Piles

The lining of the anal canal contains three soft, spongy pads of tissue that act as an extra seal to keep the canal closed until you go to the lavatory. The lining of the gut is very slimy (so that faeces can pass along easily); the extra seal stops the slime (mucus) from leaking out. The pads contain a network of tiny blood vessels.

People sometimes think that piles (haemorrhoids) are like varicose veins of the legs (i.e. a single vein that has become swollen). This is not the case. A pile is one of the soft pads that has slipped downwards slightly, because the surrounding tissue is not holding it in place properly. 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. Doctors classify piles into three types.

 

First-degree piles are swollen cushions that always remain within in the anal canal; these are painless.

 

Second-degree piles are pushed down (prolapsed) when faeces are passed, but return to their starting position afterwards.

 

Third-degree 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.

Piles can occur at any age, but are more common in older people. They affect both men and women. In fact, most people suffer from piles at some time, but usually they are nothing more than a temporary problem. Many experts believe that they are caused by continuous high pressure in the veins of the body, which occurs because humans stand upright. They are particularly common in pregnancy because of the additional pressure from the baby, and because of hormonal changes. Sometimes they result from straining hard to pass faeces, which is more likely if you do not eat enough fibre, or lifting heavy weights. They are not caused by sitting on hot radiators or cold, hard surfaces, or by sedentary jobs.

The symptoms of piles can come and go. There are five main symptoms:

Itching and irritation probably occur because the lumpy piles stop acting as soft pads to keep the mucus in; instead, a little mucus leaks out and irritates the area around the anus. Pain and discomfort comes from swelling around the pile, and from scratching of the lining of the anal canal by faeces as they pass over the lumpy area. The scratching also causes bleeding, which is a fresh bright red colour and may be seen on faeces or toilet paper or dripping in the pan. A pile that has been pushed down (a second- or third-degree pile) may be felt as a lump at the anus.

Most piles get better in a few days without any treatment, but there are several ways of relieving the discomfort.

See your doctor if the symptoms last longer than a week. You should also see your doctor if you have bleeding, to ensure that there is not some other cause. Your doctor will examine your anus, feel inside the anal canal and may also insert a small metal tube, called a proctoscope, an inch or two into the anal canal to give a better view. For more information, look at the section on seeing your doctor about an anal problem.

First- and second-degree piles usually go away on their own if constipation is avoided, but your doctor may prescribe a short course of haemorrhoid cream to relieve symptoms. Third-degree piles may also go away on their own, but if they persist, they may need hospital treatment.

 

Only a few people need an operation; most are treated by banding or phenol injections. There is usually no need for a general anaesthetic or to stay in hospital overnight for these procedures. Stretching (anal dilatation) was a popular treatment in the 1970s, but is seldom used now.

 

Banding involves placing a small rubber band at the base of the pile, so that it pinches the lining of the anal canal. This ‘strangles’ the pile, so it dies and falls off. It causes some scarring. It is more effective than the other treatments but has some drawbacks, such as severe bleeding in a few cases. There fore you need to tell the surgeon if you are on blood-thinning medication. Some people feel faint and nauseous just after the bands are put on, and they can be quite painful for the following 48 hours. According to an article in the British Medical Journal (2003;327:8847–521), the success rate for banding is:

Cryosurgery freezes the pile to destroy it. It is not used much, because it causes a watery discharge afterwards.

 

Infrared coagulation uses infrared light to destroy the pile. This method is not commonly used, because it is not as effective as other methods.

 

Surgery. There are several different operations for piles. In the usual operation, the swollen spongy pad that forms the pile is cut away. It is painful for 7–10 days afterwards. A newer operation, called ‘stapling’, involves cutting away a 2 cm strip of the lining of the rectum and joining the cut edges with a special stapler. People seem to recover quicker from ‘stapling’ than from the ordinary operation. It is not yet a common operation in the UK, but it is popular in the rest of Europe. Although it is less painful than the ordinary operation, it seems to be less effective in the long-term and about 12% of people have a recurrence of the piles within 16 months (Surgery 2006;24(4):148–50). However, more research is needed.

