Piles
Internal & External
PILES is loss of elasticity of veins in the anal canal & lowermost part of rectum. It in seen in both the sexes. The chances of occurance increase with the age. Piles are classified as
- Internal piles ( arising in the upper two-thirds of anal canal )
- External piles ( it is skin covered lower one-third of the canal or at anal opening) Intenal piles occurs due to obstruction in venous return from that part. Causes can be Hereditary, anatomical , physiological factors,constipation, diarrhea straining at stool, Inadequate fibre diet etc.
Grade 1
Painless Bleeding
Anal Discomfort
Pile may protrude while straining but not prolapsing
Grade 2
Painless Bleeding
Discharge, Itching
Prolapse visible at straining but spontaneously return to normal place when straining ends.
Grade 3
Painless Bleeding
Discharge, Itching
Prolapse has to be reduced manually.
Grade 4
Bleeding pain
Discharge, Itching
The piles always remain prolapsed.