Piles also known as hemorrhoids or bawaseer or bawasir, are swollen vessels of blood in or around the rectum and anus. These hemorrhoid veins occur in the lowest part of the rectum and anus.

Sometimes these blood vessels swell up so much that the vein walls get stretched and become thin and irritated during the bowel movement. Such a condition is termed as hemorrhoids. In short, hemorrhoids are the excretory system disorder caused by the swelling of inflamed hemorrhoid vessels.

Piles (Hemorrhoids) is one of the most common diseases now a days but there is no satisfactory treatment available for this disease in allopathy. There is no single treatment available for this disease which ensure that no symptoms of piles will occur in future . Also known as ‘Arsha’ in Ayurveda and stratified into dry and bleeding categories, it is condition when veins in the anal region get varicose. Main symptoms of piles are intense pain at the time of passing stool, bleeding. Often leads to anemia due to profuse bleeding and itching in the rectal region.

There are two types of piles (hemorrhoid). One is the internal hemorrhoid and the other is the external hemorrhoid.
The internal piles occur deep inside the rectum and the patient cannot feel or see them. There are very few nerves to sense the pain in that part of the body and thus internal piles usually do not hurt. Bleeding is the only symptom of these internal piles. Sometimes, these internal hemorrhoids become enlarged and they protrude outside the anal sphincter. In such cases they can be seen or felt. They look and feel like moist pink skin pads, which are pinker in colour as compared to the skin of the surrounding area. These enlarged hemorrhoids may hurt as they get irritated due to constant rubbing with clothes and while sitting. These internal piles can be classified in four grades. The first grade consists of small inflammations in the lining of the anus. The second grade piles (bawaseer / bawasir) are larger than the first one. These may get pushed out while passing the stool. The third type is known as prolapsed hemorrhoids and appears outside the anus. They can be pushed back with the finger. The fourth type is the prolapsed hemorrhoids those cannot be pushed back with finger. They always stay outside and cause extreme discomfort.

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