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Friday, February 26th 2010

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Comments on this article

Posted by Tenzin Norbu on 15/03/2010 at 08:49:52 am

Dear DR; I hv 3rd degree pile and after the toilet i must hv to push the piles with finger inside it doesnot go in; pls sugest what shal i do; it been already a year. TN

Posted by Optional on 13/03/2010 at 07:13:29 am

I get piles a lot as I suffer with IBS and strain to pass gas as it makes me uncomfortable, now I know that's the cause I'm trying not to strain. When I do get piles there are a few things I do to make life a bit easier. After I go to the toilet I rinse my anus with cold water (using a bottle)and dab it with wet tissue until completely clean. Then, once I have dried it I cover it completely with talcum powder-not perfumed. I find this really helps with the irritation and helps it clear up. I know how horrible it is so feel all of your pain! Good Luck.

Posted by Optional on 12/03/2010 at 02:17:38 am

I SIT ALOT DOING DATA CAPTURING. CAN THIS BE THE CAUSE OF PILES,BECAUSE THIS PROBEM ONLY STARTED ABOUT AMONTH.

Posted by Optional on 10/03/2010 at 10:45:41 am

thanku for the information i have no pain while stooling but having the tendensy of getting it n how many days it takes for the treatment abd how much it costs ?

Posted by Optional on 10/03/2010 at 02:39:22 am

Just go to the damn Doctors. Seriously people! Yes it's embarassing, of course you'd rather not say to another human-being that you have a sore bottom. But come on! Five minutes of embarrassment is surely worth it if it stops the pain. I suffered with third degree piles whilst pregnant. Not pleasant. But quickly sorted with a visit to the local quack. Would you sit at home nibbling your fingernails if you had a broken toe? In fact, no. If you'd rather sit in pain than do something about it. You deserve an itchy bum!

Posted by Optional on 07/03/2010 at 01:55:15 am

Well explained. thanks.

Posted by Optional on 06/03/2010 at 07:46:46 pm

I am 48 yrs old and have VERY painful episodes after I poop with blood and spasm that last for for couple of days and sometime longer. It comes and goes. My diet and habit has not diverse for years. I drink alcohol and smoke and had done so for 20+ years. This problem first appeared 2 1/2 years ago. Since I have been very careful with my diet and my habits. Has year of abuse cause my condition? My GI doctor says I have anal fissures and he has tried most chemical treatments. I think the only thing left is surgery

Posted by christina brown on 06/03/2010 at 02:25:08 pm

i find that it effects my walking as the pain is so bad i have had three operations and major ones but nothing like the pain from piles i just sit and cry with it its terrible to live like it i only hope i can go back and lead a normal life again as i have had pain for three years now and until january this year they found i have piles the throbbing is awful.

Posted by Optional on 06/03/2010 at 08:44:37 am

I have had piles for over 20 years and they have never caused me much discomfort but now I have been diagnosed with shingles in this area and the pain is unbearable. Should I use a hemoroid cream or will this make my shingles more painful?

Posted by Optional on 05/03/2010 at 03:40:12 pm

i believe i have the third degree pile pain, i was wondering would i b able to get sick note form my doctor for work because of my pile?

Posted by vikash on 05/03/2010 at 08:58:01 am

i was suffering from piles for about 5 years and tried top allopathic dr. but did't get resut , although they made me constipated after treating my piles that made my piles problem worse than b4. after going though these painful years luckly i saw a homeopathic show on health channel and after that i consult a homeo dr. and believe me my piles started to remove and now i don't have my piles problem for past 5month. THANKS TO HOMEOPATHY. I suggest pile sufferer to move towards homeopathy if they want a permanent cure of piles.

