Piles: Symptoms, Images, Causes, and Types

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Piles or Haemorrhoids is a swelling containing enlarged blood vessels and tissues found inside the rectum or under the skin around the anus. Piles is also known as Bawaseer (बवासीर) in Hindi. 

This condition is common in people within the age group of 45-65 years. Depending on the location, haemorrhoids can be either internal, external, or prolapsed. Let’s read about Piles representation by real images, symptoms, causes, types, diagnosis, prevention, treatment, and more.

Disease Name Piles
Alternative Name Haemorrhoids, Bawaseer (बवासीर)
Symptoms Pain, Discomfort, Swelling, Itchiness, Redness, Lump formation

Straining while passing stools, Obesity, Pregnancy, Constipation, Chronic diarrhoea

Diagnosis Visual inspection, Digital examination, Proctoscopy
Treated by General surgeon (Proctologist)
Treatment options

Sclerotherapy, Stapler surgery, Laser surgery, Haemorrhoidal Artery Ligation

What is Piles?

Piles, also known as haemorrhoids, are a common medical condition that affects many people. They are essentially swollen blood vessels located in the anus or lower rectum. Piles can cause discomfort, pain, itching, and bleeding, especially during bowel movements. 

While the exact cause of piles is unclear, factors such as constipation, pregnancy, obesity, and prolonged sitting or standing can contribute to their development.

While piles can be uncomfortable, they are not considered serious health concerns. They can often be managed effectively with simple lifestyle changes such as eating a high-fibre diet, drinking plenty of fluids, and exercising regularly.

Piles Types

Piles is classified into three main types based on their location within the rectum and where the swollen vein develops. The types include: 

  1. External Piles: These are small lumps that form underneath the skin around the anus. They are very itchy and painful. Usually, bleeding is present in this case.
  2. Internal Piles: The lumps develop within the rectum and are usually not visible during an external examination. A small amount of bleeding can be seen during bowel movements. They rarely cause pain or discomfort.
  3. Prolapsed Piles: Internal and external piles can prolapse, which means they stretch and bulge outside the anus. These may bleed or cause severe pain. 

Piles Type Image

To read this in Hindi, you can visit,'Piles in Hindi'

Piles Symptoms

In most cases, the piles symptoms are not serious and resolve on their own. You can also see some piles real images to understand piles better. Piles are characterised by one or more of the following symptoms:

  1. Painful lumps around the anal region
  2. Itching, redness, inflammation and discomfort 
  3. Presence of slimy fluid near the anus
  4. Bright red coloured blood after passing stools
  5. Feeling of incomplete bowel emptying even after passing stool

Piles Symptoms ImageTo know about Piles Symptoms in Hindi, read बवासीर के लक्षण क्या हैं?

Piles Causes

The exact cause of piles is uncertain. They are associated with increased pressure in the blood vessels and tissues around the anal area, resulting in swelling and inflammation. Some potential causes of piles can include:

  1. Straining While Pooping: Applying excessive pressure while passing stool can cause veins in the rectal area to swell, developing piles.
  2. Diet with Low Fibre: A diet that is low in fibre can cause constipation, leading to piles.
  3. Anal or Rectal Infections: Infections in the anal or rectal area can cause inflammation and swelling, increasing the likelihood of developing piles.
  4. Crohn's Disease: It is an inflammatory bowel disease that can cause inflammation in the rectal area, increasing the risk of developing piles.

Piles Causes ImagePiles Risk Factors

The following are the potential risk factors for piles that might put an individual at a higher chance of developing the disease:

  1. Age Between 45-65 Years: Piles can affect people of any age, but they are more common in individuals aged 45 to 65.
  2. Being Obese or Overweight: People who are overweight or obese have a higher risk of developing piles because of the extra pressure on the rectal veins.
  3. Lifting Heavy Weights: Regularly lifting heavy objects can put undue pressure on the rectal veins and increase the risk of developing piles.
  4. Sedentary Lifestyle: Lack of physical activity and a sedentary lifestyle can lead to constipation. This can result in piles.
  5. Family History of Haemorrhoids: Having a family history of piles increases the likelihood of this condition.
  6. Pregnancy: Pregnant women are more likely to develop piles due to the pressure exerted on the rectal veins by the growing uterus.

