Piles, Fissure and Fistula

Piles is the common name for hemorrhoids. Hemorrhoids are inflamed tissues in the anal canal.They contain blood vessels especially the Veins, supporting tissue, muscle, and elastic fibers.

Depending on the location they are termed external that are visible at the anal orifice and internal that are deep in the rectum,

Many people though have a protruded mass / growth are asymptomatic and few suffer with the symptoms

Piles are inflamed and swollen collections of tissue in the anal area.

They can have a range of sizes, and they may be internal or external.

Internal piles are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.


The symptoms of piles are generally not serious. In most cases they resolve on their own after a few days.

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An individual with piles may experience the following symptoms
A mild discomfort to pain due to a soft /hard, sometimes painful mass that may be felt around the anus.
An incomplete evacuation sensation is usually felt after attending to stools.
Blood stained stools are seen in bleeding haemorrhoids.
The anal area becomes red and may have symptoms of pain, burning, stitching, soreness etc.
Pain accompanies the evacuation of rectum / defaecation.

Piles can escalate into a more severe condition. This can include
excessive anal bleeding may lead to Anaemia. :
The ability to control faecal movement may be reduced- incontinence. :
A new channel fron the lumen of anus to ther skin surface called fistula may develop. A haemorrhoid may get turned / twisted and cause acute pain due cut off of blood supply.

An increase in pressure in the lower rectum is the common cause happening in
chronic constipation:
chronic diarrhea
lifting heavy weights
straining when passing a stool

Rectal examination