Posted by Rupesh on 05/03/2010 at 07:39:50 am

plz tell me something so as to remove my piles permanently. i have tried allopathy for many years but i could't get any relief from them. each and every time they treat me i get some relief in the begning but after some time my problem emerge more violentky.so i don't think that i can get any help from allopathy in my piles. so suggest me what to do in this situation.

Posted by Optional on 04/03/2010 at 07:59:51 am

ahhhh have a lump on my bum.... which is quite scary! it really hurts and is quite solid. but being a shy person i cant go and see a docotor about it, have problems in having a skirt that is above the knee! i'm not over-weight nor pregnante (i hope) have no problem going to the loo... so is that piles???? what should i do????????

Posted by Daniel on 03/03/2010 at 07:22:14 am

i have had piles for sometime no theres pain when i go to the loo but then it goes i use anusol and thats seem to stop the pain aswell but i really need this sorted what do i need to do for it to go away

Posted by shellyl on 03/03/2010 at 06:28:11 am

found a pile,growing the other week,,ts got bigger and itches,also it feels sore sometimes.so i was told to mix antiseptic cream,and toothpaste.only enough to cover,,its eased it loads and its gone smaller,,stops itching after a few minutes.and i have no pain.

Posted by Sanjeev on 02/03/2010 at 10:07:47 pm

I have since 15 years back piles. The symptoms was fissures in anal bleeding frequently at the time of discharge.i was not knowing the fact up to 10 years.Later I have used some homeopath maedicines to get cured. But unfortunately it could not be cleared.Now the problems has been raise like bleeding every day during stool passing.Kindly suggest the best teatment.

Posted by efe agnes on 02/03/2010 at 02:21:38 am

what do you advise cos i ave tried all required drugs and afraid of operation. thanks

Posted by RCN on 27/02/2010 at 08:07:03 pm

Good Article .Presented in a nice way which carries all info

Posted by Optional on 27/02/2010 at 08:00:26 am

i live in a care home an i had piles but didnt want to tell anyone but me foster mum found out and pretended to take me to the park but she took me to the doctor. I was trying to get out but he locked the door and me foster mum, two nurses and the doc held me down and he shoved his finger in me bum. Then he put this massive pipe down and filled me up with water stuff. I ran to the loo and tried to climb out the window but the doctor found me in the car park and took me to the hospital with me foster mum and today i had this "enema" and i was ded embarressed cos he shoved most of his hand up me bum. I still get constaption so what should I do?

Posted by Optional on 27/02/2010 at 03:25:25 am

thanks, for the help. i was freaking out not had it before. now i know what to do thnx

Posted by Optional on 26/02/2010 at 02:51:58 pm

Had piles for about 20 years, tried banding,injecting etc nothing worked. Then someone told me stand up when you pass faeces don't sit down. Takes a bit of practice but after about a month my piles cleared up and haven't come back and that was six years ago.

Posted by Jason on 26/02/2010 at 07:22:37 am

Hi everyone hoping this can give you some advice here.. I have had a few cases of piles myself and yes they are very painful.. mine have been that bad that they have blead a few times and has now come to the point where i have 2 go into hospital for treatment on the 13th may 2010. I have looked into this a little and a lot of your comments are the same as i have had..... Piles can be caused by a lot of thinsg.. pregnancy is common for women, straining after you have been 2 the loo... Not being clean enough... even lifting heavy weights can cause them they are not an uncommon thing and more and more of people suffer this painful discomfort everyday.. Knowing a little bit about them myself there are 3 in total in the anus, when over worked one,two or even all three of these can come out of place causing a small lump on the outside 2 a very large painful lumpor 2.. somethimes not painful but best always 2 treat it.. Cream can work but i have found that using peseries are better.. this way you are inserting the peserie up the anal.. this then melts with the bodys own heat meaning it works on the inside of the anal.. you can use cream at the same time but do not use for longer then 2 weeks, can be messy in the underware so best 2 use at night.. Also 2 help you have a hot bath.. this will help them shrival going back up in there own time.. If you have very painful piles this is more then likely because one of them has clotted.. You must be careful not 2 wipe the anal but 2 dab it.. keeping it as clean as you can..if you wipe you could end up splitting the pile causing bleading. I have had a few cases where mine have burst and blood goes everywhere.. with that happening you have 2 be careful of infection. If you have any real concerns about it always get it checked as it could not be piles but other problems further up the anal.. These can not be cured by creams of peseries but it helps 2 get them back into place and stop the discomfort.. you will more then likely suffer from them again and again once you have had them so best 2 try and have an opporation 2 remove these... ok it means a few days in hospital and up 2 about 10 days of pain MAX but 2 never suffer from them again as long as the op goes well im sure its worth it... I will comment on here again after my opporation i hope this has helped some of you out about this good luck with everything and dont worry about them 2 much you are braver then you think you know you are by asking for help.

