Dr Jyoti Arora – Piles Specialist Doctor

Internal piles occur inside the patient's rectum. Usually, they are less severe and cause less discomfort. However, the injured area may bleed. Generally, the patient comes to know about this medical condition by observing blood with bowel movements. At times too much straining pushes the injured tissue outside the opening of the anal. Usually, the straining occurs during bowel movements. It could be related to heavy lifting, intense sports activities, or childbirth.

External piles occur in the most sensitive part of the anal, which is the causative factor for bleeding and pain during bowel movements. In this case, the inured tissue gets external friction exposure, so the condition worsens, and the patient suffers from itchiness, pain, and irritation when walking, sitting, or performing daily activities. There are chances of blood clot formation in such cases, resulting in swelling, inflammation, and extreme pain.