Piles or Haemorrhoids are the swollen blood vessels which are in or around the anus and the rectum.The haemorrhoidal veins are mainly located in the lowest part of the rectum and anus.

Generally, Haemorrhoids are classified into two categories: Internal and external.

Internal Haemorrhoids lie inside the rectum and they doesn't usually hurt.It is because, there are some pain-sensing nerves in the rectum.
Bleeding may be one of the sign of Internal Haemorrhoids.The Internal Haemorrhoids may sometimes prolapse, or enlarge outside the anal sphincter.The prolapsed haemorrhoids may hurt because , they will be irritated by rubbing from clothing or by sitting.They will usually recede into the rectum.

External Haemorrhoids may lies with in the anus and they are often uncomfortable.External Haemorrhoids can be see and feel as it prolapses it to outside.External Haemorrhoids are very painful as the lower part of the anal canal may have lot of pain nerve fibres.The anal bleeding and pain are the dangerous sign of colorectal cancer.

Causes of Haemorrhoids:

Obesity, Pregnancy, standing or sitting for a long time, straining in the toilet,coughing,sneezing, vomiting are the conditions that may lead to Haemorrhoids or Piles.

Dr. A. Vikram, one of the best Gastroenterologist and Laparoscopic Surgeon provides better treatment for Piles and Haemorrhoids with more patient care and satisfaction.

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