Prevention of Piles

There might not be a definitive way to prevent piles. Still, there are measures to reduce the risk of developing piles or worsening the condition. Below mentioned are some of the measures for the prevention of piles:

  1. Limit the amount of sitting time on the toilet
  2. Manage constipation and prevent straining during bowel movements. 
  3. Maintaining a moderate weight
  4. Eating a fibre-rich diet
  5. Avoiding heavy lifting
  6. Staying physically active by doing regular exercise 

Piles Prevention Image

How is Piles diagnosed?

The healthcare professional will generally be able to diagnose piles based on symptoms and a physical examination. Different types along with piles images, will help you understand it better. The doctor will do a complete physical examination to examine the anal area carefully. They may ask the following questions:

  1. Do any close relatives have piles?
  2. Has there been any blood or mucus in the stools?
  3. Did you recently lose any weight?
  4. Has your bowel movements changed recently?
  5. Have you seen piles real images?

However, in a few cases, the following additional tests may also be recommended to confirm the presence and severity of the piles.

  1. Digital Rectal Exam: The doctor will insert a gloved, lubricated finger into the rectum to feel for swollen blood vessels.
  2. Anoscopy: An anoscope (lighted tube) will be used in anoscopy to view the lining of the anus and rectum. 
  3. Sigmoidoscopy: A sigmoidoscope (lighted tube with a camera) is used to view the lower part of the colon and rectum. This technique includes two types: flexible sigmoidoscopy and rigid sigmoidoscopy
  4. Stool Guaiac Test: A stool sample is analysed to find any traces of blood in it.
  5. Colonoscopy: The doctor may advise a colonoscopy when they want to examine the entire colon by using a colonoscope (long, flexible, lighted tube) to check for any abnormal growths, a tissue that is red or swollen, sores (ulcers), or bleeding.

Piles Test ImageHow to prepare for the doctor's consultation?

If you are planning to see a doctor for symptoms of piles, there are several steps you can take to prepare for your appointment. It's helpful to keep a record of all the symptoms that you have been facing. Some things that you should keep in mind include: 

  1. List down piles symptoms, including any that may seem unrelated to the condition.
  2. The patient must inform the doctor about key personal information, including dietary habits and typical bowel movements.
  3. The doctor must be informed about all the medications, vitamins or supplements that they take.
  4. The following questions should be asked the doctor:
    1. What's the likely cause of the condition?
    2. Is this condition likely to be temporary or permanent?
    3. Will there be any complications related to this condition?
    4. What treatment approach do you recommend?
    5. Which treatment would work if the first line of treatments doesn't work?
    6. Am I a candidate for surgery? Why or why not?
    7. Are there additional self-care steps that might help?
    8. I have other medical problems. How can I manage these along with haemorrhoids?
    9. Can I see some piles real images?
    10. Can you explain piles meaning to me?

Piles Treatment

In most cases, piles resolve on their own without needing any treatment. However, if an individual has piles for an extended period, the lumps may grow in size, and the piles symptoms may also worsen, leading to significant pain, discomfort and reduced quality of life.

In that case, the proctologist may suggest one of the following methods for piles treatment: 

Home Remedies for Piles

While there are various medical treatments for piles, there are also several home remedies that may help alleviate symptoms. Some common remedies for piles include: 

  1. Sitz Bath: Sitting in a warm bath for 10-15 minutes can help alleviate pain and itching caused by piles. You can prepare a Sitz bath using Epsom salt and add glycerin for additional benefits.
  2. Fibre Intake: Eating a diet high in fibre helps prevent constipation and straining during bowel movements, which can aggravate piles. Good sources of fibre include fruits, vegetables, whole grains, and legumes.
  3. Flavonoids: These are compounds found in fruits and vegetables such as blackberries, cherries, and red grapes, reduce inflammation and improve circulation, reducing the risk of developing piles.
  4. Vitamin C Rich Foods: Foods that are high in vitamin C, such as oranges, strawberries, and bell peppers, strengthen blood vessels.
  5. Cold Compress: Applying a cold compress to the anus reduces swelling and alleviates pain.
  6. Aloe Vera Gel: This gel lessens pain, itching, and inflammation.
  7. Witch Hazel: Applying witch hazel prevents pain and bleeding.

