Piles also known as hemorrhoids refers to the swollen veins in anus and lower rectum. They can develop inside the rectum (internal hemorrhoids) or skin around the anus (external hemorrhoids). The common symptoms of piles include bleeding and pain during passing the stool, presence of lumps in the anal area, and feeling of incomplete defectaion.
Factors that increase the risk of piles include constipation, pregnancy, being overweight/obese, persistent diarrhea, prolonged sitting on the toilet, and straining to lift heavy objects.
In most cases, piles resolve with conservative medical management with lifestyle modifications and self care which includes eating a high fiber diet, staying hydrated, maintaining a healthy weight, staying physically active, and avoiding excessive straining.
Certain medical procedures and/or surgery may be required in some cases when the size of the hemorrhoids is very large.
