Pile/Hemorrhoids are swollen veins in your lower rectum. Internal hemorrhoids are usually painless, but tend to bleed. External hemorrhoids may cause pain. Hemorrhoids(HEM-uh-roids), also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids are one of the most common causes of rectal bleeding. They often go away on their own. Treatments can also help.
Symptoms of Hemorrhoids
Internal hemorrhoids

Internal hemorrhoids are so far inside your rectum that you can’t usually see or feel them. They don’t generally hurt because you have few pain-sensing nerves there. Symptoms of internal hemorrhoids include:

Blood on your poop, on toilet paper after you wipe, or in the toilet bowl
Tissue that bulges outside your anal opening (prolapse). This may hurt, often when you poop. You might be able to see prolapsed hemorrhoids as moist bumps that are pinker than the surrounding area. These usually go back inside on their own. Even if they don’t, they can often be gently pushed back into place.
External hemorrhoids

External hemorrhoids are under the skin around your anus, where there are many more pain-sensing nerves. Symptoms of external hemorrhoids include:

Pain
Bleeding
Itching
Swelling
Thrombosed hemorrhoids

A blood clot can turn an external hemorrhoid purple or blue. This is called a thrombosis or a thrombosed hemorrhoid. You may notice symptoms like:

Severe pain
Itching
Bleeding
Causes and Risk Factors of Hemorrhoids
You may be more likely to get hemorrhoids if other family members, like your parents had them.

Pressure building up in your lower rectum can affect blood flow and make the veins there swell. That may happen from:

Pushing during bowel movements
Straining when you do something that’s physically hard, like lifting something heavy
Extra weight, like obesity
Pregnancy, when your growing uterus presses on your veins
A diet low in fiber
Anal sex
People who stand or sit for long stretches of time are at greater risk, too.

You may get them when you have constipation or diarrhea that doesn’t clear up. Coughing, sneezing, and vomiting could make them worse.

Hemorrhoids Complications
Rarely, hemorrhoids could lead to problems such as:

Skin tags.When the clot in a thrombosed hemorrhoid dissolves, you may have a bit of skin left over, which could get irritated.
Anemia.You might lose too much blood if you have a hemorrhoid that lasts a long time and bleeds a lot.
Infection.Some external hemorrhoids have sores that get infected.
Strangulated hemorrhoid.Muscles can block the blood flow to a prolapsed hemorrhoid. This may be very painful and need surgery.
If the above symptoms sound familiar, then it’s most likely you have hemorrhoids, but it’s nothing to be ashamed of, since it’s a condition that affects millions of men and women of all ages out there.
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