Piles Home Remedies ImageAyurvedic Treatment for Piles

Ayurveda, an ancient system of medicine originating from India, offers a range of natural remedies and treatments for piles. Some common Ayurvedic treatments for piles include:

  1. Triphala Powder:
    1. This powder can help alleviate symptoms of piles (haemorrhoids) by improving digestion and reducing constipation.
    2. Triphala is a blend of three fruits - amla, haritaki, and bibhitaki. It is often taken in powder form mixed with water or as a supplement in capsule form. To learn more, read about the Benefits of Triphala powder for Piles in Hindi
  2. Kshar Sutra:
    1. Kshar Sutra is an Ayurvedic treatment for piles (haemorrhoids) that involves the use of a medicated thread. The thread is inserted into the rectum near the piles and is said to cause the piles to dry up and fall off over time.
    2. The Kshar Sutra treatment is performed by a trained practitioner and is usually done on an outpatient basis. The procedure takes about 30 to 45 minutes, and most people are able to return to their normal activities within a few days.

Lifestyle Changes for Piles

Making certain lifestyle changes can help prevent and manage symptoms of piles. Some of the lifestyle modifications that can help with piles include:

  1. Exercise: Regular exercise can help prevent constipation and improve overall bowel function.
  2. Avoid Prolonged Sitting or Standing: Prolonged sitting or standing can increase pressure on the veins in the anus and rectum, which can aggravate piles.
  3. Staying Hydrated: Drinking plenty of water can help prevent constipation and keep stools soft.
  4. Avoid Straining During Bowel Movements: Straining while passing stool can pressure the anus and lower rectum veins. 
  5. Avoid Heavy Lifting: Heavy weight lifting can increase the pressure in the anorectal region and lead to swelling of blood vessels, posing a risk for piles.
  6. Using Indian Commode: A squatting toilet may help alleviate symptoms of piles (haemorrhoids) in some individuals. The squatting position improves bowel movements by relaxing the anal muscles, which helps prevent straining and constipation.

Piles Lifestyle Changes ImageMedications for Piles

There are several medications available to help relieve piles symptoms. Over-the-counter oral medications, creams and ointments are some of the treatments used for piles. Depending on the severity of haemorrhoids, the proctologist would prescribe the following:

  1. Pain Reliever Medications such as Aspirin or Ibuprofen can temporarily help relieve the discomfort.
  2. Stool Softeners help relieve constipation.
  3. Over-the-counter Topical Haemorrhoid Creams or suppositories containing hydrocortisone, or use pads containing witch hazel or a numbing agent.

Piles Treatment without Surgery

If haemorrhoids do not improve by home remedies and prescription medicines, then the following non-surgical treatment methods for piles can be considered:

  1. Rubber Band Ligation: The surgeon places a rubber band around the haemorrhoids in Rubber Band Ligation. This causes haemorrhoid necrosis (tissue death), and they drop off.
  2. Sclerotherapy: The surgeon injects a liquid called a sclerosant into the haemorrhoids, which decreases the blood supply and causes the haemorrhoids to shrink. 
  3. Electrotherapy: An electrical current is applied to the piles, causing them to shrink and eventually fall off.
  4. Infrared Coagulation: This method works similarly to that of sclerotherapy. Instead of a liquid, infrared light is used to shrink the haemorrhoids.

Piles Treatment without Surgery ImagePiles Treatment with Surgery

Surgical treatment of haemorrhoids is recommended if any of the therapies mentioned above do not work. The various surgical treatment methods for haemorrhoids include:

  1. Haemorrhoidectomy: The prolapsed internal or large external haemorrhoids are removed in Haemorrhoidectomy
  2. Stapled Haemorrhoidopexy: A stapling instrument pulls prolapsed internal haemorrhoids back inside your anus. Stapled Haemorrhoidopexy also removes an internal haemorrhoid. 
  3. Laser Surgery for Piles: The surgeon cuts the blood supply to the haemorrhoids using a laser. Cutting the blood supply causes the haemorrhoids to shrink in piles laser surgery.  

Piles Treatment with surgery imageRefer to the page recovery rates for piles to know more about the recovery rate after a patient has undergone the above-mentioned piles treatment methods.

Cost of Piles Surgery

The cost of piles surgery in India can vary depending on several factors, including the type of surgery, the hospital or clinic where the procedure is performed, and the location. Here is a table highlighting the cost of different types of Piles Surgery: 

Surgery Name Surgery Cost
Rubber Band Ligation ₹25,000 to ₹60,000
Sclerotherapy ₹25,000 to ₹80,000
Open Haemorrhoidectomy ₹30,000 to ₹1,00,000
Stapler Haemorrhoidectomy ₹35,000 to ₹1,10,000
Haemorrhoidal Artery Ligation ₹38,000 to ₹90,000
Laser Piles Surgery ₹55,000 to ₹1,10,000

Risks and Complications of Piles

Piles can be uncomfortable and painful if piles are not treated in time, but they don’t tend to cause serious problems.The risks and complications of piles include:

  1. Blood clots in the swollen vein
  2. Bleeding
  3. Iron deficiency anaemia is caused by blood loss
  4. Infection of an external haemorrhoid
  5. Skin tags, or excess skin when an external haemorrhoid goes away
  6. Development of strangulated haemorrhoids (muscles in the anus cut off blood flow to a prolapsed internal haemorrhoid)

When to see a doctor?

