Types of hemorrhoids and different stages of piles

Piles, a painful medical condition affect a few of us and cause pain in the anus. Piles are a collection of tissue and veins that have become inflamed and swollen. They occur as a result of chronic diarrhea or chronic constipation. You can find the piles inside or outside the anus. Another name for piles is hemorrhoids.

Types of piles

Types of hemorrhoids and different stages of piles

We see four types of piles. They may have any size. Also, they can occur inside or outside the anus.

  1. Internal hemorrhoids: These are the most common type of piles. You find them 2-4 cm inside the anus opening. You cannot see them. There are no nerve endings there so you cannot feel them either. Coagulated blood may collect inside the lump. You might have some rectal bleeding, but you need not treat them. They heal on their own.
  2. External hemorrhoids: When you can see the piles outside your anus, you call them external hemorrhoids or external piles. These are painful and produce burning sensation. The area around the anus remains red and sore. The anus has plenty of nerve endings. You can treat these piles with home remedy medication.
  3. Prolapsed hemorrhoids: Internal hemorrhoid that leaves the anus we call a prolapsed hemorrhoid. The prolapsed piles look like soft, puffy skin around the anus. Left to their own, in most cases, these piles will recede back into the anus once again. You can push them back into the anus.
  4. Thrombosed hemorrhoids: External hemorrhoid that forms a blood clot we call as a thrombosed hemorrhoid.  These kinds of piles are the ugliest. Minor thrombosed hemorrhoids resolve themselves in a week or so. So, unless the pain is unbearable, the person can wait for a few days until the problem passes. They may become purple or red and burst when passing stools. But, this does not mean that you need any immediate treatment.

Symptoms of piles

Many people pass through life without realizing they suffer from piles. It does not manifest until the person is 50 years of age. It will then show itself. The most common symptoms of this situation will include the following:

  • Mucus in the stool
  • Pain in the anus
  • Feeling full all the time
  • Bleeding
  • Itching
  • Burning sensation

A person with piles will feel a lump inside or near his anus. After passing stools, he will have the feeling that he is still full.

4 Different stages of piles

4 Different stages of piles

We have a grading scale for hemorrhoids from I to IV. For scales III and IV, you need surgery to correct the piles. Often, the symptoms are not serious. Meaning, the condition will resolve on its own.

  • Stage I: In this, we see the pile is inside the anal cavity. There is no evident pain. Some people may experience a mild itching or burning sensation.
  • Stage II: This is the beginning of the prolapsed stage. The haemorrhoidal tissues become weak. They collapse so that the pile slips out of the anal cavity. This kind of pile is annoying and causes pain. On most occasions, you can push the piles back into the anal cavity if they do not recede by themselves.
  • Stage III: These we call prolapsed piles. You cannot reverse them by pushing them back. You may have plenty of bleeding. The person will experience plenty of discomforts.
  • Stage IV: These types of piles overhand the opening of the anus. You see them jutting or hanging outside. They have the most pain and discomfort. You might also have bleeding and infection.

Causes of piles

  • The general causes of piles include straining while passing stools.
  • When you do not drink enough water with your food, the bowel movement becomes hard.
  • You lift heavy weights.
  • Pregnancy is another reason.

Treatment options for hemorrhoids

The doctor will detect the piles by examination. If the piles do not resolve on their own, then you need to undergo treatment.

1. Lifestyle changes to cure piles

The first thing the doctor will recommend is that the patient makes lifestyle changes. This might involve diet and exercise to lose weight. Changing the diet to eat items that make the stool softer will help. Drink more water and avoid caffeine.

When one loses weight, they experience more comfort. The force on their pile becomes lesser, and in time hemorrhoid will fall and disappear.

Avoid straining when passing stools.

2. Medicines for piles treatment

Over-the-counter medication is enough for mild cases of piles. You have ointments, painkillers, pads, and creams that help the patient in many ways. Though the medicines do not cure the piles, they provide relief.

Do not use the medicines more than 6-7 days in a row. Also, do not use more than one medication at one time unless the physician tells you to. Use of corticosteroids helps the patient reduce the suffering. It helps them cope with the pain due to the swelling. At times, the physician may prescribe a laxative. This helps the person pass stools with ease.

3. Surgical options

Use of surgery helps give a better cure for the suffering due to piles. The first one involves the use of a piece of elastic. This helps tie the base of the pile and cut off the blood supply. In a few days, the pile will fall off. This method we call as banding.

The second way to deal with the pile we call as sclerotherapy. In this, we inject medicine into the pile. This causes the pile to shrink and fall off. Another way is to use infrared rays. This will cause the pile to burn up.

This method is useful for Grade I and Grade II piles. The last method involves the use of surgery. We remove the pile under local anesthesia and sedation. Though this method is effective, it has many complications.

Early detection and treatment can reduce the symptoms and help you remain free of pain. You can get treated and get cured of piles.


We hope that you have got about different types of hemorrhoids and different stages of piles. By making changes in your lifestyle and using home remedies you can live piles free life.

Also Read:

Yoga poses for hemorrhoids cure
Best ayurvedic medicine for piles and fissure
Homeopathic medicine for piles
Natural remedies for bleeding piles

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Anoop Sharma

About Anoop Sharma

Anoop Sharma is an IT professional, freelance health writer and creator of www.medicinalplantsanduses.com. He is passionate about helping others learn about health issues and their natural remedies, yoga and healthy food.

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