23/03/2019
What are piles?
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Piles (Haemorrhoids) are swollen veins in the lowest part of your re**um and a**s. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you p**p.
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They can have a range of sizes, and they may be internal or external.
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Internal piles are the more common type and normally located between 2 and 4 centimeters (cm) above the opening of the a**s. You can't usually see or feel them and they don't generally hurt because you have few pain-sensing nerves there. Bleeding may be the only sign of them.
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External hemorrhoids are under the skin around the a**s, where there are many more pain-sensing nerves, so they tend to hurt as well as bleed.
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Pr*****ed hemorrhoids usually go back inside on their own. Even if they don't, they can often be gently pushed back into place.
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Piles is classified into four grades:
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⢠Grade I: There are small inflammations, usually inside the lining of the a**s. They are not visible.
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⢠Grade II: Grade II piles are larger than grade I piles, but also remain inside the a**s. They may get pushed out during the passing of stool, but they will return unaided.
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⢠Grade III: These are also known as pr*****ed hemorrhoids, and appear outside the a**s. The individual may feel them hanging from the re**um, but they can be easily re-inserted.
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⢠Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the a**s.
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