In some cases, the symptoms of piles can be mistaken for those of other conditions, such as anal fissures or colorectal cancer. A doctor can perform a physical examination and possibly other tests to determine the cause of your symptoms and provide an accurate diagnosis and effective treatment plan. You can contact the doctor if you have the following complications: 

  1. Haemorrhoids do not improve after a week
  2. Severe pain
  3. Bleeding during bowel movement
  4. Itching
  5. Inflammation and swelling

Searching for piles images online can provide visual aids for understanding the condition, but it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

Diet for Piles

The dietary habits of an individual play an important role in developing any disease condition. Staying hydrated and eating a diet rich in minerals and vitamins will help reduce the risk of developing any disease condition.

Below mentioned are some dietary measures for individuals with piles:

  1. Consuming foods that are high in dietary fibre, such as wheat, brown rice, oatmeal, bran, etc., can help keep stools soft and make their passing easier.
  2. Including fresh fruits and vegetables in the diet.
  3. Drinking plenty of water prevents constipation, decreasing the need to strain while passing a bowel movement.
  4. Avoid caffeine (found in coffee and cola) and tea intake.
  5. Avoid alcohol consumption.

Piles Diet Image


Piles can cause discomfort and embarrassment but can be managed easily with proper knowledge and treatment. It can cause symptoms such as itching, pain, and bleeding during bowel movements. Prevention is key when it comes to piles. Maintaining a healthy diet with enough fibre, staying hydrated, and avoiding prolonged sitting or standing can help prevent its development.

In some cases, surgery may be necessary to treat piles. Many advanced surgical piles treatment options are available, like hemorrhoidectomy, Laser surgery for piles, Stapled haemorrhoidopexy etc. You can contact the experts at HexaHealth for the best surgical and non-surgical treatment options available for piles. 

Don't let piles hold you back! Know the symptoms and take control with proper treatment and prevention. With the right knowledge and care, you can live a comfortable and confident life, free from the discomfort of haemorrhoids.

Suggested Reads:

Piles in Men

Piles in Women
Piles During Pregnancy

Recovery Rates of Piles

How to Cure First Stage of Piles?

Piles Cure in 3 Days

Risk Factors of Piles in Hindi

Non Invasive Treatment of Piles in Hindi
Surgical Operation of Piles in Hindi Kshar Sutra Treatment of Piles in Hindi

Frequently Asked Questions about Piles

What is piles disease?

Piles or haemorrhoids are swollen, enlarged blood vessels that form inside or outside the anus and rectum. They are the most common anorectal condition. They can be painful, uncomfortable and cause rectal bleeding.

In which age group is piles most common?

Piles affect people of all ages and genders. Piles in men are more common in people within the age group of 50-60 years.

What is piles disease main cause?

Piles can develop from increased pressure in the lower rectum due to: straining during bowel movement, sitting for long periods on the toilet, having chronic diarrhoea or constipation.

Who might get piles disease?

Anyone can develop piles or haemorrhoids. As you grow old, your risk of developing piles disease increases. That's because the tissues and blood vessels in the anal region can weaken and stretch. You are more likely to get haemorrhoids if you: are pregnant, obese, sit on the toilet for too long, have a family history of haemorrhoids, or are between 45 and 65 years old.

What are the different types of piles?

Piles can happen inside or outside the anal region. The type depends on where the swollen vein develops. Types include external piles: when the swollen blood vessels form underneath the skin around the anus; internal piles: when the swollen blood vessels form inside the rectum; prolapsed piles: when both the internal and external piles stretch and bulge outside of the anus.

What are the most common piles symptoms?

Piles symptoms can range in severity from mild to severe but mainly the presence of swelling and inflammation can cause pain, itching, irritation, discomfort, and bleeding. If you have any of these symptoms, contact HexaHealth for a free consultation with our experienced doctors.

Can piles go away on their own?