Posted by Deep on 25/02/2010 at 09:58:03 pm

Thanks a lot for your information, it tackled my problem.

Posted by Optional on 25/02/2010 at 11:06:26 am

Thanks for such informative information. You put my worried mind at ease!!

Posted by Optional on 24/02/2010 at 01:20:31 pm

i Have a bump , and i feel really embarassed considering im only 15. i do struggle to get rid of my waste . and im embarassed to go to the doctor i have had this bump for a cuple months now .and every night and day it itches and i have tried putin some creams on it . its like a little 3 cm skin dangling from my anus . is also seems to have something in it . buh it is really bothering me because i dontwant to see a doctor , and i feel embarassed of my body . would there be a cream that i can be perscripted without seeing a doctor?

Posted by Amber on 23/02/2010 at 05:39:38 pm

Just wanted to help some people on here. I discovered my piles about 2-3 months ago. The same week I went to the doctor and they referred me to another doctor and then to the hospital. I went to the hospital today and had banding. After taking pain killers the pain is not as bad but still there. The doctor told me that the pain will get better after about 48 hrs. I'm 18 and female and I went straight to the doctors. Trust me there is nothing to worry about going to the doctors. It's better than living with the problem. I can't wait for my piles to fall off. And I think the pain is worth is although currently I can't sleep due to the dull ache in my back passage. All the people on here please just go see a doctor. It's not embarrasing at all. The doctor who did my banding was a male. I am 18 and a virgin so literally no man has seen me down there but I was not embarrassed at all.

Posted by Optional on 22/02/2010 at 09:32:55 am

I HAVE HAD PILES SINCE 1998, IT STATED FROM THE FIRST DEGREE STAGE, I NEVER TOOK IT SERIOUS BUT NOW I THINK ITS IN THE THIRD DEGDEE STAGE. I SAW A DOCTOR TODAY, THOUGH WITHOUT EXAMINING ME HE PESCRIBED SOME DRUGS AND SAID THE ONLY SOLUTION IS AN OPERATION. PLS I DONT KNOW IF THERE IS ANYOTHER WAY OUT OR PERHARPS TRY THE SOLUTION ON NET. IT NORMALLY COMES WITH BLEEDING IF STOOL IS HARD, I THINK I ALSO HAVE SORE IN MY ANUS COS I FEEL PAINS WHILE PASSING OUT FAECES, AND IT DOESN'T GOES IN BY ITSELF EXCEPT I PUSH IT IN WITH MY HANDS. I REALLY NEED HELPFUL ADVICE PLEASE HELP. THANKS SO MUCH

Posted by Optional on 19/02/2010 at 12:40:07 pm

I'm slightly worried that my problem isn't piles because it is normally uncommon for people my age to contract them. Also, I think my anus is slightly dry, and it bleeds when I wipe after doing my business most of the time. Do you think there's anything else it could be? I'd rather not have to tell my parents, so I'm looking for a simple, quick fix.

