Piles: Symptoms, Causes, Stages, and Treatments

Piles: Symptoms, Causes, Stages, and Treatments

Piles also are known as Hemorrhoids are the swollen and inflamed veins in the rectum or anus. Sometimes hemorrhoids swell when veins enlarge and the wall becomes stretched and irritated by passing stool. Hemorrhoids are generally classified into two general categories, they are: internal and external hemorrhoids

In a normal state, they are cushions which help with stool control, but they become a disease when swollen or inflamed. In this article, we will explain to you the Symptoms, treatments for both home and hospital along with positive attributes and drawbacks.

Piles: Symptoms, Causes, Stages, and Treatments

Types of Piles

Internal Piles (In Rectum)

These types of hemorrhoids occur inside the rectum and not so obvious unless they are substantially enlarged. The rectum is the ending part of the large intestine. Internal hemorrhoids will usually become less painful and become apparent because they cause rectal bleeding.


External Piles (In Anus)

External hemorrhoids occur underneath the skin that surrounds the snus and lower than internal piles. External piles can be felt outside and you can feel it too. Sometimes you will feel a lot of pain because of blood clots in hemorrhoids. Sometimes it will turn purple, blue, or possibly bleed. It is not so serious but there will be extremely painful. You can consult the doctor if the pain is unbearable and they will remove the blood clot.

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Causes of Piles

There is no exact reason for piles but it will occur if there is an increase of pressure in the lower rectum which can cause blood vessels in the lower rectum to become swollen and inflamed. We have mentioned how it increases pressure in the lower rectum and increases the risk of causing hemorrhoids.

  • Sitting for a long period in the toilet
  • Long-lasting diarrhea or constipation
  • Overweight
  • Low fiver diet
  • Spinal cord injury
  • Poor posture
  • Family history of hemorrhoids
  • Pregnancy

Stage of Pain in Piles

Piles: Symptoms, Causes, Stages, and Treatments

Generally, we have listed into four stages:

  • First Degree

In this stage, it bleeds but doesn’t prolapse. They occur small and doesn’t occur outside the anus.

  • Second Degree

Hemorrhoids that prolapse and retract on their own. Sometimes they occur outside the anus and then return back inside. There will be less pain.

  • Third Degree

This stage is painful and prolapse will come outside more than in stage second. Prolapse must be pushed back by yourself.

  • Fourth Degree

In this stage of hemorrhoids, the prolapse cannot be pushed back. In this stage, there will also contain blood clots and there will be extreme pain.

Signs and Symptoms

Piles: Symptoms, Causes, Stages, and Treatments

For Internal Piles

Blood vessels swell and extend from the location in the rectum. The wound can cause bleed and sometimes pain when stool passes. The presence of inflammation, stool, and constant moisture can lead anal itchiness and sometimes bowel movement.

For External Piles

External Piles can be felt as bulges at the anus and usually cause few symptoms that are typical of internal hemorrhoids. External hemorrhoids can cause problems, however blood clots inside them. External piles are considered extremely painful, tender, and often medical attention.

Treatment for Piles


Surgical removal of piles also known as hemorrhoidectomy is reserved for patients with third and fourth stages. Many patients can manage their symptoms causing piles with non-surgical techniques. Non-operative treatment is suggested because it’s less pain with less complication than operative treatment.

In most cases, piles can be self-treated but serious cases and repetitive may require medication. Piles can recur after treatment so they are controlled rather than cured.

Piles: Symptoms, Causes, Stages, and Treatments


Self-treatment is often all about to relieve mild pains, swelling, and inflammation. You can use non-prescription ointments, creams, or cotton which helps to get rid of the pain. You can also soak the hips area in warm water for 10 to 15 minutes 3 times a day.

Another great treatment is consuming a diet that is rich in fiber. A diet that is rich in fiber helps you stools to be passed easily. Or you can also use a stool softener which can be bought easily from medicals.

If you have overweight then lose your weight immediately because there will be a high chance to come back piles if you are overweight. Go to the restroom immediately as soon as you feel the urge. Don’t take medicine which can cause constipation like codeine-based painkillers

Perfect Diet for Piles

Piles: Symptoms, Causes, Stages, and Treatments

The patient should have to eat foods that are rich in fiber which helps to soften the stool. Fiber helps the digestive system clean and healthy. The more natural and unprocessed food the higher fiber contains. Fiber is found in many foods including:

  • Fresh and dried fruits
  • Whole Grain
  • Vegetables
  • Cereals
  • Lots of liquid

According to research, our body needs 20 to 30 grams per day of fiber to remain healthy. For supplements, you can also take psyllium, methylcellulose, and calcium polycarbophil.

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