Piles will usually go away on their own but, if they don't, you might need to have a procedure to deal with the problem. Contact HexaHealth for a free consultation with our experienced doctors.

What happens if piles is not treated?

If piles are left untreated, they can cause bleeding, severe pain, irritation, and discomfort. External haemorrhoids can cause thrombosis (blood clotting), leading to severe pain from haemorrhoidal strangulation.

Can home remedies provide relief from piles?

Yes, home remedies can manage and provide some relief from the symptoms of piles. Home remedies like topical ointments, sitz bath, cold compresses etc., temporarily relieve painful piles symptoms.

When should I call the doctor?

You should call your doctor if you suspect haemorrhoids and experience abdominal pain, fever, chills, nausea, vomiting, chronic constipation or diarrhoea, severe rectal bleeding and pain.

What is piles disease best treatment?

Laser treatment for piles is the most opted treatment as it is painless. It involves no stitches, minimal blood loss and other postoperative complications, and quick recovery with no chances of recurrence.

What are the advantages of laser surgery for piles?

Laser treatment for piles offers the following advantages over conventional surgery: painless & stitchless, minimally invasive, quick recovery, early return to daily life, and excellent success rate.

Does insurance cover treatment for piles disease?

Yes, all health insurance plans cover the treatment for piles disease. Paperwork is facilitated by our team on your behalf ensuring smooth approval and a cashless facility. Contact HexaHealth for a simple cashless and hassle-free experience.

What is piles surgery cost?

The piles surgery cost is variable, considering the type of hospital chosen, the grade and stage of piles, the technique recommended, the patient's medical condition based on age and other health factors, etc. Contact HexaHealth for price transparency.

What are the myths versus facts about piles?

  1. Myth: All types of haemorrhoids are always painful.
    Fact: Not necessarily. People can have both types of haemorrhoids i.e.,internal haemorrhoids that develop inside the anus which generally are not painful and external haemorrhoids that bulge out of the anus which can be very painful.
  2. Myth: Everyone is equally at risk of getting haemorrhoids.
    Fact: Generally, certain groups are more at risk of developing haemorrhoids. People with chronic constipation, obesity and pregnancy are often at the risk of developing haemorrhoids. Men and women are both at increased risk of getting them if he/she:
    1. Strain during bowel movement
    2. Sit on the toilet for long periods of time
    3. Are older than age 50
  3. Myth: Changing the diet won’t help haemorrhoids.
    Fact: Changing the diet is one of the best ways to prevent any disease condition. Drinking more water, eating more fibre, and eating fresh fruits and vegetables all decrease your chance of getting constipation which eventually prevents the development of haemorrhoids.
  4. Myth: Piles treatment needs surgery.
    Fact: In most cases, piles don't need surgery to be treated. The doctor recommends surgery only when the condition is severe and if it causes discomfort and pain.
  5. Myth: Piles treatment needs surgery.
    Fact: Generally, when an individual has symptoms such as consistent itching, inflammation near the anus or a streak of blood, then the person must consult a urologist immediately. The doctor can perform tests to see if the symptoms belong to colorectal cancer or piles and recommend the person the appropriate treatment method.
  6. Myth: Exercising must be avoided if you have piles.
    Fact: Exercise reduces the risk of getting piles. Generally, a person should ensure that he/she does not lift heavy weights incorrectly by putting pressure on the bottom muscle. 

What is the classification system for Grading of Piles?

Piles is commonly classified into four grades based on their severity and size:

  1. Grade 1: Haemorrhoids project into the anal canal but do not protrude out of it. They might occasionally bleed due to excessive straining or friction.
  2. Grade 2: Haemorrhoids protrude outside of the anus during passage of stool. However, they spontaneously go back into the anal canal once the person discontinues straining.
  3. Grade 3: Haemorrhoids protrude outside the anus but do not regress automatically and must be manually pushed inside.
  4. Grade 4: Haemorrhoids constantly remain outside the anus and may be too painful to be pushed back inside.

Where can I find Piles images?

You can find Piles Images on HexaHealth's website. Looking at Piles photo will help you understand it better

What do piles pictures in females look like?

Piles or Hemorrhoids are a common medical condition, and there are many resources available for Piles meaning and piles images. You can also read Piles in Women to find out what piles pictures in females look like. 

How many types of piles are there?

There are three main types of haemorrhoids, which are classified based on their location relative to the dentate line in the anal canal: Internal, External and Prolapsed

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