Posted by Optional on 19/02/2010 at 03:53:08 am

hi i have apiles from last 1 year and now it is like a big grape but it is not paining and my bowl movement is still hard please suggest what to do thanks

Posted by Optional on 17/02/2010 at 01:36:38 am

i have a bottom proble but i need to go hospital now i don't know when but if you have bleeding problems coming out of your bottom don't worry every thing will be okay i a very scared of going to hospital.But i know every thing will be okay. i am ffion i am 11 years old and i will be 12 in may i live in cwmbran united kingdom. thanks for reading.

Posted by Optional on 16/02/2010 at 05:56:19 pm

I am 21, and had piles since 16. Last year, I was experiencing the 4th degree piles and it just wouldnt go back in. I've been using NeoHealer for the past year. Went to my GP, and he told me I have 3big one and I need banding. It was painful and I couldnt stand or sit for the next 48hours! And now, it's coming back again. Should I just cut it off?

Posted by Anonymous on 10/02/2010 at 11:44:00 pm

i have a severe case of piles!! i am in a lot ov pain there is to large piles hanging out,i have just had a baby so i dont know wether that has anything to do with it!!! i really dont know wat to do but the pain is unbearable! please help

Posted by Charlotte on 08/02/2010 at 09:49:00 pm

i have one lump on my anal WHAT SHALL I DO??

Posted by wendy on 06/02/2010 at 11:08:00 am

i have piles so i went m doctors and had to get my bum out he had a look and said i must go straight to hospital when i got there a male nurse took me in a room then a doctor came in and put some local anasthetic into my bum (very painfull) he then cut my piles with a scalpel and sqeezed all the clots out then the nurse had to hold a gorze on my bum for ten minuits how embarasing.the sent me home and it bled all day i went to bed and today it hurts words than yestaday and it looks as if they have filled back up and just a sore if not worse dont no what to do

Posted by el shekhia on 03/02/2010 at 08:36:00 pm

if ishall do anal piles surgery it is the last degree.doctor says that i must do sigmoidoscopy.cause he afraid of involuntary defecation after surgery cause of straining.is it right ornot

Posted by Smriti on 31/01/2010 at 10:13:00 am

I have piles on and off for the last 10 years, it got worse last month with bleeding and hellish pain so I took Himalaya Pilex tablets and it is better now. Can anyone tell me about Stapling operation. I cannot take off from work for more that 10 days max. How many days I need to spend in the hospital? How many days rest?

Posted by deb on 24/01/2010 at 05:04:00 pm

i have a big red bump on my anus and it hurts like hell. i cant sit or stand properly. i have no mucus or bleeding. im not constipated and have soft movments. im really dont want to bend over and show the doc ive tryed creams that dont work. help pleeeeeeeeeeeese

Posted by Angie on 23/01/2010 at 10:01:00 pm

Had my piles operated on 5 days ago,had 2 piles up my passage banded and one that was perminently down removed,only in for the day and was done qiute quick,was put under so wasnt awake to know what was happening,yes i have had pain and havnt been out but hope to be back to normal in a few days,i had the surgery done 16 years ago and believe me this is nothing compared to what is was like then,5 days in hospital and a month off work,the pain was unbelievable with morphine ijections but it was worth it just not to have them for over 15 years,my advice is if you have painfull piles like me go to your doctors and get advice as to what step to take,the pain isnt worth it.

Posted by jojo on 20/01/2010 at 06:57:00 am

i have had piles for the past few months, i had a lump sticking out of my anus, i havent had any pain until now as went and had bath and pushed lump back into the anus and now its so painfull that im struggling to sit or stand what should i do

Posted by Peter on 18/01/2010 at 12:00:00 am

To all sufferers if you haven't done so. Please go to your doctor. Five years ago I suffered for about 6 months with itching soreness etc. then "bit the bullet" and went to my GP. I was embarassed but all he did was have a quick look, prescribed some cream and referred me to the hospital. FIRST STEP ON THE LADDER. I went to the hospital about 3 months later, saw a doctor and was given an injection there and then! very painful but short. I think it was two weeks later another visit same again short painful injection. 3 weeks later I was free from itching,soreness and lumps around my anus, easy passing of stools, I felt so GOOD and WELL. PLEASE GO TO YOUR DOCTOR FOR ANY COMPLAINT. THEY WILL HELP

Posted by Anonymous on 17/01/2010 at 03:40:00 pm

i drink alot of alcohol would that give me piles i can feel them and have bright red blood even inside the toilet is this dangerous.please help?

