What Exactly Are Piles?

Hemorrhoids, commonly known as piles, are inflamed or enlarged veins that develop in the anal region or the lower part of the rectum.
They can cause discomfort, pain, itching, and sometimes bleeding during bowel movements.

Think of them like varicose veins, just located in a more sensitive area.

Different Types of Piles

There are two main types of piles, based on where they occur:

1. Internal Piles

• Develop inside the rectum.

• Usually not visible or painful unless they enlarge or protrude.

• Can cause bleeding during bowel movements.

2. External Piles

• Form under the skin around the anus.

• Can lead to swelling, itching, or severe pain — especially if a blood clot forms (known as thrombosed piles).

What Triggers Piles?

Several factors can increase pressure on the rectal veins, leading to piles:

• Straining during bowel movements

• Chronic constipation or diarrhea

• Sitting too long, especially on the toilet

• Pregnancy-related pressure

• Obesity

• Low-fiber diet

All these cause vein swelling and irritation in the rectal area.

Telltale Signs of Piles

Common symptoms include:

• Bright red blood after a bowel movement

• Itchy or irritated skin around the anus

• Pain or discomfort, especially while sitting

• A lump or swelling near the anus

• Mucus discharge

If these signs persist, it’s best to consult a doctor early.

How Doctors Diagnose Piles

• External piles are often visible during a physical exam.

• For internal piles, doctors may perform a digital rectal exam or use a scope for better visibility.

• In some cases — especially for people over 50 or with unusual symptoms — a colonoscopy might be recommended to rule out other conditions.

At-Home Relief Options

Mild to moderate piles often improve with simple home remedies:

• Eat a fiber-rich diet: Include fruits, vegetables, and whole grains

• Stay hydrated: Drink enough water daily

• Sitz baths: Soak the anal area in warm water for 10–15 minutes

• Topical treatments: Apply over-the-counter creams, ointments, or wipes

• Avoid straining: Don’t sit too long on the toilet

These changes can help reduce inflammation and ease symptoms naturally.

Medical Treatments for Piles

If home remedies don’t help, your doctor may suggest medical treatments:

1. Rubber Band Ligation

A tiny band is placed around the pile to cut off blood flow, causing it to shrink.

2. Sclerotherapy

A solution is injected into the hemorrhoid, making it shrink gradually.

3. Laser Treatment

Heat energy is used to destroy swollen tissue — a quick, minimally invasive procedure.

4. Hemorrhoidectomy

Surgical removal of piles — usually for severe or recurring cases.

5. Stapled Hemorrhoidopexy

Repositions and cuts off blood supply to the hemorrhoid, helping it shrink naturally.

Eating Right to Prevent and Ease Piles

Your diet plays a huge role in both prevention and recovery.

Include:

• Whole grains (brown rice, oats, quinoa)

• Fresh produce (apples, spinach, carrots)

• Legumes, nuts, and seeds

Avoid:

• Processed foods

• Deep-fried or spicy dishes

A fiber-rich diet softens stool and makes bowel movements easier and less painful.

Lifestyle Shifts That Make a Difference

Small daily changes can prevent piles from recurring:

• Exercise regularly to improve blood flow

• Don’t delay bowel movements — go when you feel the urge

• Avoid prolonged sitting, especially on the toilet

• Maintain a healthy weight

• Practice good hygiene — gently clean and keep the area dry

What Happens If You Ignore Piles

Untreated piles can lead to:

• Chronic pain and irritation

• Constant bleeding or anemia

• Thrombosis (blood clot formation)

• Skin tags or infections

• Fistulas or abscesses in severe cases

Early treatment can prevent these complications.

When to Get Medical Help

Reach out to your doctor if:

• You notice frequent bleeding

• Pain becomes intense or persistent

• A lump grows or doesn’t go away

• Home remedies don’t work after a few days

Prompt care ensures faster healing and fewer complications.

Are Piles Curable?

Yes — piles are completely treatable in most cases.
Early detection and lifestyle changes make a huge difference.

For persistent cases, medical or surgical treatments offer long-term relief.

How to Keep Piles Away for Good

Your simple prevention checklist:

• Eat fiber-rich foods

• Stay hydrated

• Exercise regularly

• Don’t delay bowel movements

• Manage stress effectively

Consistency is key to keeping piles from coming back.

Final Thoughts

Piles may feel uncomfortable or embarrassing, but they’re highly treatable.
With the right diet, habits, and care, you can manage or even prevent them altogether.

Don’t suffer in silence — get informed, take action, and heal confidently.

Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice.
If you experience symptoms, consult a qualified healthcare provider for personalized treatment and guidance.