SYMPTOMS OF PILES and the grades free to know

symptoms of piles

SYMPTOMS OF PILES and the grades free to know

Piles medically referred to as hemorrhoids, are a common but often overlooked condition involving swollen blood vessels in the rectum or anus. In addition, this condition can cause discomfort, itching, and even bleeding. Notably, the treatment typically involves a combination of lifestyle adjustments, topical remedies, and, in certain instances, surgical procedures. In this blog, let’s learn the grades of hemorrhoids, common symptoms of piles, and potential complications to manage your well-being.

Grades of hemorrhoids (based on severity)

Grade 1

These hemorrhoids are located inside the anal opening. Usually, these are small, painless and may result in a small amount of blood discharge after a bowel movement.

Grade 2

This involves a larger swelling that affects the regions around the anal opening. Additionally, a lump may protrude outside during bowel movements, but it generally returns to its original position afterward.

Grade 3

In this, the swelling protrudes outside the anal opening, and individuals may notice a visible lump. However, there’s a distinctive feature that these hemorrhoids can be manually pushed back into place with the fingertips. This condition is referred to as prolapsed hemorrhoids.

Grade 4

This stage poses a more advanced situation. Moreover, despite efforts to force them back into the rectum, the swelling tends to bulge outward and falls. Further, bleeding may or may not be present. Pain can occur, especially if a clot forms or if the hemorrhoids become strangled by the anal opening. This grade represents a more severe and potentially uncomfortable stage of hemorrhoids.

Symptoms of Piles

In the majority of instances, the symptoms of piles are generally not severe and tend to subside on their own. And, an individual with piles may experience the following symptoms:

Painful lumps in and around the anus may be felt or observed, especially in external hemorrhoids.

Persistent Itching and discomfort around the anus often due to irritation caused by hemorrhoids.

Discomfort around the anal region, particularly during bowel movements, can occur.

Discharge of Blood on toilet paper, in the toilet bowl, or on stool is a common symptom of piles.

However, piles can progress into more severe conditions, including:

Excessive anal bleeding, possibly leading to anemia

This refers to the loss of a significant amount of blood from the rectal area. Moreover, severe or persistent bleeding can result in a decrease in the body’s red blood cell count, known as anemia.


Breaks in the skin or mucous membrane around the anus, caused by straining during bowel movements, irritation from stool, or scratching due to itching, can lead to infection. Bacteria from the surrounding area or fecal matter can enter the wound, causing an infection.

Fecal incontinence

This refers to the inability to control bowel movements, ranging from occasional leakage of small amounts of stool to complete loss of bowel control.

Anal fistula

An abnormal tunnel-like passageway that forms between the anal canal or rectum and the skin near the anus. It typically develops as a result of an infection in an anal gland, leading to the formation of an abscess near the anal canal. If the abscess does not heal properly or spontaneously ruptures, a fistula may form, creating a connection between the infected area and the skin.

Strangulated hemorrhoid

This occurs when anal muscles cut off blood supply to the hemorrhoid.

To conclude

Thus, getting to know about the grades and symptoms of piles is crucial for early detection and proper management. Additionally, as a result of recognizing symptoms individuals can seek timely medical attention and adopt preventive measures. Furthermore, lifestyle modifications, dietary changes, and medical interventions play a significant role in managing piles effectively and improving quality of life.

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