Posted by luelma on 15/01/2010 at 03:40:00 pm

I am writing on behalf of my father who has recently undergone bowel surgery for removal of a small cancerous growth along with removal of a foot of healthy bowel - the operation was a success and no further treatment for the cancer is needed. However he had to be re-admitted and put under anasthetic for an investigative look after the bowel surgery due to intense pain and complication. The cause was found to be the result of an infected internal hemorrhoid in the anal canal. The hemorrhoid was removed there and then and he is on high painkillers, keeping the area very clean, using creams eg sudocream but is still beside himself with agony, unable to sleep due to interuptions to go to the loo/clean up afterwards etc. I am an investigative health journalist and concentrate a lot on complementary treatments but I can find nothing that gives advice apropo aftercare of hemorrhoidectomy - are there any suggestions/advice to hasten the recovery time of this condition which is having such a detrimental effect on him physically and emotionally

Posted by piles sufferer on 03/01/2010 at 04:43:00 pm

I had piles last year after constipation and they went away on their own after a day or two. This time I hade diarrea and got them again, they have been their since two days. Both times I have forced myself. A family member suggested Anusol suppositories, they have helped a lot and made such a massive difference. They are still their and eventually disappearing and shrinking in size.

Posted by Anonymous on 02/01/2010 at 07:41:00 pm

I get a sharp aching pain in my anus sometimes when I am standing or laying down. I do not have itching or blood. I think that I have piles. I am not sure though.

Posted by zahid on 28/12/2009 at 07:15:00 pm

i have got piles! it hurts me! when will it go away?! i have piles for last 2 week.i go tolit i feel pain and blooding.

Posted by worried on 18/12/2009 at 01:29:00 am

i have just recently found out that i have piles and im very worried because im not sure what type i have, i can definatly see them but they are not hanging can anyone tell me what type ive got please (internal or external)hope we all get better soon :)

Posted by mark on 12/12/2009 at 11:26:00 pm

used the cream for the 2nd night i have no pain and no discomfort well recommended to any with piles

Posted by John on 11/12/2009 at 10:34:00 pm

I have pile for over 2 years now, i feel pain, burning sensation and most especially after using the rest room and after washing up, mucus and faeces streams down and it smells alot. What can i do to stop this.

Posted by mark on 11/12/2009 at 03:34:00 pm

yes it is piles you have best thing to do is get some anusol ointment works a treat

Posted by James on 11/12/2009 at 02:52:00 am

Nappy rash cream is a god send Drapolene work a treat

Posted by joe on 09/12/2009 at 09:54:00 am

i have a little lump on the outside of my anus but do not know if its piles wat shall i do ir will it go away it dosent hurt but it iches sometimes ???help any one...

Posted by irene on 05/12/2009 at 08:00:00 pm

I had 2 plies banded at 10am this morning...the nurse told me I would feel better in a few minutes...10 hours later I am still so uncomfortable...my bum aches and I feel as though as I have period pains...I have had a hot bath..hot water bottle and pain killers...I feel miserable...how much longer will I have to suffer...it had better work because at the moment the itch is much more preferred....

Posted by Manikandan on 05/12/2009 at 01:19:00 pm

I would suggest, stapler method of operation is the best one.. even it is more expensive... I believe its worth... no pain... no long hospital stay... now i feel more comfortable.

