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What are the different types of piles?

Inside your anal canal, the internal piles start, but they may hang down and so come out of your anus. Internal piles can be classified based on whether the anus comes out and, if so, how far it comes out. Let us check out different types of piles in this article. 

There are generally four types of piles. 
  1. Internal piles 
  2. External piles 
  3. Prolapsed piles 
  4. Thrombosed piles 

Classification of Internal Piles:  

  • First-degree pile: 
Piles can bleed at first degree, but don't come out of your anus.
  • Second-degree pile:
When you have a bowel movement, second-degree piles come out of your anus but then go back inside on their own.
  • Third-degree pile:
Piles of the third degree come out of your anus and go inside only when you force them in.
  • Fourth-degree pile: 
Fourth-degree piles are always out of your anus partially because you can not push them back in. If the blood inside them clots, they can become very swollen and painful.

External Piles: 

  • External pile:
External piles are swellings that grow closer to your anus, further down your anal canal. They can be very painful, especially if they involve a blood clot.

Classification of prolapsed Piles: 

  • Grade one:
Not prolapsed at all.
  • Grade two:
Prolapsed, but is going to retract by itself. Only when you put pressure on your anal or rectal area, such as straining when you have a bowel movement, can prolapse and then return to their normal position.
  • Grade three:
Prolapsed, and in yourself, you have to push it back. These may need to be treated to prevent them from becoming too painful or infected.
  • Grade four: 

Prolapsed, and without much discomfort, you can't push it back in. Typically these will need to be treated to avoid pain, discomfort, or other complications.

Thrombosed Piles: 

A thrombosed pile contains a blood clot within the pile tissue. The symptoms in thrombosed piles explain below.
  • Intense pains with itching
  • Redness and swelling 
  • Bluish color around the area of piles   

When you experience increased pain, itchiness, or inflammation around your rectal and anal region, see your doctor as soon as possible. To avoid complications from lack of blood supply to your anal or rectal tissue, specially thrombosed piles need to be treated quickly.
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