are swollen and inflamed blood vessels (veins) in the rectum and anus.
Piles are broadly classified as follows:
that are outside the anal verge
Internal: Piles that occur inside the rectum
These include the following:
Genetic predisposition (weak rectal veins, walls).
Poor muscle tone in the rectal region.
Overuse of laxatives or enemas.
Lifting heavy weights habitually.
Symptoms vary depending upon the site of piles, duration of
complaints and general health of the person.
External piles present as a swelling outside the anus with
irritation and itching. These can be painful sometimes and
usually do not bleed.
Internal piles are usually not painful but these bleed when
they are irritated such as during the passage of hard
stools. They can be classified into four grades:
Grade 1 piles are small swellings on the inside lining of
the anus. They cannot be seen or felt from outside the anus.
Grade 2 piles are partly pushed out (prolapse) from the anus
when you go to the toilet, but quickly 'retract back' inside
Grade 3 piles hang out (prolapse) from the anus and are felt
as one or more small, soft lumps that hang from the anus.
However, they can be pushed back inside the anus with a
Grade 4 piles permanently hang down from within the anus,
and cannot be pushed back inside. They can sometimes become
Some of the other symptoms generally associated with
Protrusion of piles outside the anus; this usually occurs
after defecation, prolonged standing or unusual physical
Bleeding from the anus: This can occur before, during or
after stools. This will be bright red blood, not usually
mixed with the stools, but often seen on the toilet paper.
Soreness, pain, itching in the anal region.
In case of profuse bleeding that is chronic, the patient may
Sensation of something coming down, or a bulge or lump at
If the piles outside the anus develop a blood clot inside, (thrombosed
piles) it leads to a particularly tender, hard lump.
Homoeopathic medicines are very effective in management of
piles and the symptoms associated with it such as pain,
bleeding, itching, etc. The point to be emphasized is that
the relief of symptoms is obtained with absolute gentleness
and without invasion or surgery of any kind. Moreover, the
condition has high relapse rate following surgical
treatment, since surgery does not target the root causes
like genetic tendencies, habitual constipation, etc.
Homoeopathic medicines work at the root level and can modify
these genetic tendencies thus reducing chances of relapse
and recurrence of the condition significantly. Grade 1 and 2
of internal piles can be significantly helped with
homoeopathy. Grade 3 piles can find some relief of symptoms
with homoeopathy but may not be completely cured. Grade 4
piles can get symptomatic relief with medicines.