Hemorrhoids , also called piles, are swollen veins in the anus and lower rectum. piles are similar to varicose veins. piles can develop inside the rectum, called internal piles . They also can develop under the skin around the anus, called external piles . There are several options available to treat piles . Many people get relief with home treatments and lifestyle changes

Internal Piles

Internal piles lie inside the rectum. You usually can't see or feel them, and they rarely cause discomfort. But straining or irritation when passing stool can cause:

  • Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet.
  • A piles to push through the anal opening, called a prolapsed or protruding piles . This may result in pain and irritation.

External Piles

These are under the skin around the anus. Symptoms might include:

  • Itching or irritation in the anal region.
  • Pain or discomfort.
  • Swelling around the anus.
  • Bleeding.

Thrombosed Piles

Blood can pool in an external piles and form a clot, called a thrombus. A thrombosed piles can result in:

  • Severe pain.
  • Swelling.
  • Inflammation.
  • A hard, discolored lump near the anus.


The veins around the anus tend to stretch under pressure and may bulge or swell. Piles can develop from increased pressure in the lower rectum due to:

  • Straining during bowel movements.
  • Sitting for long periods of time, especially on the toilet.
  • Having chronic diarrhea or constipation.
  • Being obese.
  • Being pregnant.
  • Having anal intercourse.
  • Eating a low-fiber diet.
  • Regularly lifting heavy items.