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In this article, Dr. Samrat Jankar, a Premium Gastroenterologist in Pune, talks about “Everything you need to know about Piles its causes and symptoms.”

Dr. Samrat Jankar is a gastroenterologist and gastrointestinal surgeon in Pune who is highly skilled and competent in his field. The GEM Hospital and Research Center in Coimbatore, Tamil Nadu, where he completed his residency and obtained substantial experience in gastrointestinal surgery, has provided him with extensive expertise and exposure to a broad spectrum of procedures.

Quick facts about piles:

  • Piles are collections of tissue and veins that become inflamed and swollen due to inflammation.
  • Piles come in a variety of sizes and shapes, and they can be found both inside and outside of the anus.
  • Piles can develop due to prolonged constipation, chronic diarrhea, carrying heavyweights, being pregnant, or straining when passing a stool, among other things.

Hemorrhoids are classified according to their severity on a scale from I to IV. Grades III and IV may necessitate surgical intervention in some cases.

What are piles?

According to Dr. Samrat Jankar, a leading Gastroenterologist in Pune, Piles are inflamed and bloated collections of tissue in the anal area caused by an infection.

They can come in various shapes and sizes, and they can be either internal or exterior.

Typically, internal piles are found between 2 and 4 cms above the orifice of the anus, and they are the more prevalent of the two types of piles. External piles are located on the anus’s outside margin, on the outside of the anus.


The majority of the time, the symptoms of piles are not life-threatening. They usually go away on their own after a few days of treatment.

The following indications and symptoms may be experienced by individuals who are suffering from piles:

  • It is possible to feel a firm, possibly painful mass around the anus. It may contain coagulated blood. Thrombosed external hemorrhoids are blood-filled pimples that appear on the skin’s surface.
  • After passing a stool, a person suffering from piles may feel that their bowels are still partially filled.
  • After having a bowel movement, bright crimson blood is seen.
  • The area around the anus is irritated, red, and uncomfortable to touch.
  • During the passing of a stool, there is discomfort.

Pile formation can progress to a more difficult situation. This can involve the following:

  • Heavy anal bleeding, which may also be associated with anemia
  • Infection
  • Incontinence or the inability to control bowel motions is a medical condition.
  • An anal fistula is a condition in which a new channel is formed between the surface of the skin near the anus and the inside of the anus.
  • Strangulated hemorrhoid, in which the blood supply to hemorrhoid has been cut off, resulting in consequences such as infection or a blood clot, notes Pune-based Dr. Samrat Jankar, a top Gastroenterologist.

Piles are divided into four Grades:

Grade I: There are minor inflammations generally contained to the anus lining. They are not visible to the human eye.

Grade II: Piles are larger than Grade I piles, but they also remain within the anus. They may be pushed out with the passing of stool, but they will be able to return on their own.

Grade III: It is medically known as prolapsed hemorrhoids. This is the condition that manifests itself outside the anus. Even though they are hanging from the rectum, the individual can easily be re-inserted.

Grade IV: These are unable to be pulled back into position and will require therapy. They are enormous and spend most of their time on the outside of the anus.

External piles, which are produced as little lumps on the anus’s outside margin, are formed. These blisters are exceedingly itchy, and they can become painful if a blood clot forms, as the blood clot may impede the flow of blood from reaching the affected area of the skin.

External piles that have thrombosed, as well as hemorrhoids that have clotted, require prompt medical attention.


Pune-based Dr. Samrat Jankar says that It is believed that piles are caused by an increase in pressure in the lower rectum.

Under strain, the blood vessels around the anus and in the rectum will stretch and swell or bulge, resulting in the formation of piles. This may be due to:

  • constipation that lasts a long time
  • diarrhea for an extended period of time
  • lifting substantial amounts of weight
  • pregnancy
  • when passing a stool with difficulty

 The tendency to form piles may also be inherited, and the likelihood of developing heaps increases with age.