Everything You Need to Know about Piles

In this article, Dr Samrat Jankar one of the Top Gastroenterologists in Pune talks about “Everything you need to know about piles”.

Dr Samrat Jankar is a highly qualified and efficient gastroenterologist and gastrointestinal surgeon in Pune.

He has gained immense knowledge and extensive exposure to a broad range of gastrointestinal surgeries during his training at the renowned GEM Hospital and Research Center, Coimbatore, Tamil Nadu.

Haemorrhoids are also referred to as piles. Haemorrhoids are collections of inflammatory tissue that form in the anal canal of the genital area. They are made up of blood arteries, support tissue, muscle, and elastic fibres.

Everything you need to know about piles

Many people suffer from piles, although the signs and symptoms are not always apparent. Haemorrhoids cause obvious symptoms in at least 50% of people in the country before the age of 50 years, according to the National Institutes of Health.

Piles, their causes, how to detect and treat them, as well as the effects they may have on the body, will all be discussed in detail in this article.

Quick facts about piles:

Pune based Dr Samrat Jankar one of the best Gastroenterologist notes that Piles are collections of tissue and vasculature that become inflamed and swollen as a result of the inflammation and swelling

There are many sizes and shapes of piles, and they can be found either inside or outside of the anus.

Piles can develop as a result of prolonged constipation, chronic diarrhoea, carrying heavyweights, being pregnant, or straining when passing a stool, among other things.

On physical examination, a doctor can typically diagnose piles.

Haemorrhoids are classified according to their severity on a scale from I to IV. Surgery may be required in the case of grades III or IV.

What exactly are piles?

Piles are inflamed and bloated collections of tissue in the anal area that is caused by an infection.

They can come in a variety of shapes and sizes, and they can be either internal or exterior.

Typically, External piles are found on the anus’s outside margin and 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 opines Dr Samrat Jankar a leading gastroenterologist from Pune.


According to Dr Samrat Jankar, a premium gastroenterologist symptoms usually go away on their own after a few days of treatment.

Individuals suffering from piles may experience the following signs and symptoms:

  • It is possible to feel a firm, possibly painful lump around the anus. It is possible that it contains coagulated blood. Thrombosed external haemorrhoids are blood-filled pimples that appear on the skin’s surface.
  • After passing a stool, a person suffering from piles may have the sensation that their bowels are still partially filled.
  • After having a bowel movement, bright red blood is visible.
  • 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 serious situation. This can involve the following:

  • heavy anal bleeding, which may also be associated with anaemia
  • 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
  • A haemorrhoid that has been strangulated, in which the blood supply to the haemorrhoid has been cut off, resulting in consequences such as infection or a blood clot

Pile grades are divided into four categories:

Grade I: There are minor inflammations, which are normally contained to the anus lining. They are not visible to the naked eye.

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

Grade III: Grade III piles are Known as prolapsed haemorrhoids, this is a third-grade condition that manifests itself outside the anus. Even though they are hanging from the rectum, they can be readily re-inserted by the individual.

Grade IV: These are unable to be pulled back into place and require therapy. They are huge and remain on the outside of the anus for the most part.

On the exterior margin of the anus, external piles are formed as tiny lumps. They are extremely itchy and can become painful if a blood clot forms, as the blood clot might prevent the flow of blood from reaching the skin.

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


  • 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. It is possible that this is due to:
  • constipation that lasts a long time
  • exercising with high weights and having chronic diarrhoea
  • When passing a stool during pregnancy, you may experience straining.
  • The tendency to form piles may also be inherited, and the likelihood of developing heaps increases with age says Dr Samrat Jankar.