Posted by sonusonia on 04/12/2009 at 04:35:00 pm

i have third degree piles it hangs outside and doesnt go in its a size of a big garlic . my main prob is that after i pass out stools their is a constant pain , soreness , tenderness atleast till the next 6 to 7 hrs and gradually the feeling goes away by evening . more than the pile clots i feel that the inner side of the anal hurts more while passing out stools. do u think that by surgery or removal of the piles will the soreness inside the anal also go away please HELP

Posted by Jony on 03/12/2009 at 04:23:00 am

Very helpful site.

Posted by piles on 26/11/2009 at 02:02:00 pm

good informetion source

Posted by Anonymous on 25/11/2009 at 09:37:00 pm

I got hemmoroids for my birthday present,about 3 months ago. Doctor told me i would be wearing diapers soon!Very funny. I have no pain,only discomfort and constant feeling of having do a # 2 again. I still need a solution. Driving me crazy.

Posted by DC'sMom on 18/11/2009 at 07:15:00 pm

Im deathly afraid of needles which led to sever complications in the birth of my child... Im also not good with surgeries.. Please is there any other way. Im desperate to get ri of this thing, Is there such thing as hereditary Piles because since my son was born 15 months ago hes had some simillar issues.... Please help me I dont know what to do, I have tried everything for my little boy and now im lost.

Posted by yamini on 05/11/2009 at 01:38:00 pm

hi,if a person is suffering from a third degree piles incase of a women what will be the problems that she would be facing while having sex(especially going for intercourse) & during the pregnancy(especially while delivering the baby),if there are any problems associated with it then what are the remedies for it

Posted by brad on 04/11/2009 at 09:10:00 pm

ive had piles for about 2 months should i see some one or will they go away

Posted by richard on 03/11/2009 at 08:40:00 pm

i had these problem for years and now i can take it any more, first i thought that i am just constipated and that the reason i have that thing coming out of my anal i was not able to express myself to any one but thanks to internet now we all can share. i have some q? can u please help? is it because of piles i have constipation? is it becasue of piles i have to go to pee and loo a lot.. i am so confused.. its all painfull..

Posted by Mohamed on 01/11/2009 at 02:36:00 pm

Plz iwanna know if there is a natural solutiont rathar than the surgeical one for piles

Posted by CrazyAndConfused on 22/10/2009 at 08:53:00 pm

Well, it hurts so much when I go and then a lot of blood comes out. I am scared and emabarassed to tell my parents and I need a natural way of curing this because holding it in doesn't help, it just hurts more.

Posted by emma on 21/10/2009 at 08:23:00 pm

i know i have had this for a while and its really pissing me off i strain so much to go to the loo and all i do is end up damageing my own body i find it difficult to eat food my tummy hurts when i have eaten and going to the loo is a pain, tryed cream and stuff to get rid of the pile issue i had but i had enough i want sergury now >< im disabled and i have to deal with piles aswell im glad im not the only one suffereing hope u all get better soon i will start by not forceing myself to go to the loo because that is what i end up doing i will be thinking of you all i just turend 22 by the way

Posted by ting ming ping on 19/10/2009 at 08:08:00 am

I have a laser removed surgery at 2001 yrs,it successful and less pain,recovery at a few days(compare to old ways cause you 3 month to recover). I recommended laser remover treatment.It less pain and bleeding.I works comfortable, during my life time.

Posted by fel;ix paul` on 18/10/2009 at 02:58:00 pm

Thanks for the websitre . I gort panic. My surgeon is not interested in surgery. i had torn my retum by forcing the bowels out since i do not want to use a toilet outside my house and feel I might be infected. The surgery was done and aboout 8" was removed and it went on well and now i think i again forced myself and got burning and slit smear of blood. Now with antibiotics and some liquid make my bowels move freelyt and use a packing for the hole so that the mucse does not spoil my cloths. bye any another solution. sit in warm water with natural salt for 15 minutes a day it gives some relief.

