Different Types of Piles

Ayush Chowdhury
4 min readJan 27, 2024

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Haemorrhoids, also referred to by the name of piles are veins that have swollen that develop around the anal region. They can form inside the rectum as well as on the skin around the anus. Haemorrhoids can be found in all areas and are rarely cause for concern. Sometimes they’re not symptomatic and go away in their own time and people do not even being aware they have suffered from piles.

Haemorrhoids may be more dangerous based on the location and size. Haemorrhoids are classified into levels, each with an appropriate treatment for piles. For moderate to mild haemorrhoids changes in diet and lifestyle can suffice to stop their condition from becoming worse, and also prevent new ones from forming. A procedure performed by a surgeon who specializes in piles is an alternative for severe cases that cause extreme discomfort.

Causes of Piles (Haemorrhoids)

Typically, haemorrhoids develop when pressure is put on to the rectum lower. The pressure can be due to overstraining in bowel movements or simply sitting in the toilet for a long time. The effects of pregnancy, chronic diarrhoea, constipation as well as lifting heavy weights can increase the chance to develop haemorrhoids.

Types of Piles (Haemorrhoids)

Haemorrhoids are classified into four varieties: internal hemorrhoids, prolapsed haemorrhoids, external hemorrhoids and thrombosed haemorrhoids.

Internal Haemorrhoids

Internal haemorrhoids are veins that swell which develop deep inside the rectum. Because of their location they are not noticeable or palpable. They rarely manifest symptoms because there aren’t any pain-related nerves within the rectum. Internal haemorrhoids tend to be benign and will disappear by themselves.

However, larger lumps may result in symptoms like burning, pain or burning sensation. The lump can be felt in the vicinity of the anus. Rectal bleeding may occur in bowel movements as well. Sometimes when you pass stool, or overstrain during passing stool may increase the pressure on the internal haemorrhoid leading it to protrude out through the opening in your anal (prolapsed haemorrhoid).

Prolapsed Haemorrhoids

Internal hemorrhoids that protrude or have been pulled from the anus, are known as prolapsed haemorrhoids. Prolapsed haemorrhoids may be classified in accordance with the size of the protrusion

Grade I-Internal hemorrhoids without prolapse.

Grade II Prolapse happens when there is a rise in pressure in the anal or rectal area, like straining during stool passing. But, the haemorrhoid is able to retract into the rectum by itself following a bowel motion.

Grade III — Like Grade II, hemorrhoids are pushed from the anus in bowel movements however, in this instance, they do not retract back by themselves afterward. They will have to be brought back in.

Grade IV haemorrhoids that prolapse extend out of the anus and are unable to be brought back to their normal places. At this point the haemorrhoids are at possibility of being strangulated, an emergency situation where the blood supply to haemorrhoid has stopped due to pressure and results in sudden and intense discomfort.

The most prominent sign of a prolapsed hemorrhoid is the protruding and visible haemorrhoid. It is sometimes associated with pain, burning and itching. Based on the severity, prolapsed haemorrhoid may be treated with lifestyle and diet changes or rubber band ligation and sclerotherapy.

External Haemorrhoids

External haemorrhoids tend to be the first thing that people think of when they hear haemorrhoids. They are visible and pliable lumps that develop on the skin, around the anus. They are like internal haemorrhoids in regards to symptoms, but with the exception the internal haemorrhoids are situated within the rectum.

Since external haemorrhoids develop in the outside of the body, the symptoms such as pain can be more intense, and for some they may disrupt routine activities like exercising, sitting or when bowel movements are occurring.

Thrombosed Haemorrhoids

A thrombosed hemorrhoid is an external or internal haemorrhoid that occurs when an encapsulated blood clot, known as a”thrombus” is created. A serious complication of a haemorrhoid that is not treated, a haemorrhoid that is thrombosed can cause more severe symptoms, such as burning pain, intense pain redness, itching and swelling.

While it’s not a serious condition thrombosed haemorrhoids should be treated with immediate medical care. The primary treatment by the piles doctor in Kolkata for this condition can be a surgical process, known as a”thrombectomy,” where the blood clot in the haemorrhoid gets cut and is drained. The thrombectomy procedure is distinct from a haemorrhoidectomy, also known as piles procedure, which involves a procedure to eliminate the haemorrhoid.

Haemorrhoids can disrupt a person’s everyday activities and impact their level of living. If symptoms begin to manifest like bleeding, pain or feeling of a lump or bump in the region of the anal area It is recommended to consult Piles doctor in Kolkata to get an accurate diagnosis and treatment for piles. It is not just about treating the piles, but will also rule out other diseases with similar symptoms, such as cancer.

Colorectal Practice is a clinic located in Singapore which specializes in the treatment of colorectal diseases that include hemorrhoids. The clinic is led by Dr. Azhar Alam who is skilled in performing non-surgical and surgical piles treatments like haemorrhoidectomy as well as the ligation of rubber bands. To make an appointment or inquire about appointment times, dial 9007709736.

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Ayush Chowdhury
Ayush Chowdhury

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