally, pile is one of the most common diseases of the anorectum, which majority of the human population will experience in his/her lifetime. Lastly, pile may not be considered much of a severe disease; however, people affected will consult medical care due to the uncomfortable signs and symtpoms that usually accompany the disease.

Types of Piles

As mentioned earlier, piles can be classified according to its location in the anal sphincter. The internal hemorrhoids or pile is a varicose vein of the anal canal that takes place in the internal portion of the anal sphincter. Due to the deficiency of pain receptors in the inside of the anal sphincter, this type may not pose much pain to the person affected.

That is why internal piles may go unnoticed until worsening of the condition occurs. This internal pile will bleed when irritated. Moreover, if the person affected still do not seek medical attention, it can progress to worse types such as the prolapsed hemorrhoids (hemorrhoids that are shoved outside the anus due to excessive swelling) that can progress to strangulated hemorrhoids (wherein the blood supply is brought to a halt). Furthermore, internal pile or hemorrhoid can be subject to grading.

In Grade I there is no occurrence of prolapse.

In Grade II there is prolapse upon passing of feces, however, it can shrink back spontaneously.

In Grade III there is prolapse upon passing of feces, however, a manual force is needed to shrink it back.

Lastly is Grade IV where there is prolapse upon passing of feces, but it cannot shrink back by just using manual means.

External pile or hemorrhoids on the other hand, are the ones that take place on the distal portion of the anal sphincter. This type is usually susceptible to thrombosis.

Piles causes

Basically, when too much strain is applied during defecation due to difficulty to pass out feces, the anal mucosa may shear off. This shearing causes the hemorrhoidal tissues to slide off the anal wall. These structures will then dilate or swell; thus the appearance of pile. This series of events may be caused by a myriad of factors such as constipation, pregnancy, obesity, prolonged sitting and even genetic factors.

Piles symptoms and signs

The three of the most common presenting signs and symptoms of pile are pain, swelling and itching. Moreover, bleeding or the appearance of a bright red blood in the fecal material can also occur.


Bleeding piles

Bleeding piles is one of the most common presenting sign and symptom of pile or hemorrhoids. Generally, this happens when piles become so swollen that blood vessels around it may rupture; thus causing blood to pass out along with the fecal material. This blood in the fecal material is medically referred to as hematochezia. In addition, bleeding piles can occur in both external pile and internal pile. Furthermore, a bleeding pile is a far more serious condition than ordinary pile; thus, it is best to seek medical attention as soon as bleeding pile is detected.


Piles Relief

Piles can be relieved by employing various treatment regimens. The first line of treatment is the consumption of a high fiber diet accompanied by increase in fluid intake. By doing so, promotion of the passing of a soft stool takes place, thus reducing too much straining during defecation. If however, this does not work metamucil (bulk-forming agents) and analgesic suppositories are encouraged. Lastly, there are surgical treatments available such as rubber-band ligation procedure and cryosurgical hemorrhoidectomy among others.

Remedies for piles

Remedies for piles are directed to relieving the symptoms of the condition rather than eradicating the condition itself. These are usually done at home. Examples of these home remedies are hot sitz bath, dietary changes and warm compresses.





  1. I am suffering from piles (Fissures) for the last two months.Kindly advise its treatment and prescribe medicine.The precautions needed may also kindly be intimated, Thanks.


Please enter your comment!
Please enter your name here