Symptoms

The symptoms experienced from piles can vary, depending on whether the piles have “prolapsed” or not. A prolapse occurs when the swollen blood vessel of an internal haemorrhoid is pushed out of the anus. The prolapsed haemorrhoid may return inside the rectum spontaneously or may not, depending on the severity of the haemorrhoid.

Symptoms of piles (other than Prolapse):1

Itching

The skin around the anus may be irritable and itchy.

Swelling

The anus may be visibly swollen and may feel tender.

Pain and Discomfort

There may be achy feelings around the anus and back passage, especially during and after a bowel movement.

Bleeding

Blood may appear in the stool and on toilet paper after a bowel movement.

Urge to Go

There may be a feeling that the bowels need to be emptied, even when there is no need to go.

Generally, prolapsed piles are considered to be a more serious condition than piles that are not protruding.

Grades

The severity of internal piles can be measured in “grades”.

Grade   Symptoms
1.   No rectal prolapse
2.   Prolapse moves back into the rectum on its own
3.   Prolapse can be manually moved back into the rectum
4.   Prolapse cannot be moved back manually

Grades 2, 3, and 4 piles can cause additional symptoms, such as extra pain and discomfort when using toilet paper, and may cause a mucus discharge.1

To find out what grade of piles you may have, take a quick Piles Quiz



* Disclaimer:

Please note we are not in a position to diagnose or prescribe for specific medical conditions on our Helpline. Should you have any queries relating to your particular condition we recommend that you consult your GP.

Reference

  1. NHS Direct. Health Encyclopaedia: Haemorrhoids. Available at: http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=184. Accessed 26/01/08.

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