Piles, also known as haemorrhoids, are swollen veins and muscle around your anus or in your anal canal. ... Your anal canal is a short, muscular tube with blood vessels that connects your rectum (back passage) with your anus.

A pile is one of the soft pads that has slipped downwards slightly, because the surrounding tissue is not holding it in place When this happens, the small blood vessels within the cushion become engorged with blood, so the cushion swells up. When faeces are passed, the pile may be pushed further down the anal canal to the outside, and this is called a prolapsed pile.

> piles are swollen cushions that always remain within the anal canal; these are painless and the usual symptom is that of bleeding, although in most people they are symptom-free.

> piles are pushed down (prolapsed) when faeces are passed, but spontaneously return to their starting position afterwards.

> piles are pushed down (prolapsed) when faeces are passed, or come down at other times. They do not go back by themselves after faeces have been passed but can be pushed back in.

> piles are the same but cannot be pushed back in.

What are the symptoms of piles?

The symptoms of piles can come and go. There are five main symptoms:
bleeding, with bright red blood
itching and irritation
aching pain and discomfort
a lump, which may be tender
soiling of underwear with slime or faeces

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