Hemorrhoids, commonly known as piles, comprise of swollen tissue and veins. They contain blood vessels, muscle, elastic fiber, and support tissue. They can form inside (internal piles) or outside (external piles) of the anus. Around 50 to 80 percent of the world’s population suffers from piles. In India, around 75 percent of the population develops piles. This condition develops from the age of 15 and above. Both genders may develop piles. This condition is not life- threatening. Usually, piles disappear on their own; if not then they heal after treatment. Though treatable, piles may cause discomfort, embarrassment, and pain in some cases to the patient.

Causes and symptoms of piles

Primary cause of piles is straining while passing stool due to chronic constipation. Secondary causes are diarrhea, pregnancy, erect posture, and consumption of low-fiber diet. Initial or previous symptoms include a rumbling sound in the abdomen, constipation, less quantity of stool, regurgitation, and fatigue in the legs.
Noticeable symptoms of piles are:
• Lumps around the anus.
• Tearing Pain.
• Severe itching.
• Bright red blood exudate after passing stool, especially hard stool
• Feeling of full bowels even after passing stool
• Exudate of blood or mucous from external piles
• Redness, itching, and soreness around the anal region.
In severe conditions, the following complications are possible:
• Anemia due to excessive loss of blood
• Blood clots, infection, or loss of ability to control bowel movements
• Unable to sitting.
• Creation of anal fistula that is a channel of skin created in or around the anus.

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