Are there different types of piles?

Yes, piles (hemorrhoids) are classified into two main types based on their location:

1-Internal Piles:

• Internal piles are hemorrhoids that form inside the rectum, where there are fewer pain-sensing nerves, making them less likely to be painful. However, they can cause other symptoms such as bleeding during bowel movements. Internal piles are further categorized into four stages based on their severity:
  • First degree: Piles that bleed but do not prolapse.
  • Second degree: Piles that prolapse and retract on their own.
  • Third degree: Piles that prolapse and need to be pushed back in by a doctor or the person themselves.
  • Fourth degree: Piles that prolapse and cannot be pushed back in; they may contain blood clots or pull much of the lining of the rectum through the anus.

2-External Piles:

• External piles are hemorrhoids that develop under the skin around the outside of the anal opening. These piles can be felt when touched and may cause pain, especially during bowel movements. They can also lead to itching and bleeding.

For more information on Piles|Hemorrhoids, consult Dr. Chintamani Godbole one of the Gastrointestinal Doctor in Mumbai or you can contact us on 84518 65944