Piles (Hemorrhoids): Definition, Contributing Factors and Symptoms

Symptoms related to Piles or Hemorrhoids (bleeding, pain, prolapse …) are common and, although not serious, they can be troublesome. Piles symptoms, if treated properly, usually stop within a few days. Symptoms often relapse, which can lead to even more discomfort. Reoccurring symptoms constitute as a hemorrhoid disease.


Piles or Hemorrhoids are a network of vessels present in the normal state, at the level of the anal canal. It exists:

  • An external hemorrhoid network (external hemorrhoids), located under the skin of the orifice of the anus,
  • An internal hemorrhoid network (internal hemorrhoids) located deeper and higher under the mucous of the anal canal. Internal hemorrhoids can also cause continence.

The piles disease is referred to as set of problems that can affect these vessels when swollen and irritated. Piles affect both men and women. They are more frequent between 40 and 65 years old. They are usually benign and transient, but can cause discomfort and in some cases, extreme pain.


Most people can have symptoms related to piles at some point in their life. Some factors that may aggravate symptoms are:

  • certain periods of pregnancy , delivery , postpartum (postpartum period) and premenstrual period (before menses);
  • constipation due to efforts to evacuate a bowel movement,
  • from the extended sitting position on the toilet seat,
  • the use of certain laxatives 
  • an episode of diarrhea by an irritative phenomenon;
  • the overweight and obesity;

  • the consumption of alcohol and spicy dishes;

  • the practice of certain sports and certain activities that force to lift heavy objects.


The symptoms of piles disease can vary from one person to another. They occur either acutely in the form of a hemorrhoids, or continuously when the disease has been evolving for a long time.

Hemorrhoid pain

The hemorrhoid can be quite painful. This congestive thrust is accompanied by sensations of heat, swelling and heaviness in the anus. These pains are aggravated by the defecation or physical exercise and relieved by lying down. They last from 2 to 4 days. Hemorrhoids may ooze or bleed after going to the bathroom. The blood red (rectal) appears in or after bowel movements. The bleeding can be noticed the following ways:

  • some red marks on the toilet paper,
  • bleeding in gout,
  • splash of blood on the toilet bowl,
  • Sometimes bleeding staining underwear.
Tumefaction or Prolapse of hemorrhoids through the anus

Prolapse in the anus is usually a strong indication of a hemorrhoid. These are small or large balls that are expelled out of the anus when you go to the bathroom. Generally, these balls re-enter the anus once we have finished relieving, but sometimes it is not the case. It must be pushed back inside, but this solution is only temporary, because they come out when you return to the bathroom.

The prolapse means that internal hemorrhoids externalize through the opening of the anus. This swelling can be spontaneously reintegrated or pushed back into the anal canal by the patient. This prolapse is responsible for discomfort, oozing, burning and anal itching (anal pruritus).

The thrombosis external hemorrhoids

The thrombos or external hemorrhoids, are due to the presence of a blood clot inside the hemorrhoid. It results in the sudden appearance of a very painful bluish tumefaction, sitting at the entrance of the anus. This swelling is often surrounded by a highly inflammatory area (oedematous, red and painful).

When one has hemorrhoids, one can have thromboses. Small bumps form in the region surrounding the anus and usually represent blood clots . These thromboses are also painful and are evidence of a problem with the veins of the anus. 

Things to Remember about Piles

Most painful hemorrhoid attacks subside and disappear on their own within a few days. However, in some cases they must be treated.Disorders of the defecation (false needs) can appear and be troublesome. It is important to consult your doctor about possible treatments if the symptoms persist or reappear often.

We have compiled a list of home remedies for piles. Check it out here and rid yourself of piles for good.



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