Posted by Anonymous on 15/10/2009 at 11:58:00 pm

I think i have piles. i just made my boyfriend take a good look at my anus and he said i had a red lump. I made him check the internet for a picture which resembled my bum and it has confirmed i do indeed have piles! I bleed when i poo and haven't been eating much lately, and suffer regularly from constipation and an itchy bum. I'm too embarrassed to go to the doctors which treatment is the best to use?

Posted by not again!!! on 14/10/2009 at 11:49:00 pm

at least i have finally found out what this is! i have had a lump hanging out of my ass for the last year or so, felt like i hadn't got rid of everything when i've been to the loo and been woken up in the night a few times with an aching anus. i was a bit scared to go to the doctor, i even started using baby wipes when i poo because i bleed from a bit higher up inside and from the anus itself. i know it's silly to not go to the doctors about it. good luck to the rest of you!

Posted by ANON on 29/09/2009 at 07:57:00 pm

I suspect that i have had stage 1/2 piles for about a year now, i'm 20 years old. It's very itchy and EXTREMELY painful when i go to the toilet, i've been on the verge of tears sometimes and there is occassionally a small amount of blood on the tissue. I have been using Anusol ointment which you can just buy at Boots or any chemist and it helps greatly in relieving the itching and after two days of use my next toilet experience is pain free. I heard that piles never go away once you have them though, unless you get the surgically removed; i'm so depressed at the amount of money i will have to spend on this sort of cream treatment if this is the case! I hate them! So painful and embarrassing! My own fault i guess though, i suspect a combination of not eating right and sitting down for 8 hours of the day at my job.

Posted by ITHCY AR53 on 25/09/2009 at 08:37:00 pm

i have had piles for a while now, every now and then i get right itch, but it fels so good when i scratch it!! just been to the loo and have had more blood this time then ever before, its true what is written above, it feels like you need to go a bit more, but its actually a vessel, and mine burst. i will get some germilod cream as mentioned below and see how that goes.

Posted by PRADEEP PREMJANI on 24/09/2009 at 01:39:00 pm

I GOT STAPLING OPERATION LAST WEEK ALTHOUGH IT IS LESS PAINFULL BUT I THINK I WILL GET AGAIN PILES VERY SOON IT IS NOT EFFECTIVE. GENERAL SURGERY IS ONLY EFFECTIVE IN WHICH THEY CUT PROPERLY AND REMOVE ALL CLOTS IN VEIN ALTHOUGH IT IS PAINFULL BUT WHEN SOMEONE GOING FOR OPERATION BETTER TAKE PROPER OPERATION AND CURE PERMANANT THAN RELAPES. ONCE AGAIN I AM FEELING VERY PAIN EVEN AFTER 8 DAYS AND NOT SATISFIED BY STAPLING OPERATION.THANKS PRADEEP PREMJANI, SURAT (GUJARAT) INDIA

Posted by Sam Perkins on 24/09/2009 at 02:29:00 am

I am a young male with IBS, have had 1 episode of conventional hemmeroids before. Recent episode is characterized by severe pain and small ridges or grooves felt along the anus - not sure if this is actually hemmeroids or if I need to see a doctor immediately - please advise!

Posted by tracey beaker on 22/09/2009 at 09:07:00 am

i got a really sore pile yesterday and got a cream called germiloid its has a local anasthic in it xxx it helped releive the pain abit xxx i just washed my bottom with a hot flannel and done a jobby and it went back up its self xxx

Posted by DM on 21/09/2009 at 12:46:00 pm

since 10 yrs i have a piles problem and now i'm planning to get married next year. I want to know when i can go for surgery before marriage or after marriage.

Posted by sitting high on 18/09/2009 at 11:39:00 am

Had a very bad ONE back in 1990 and had removed via an operation as my local doctor had cut it with a blade to get rid of it. Not good. Had then on and off since. Never to embrassed to go and see a doctor as it will save you a lot of pain and suffering and it is only your own embrassment, not theirs. Suffering at moment but this is my own fault as I read way too much on the loo and not alway good at eating right food.

Posted by joanne on 13/09/2009 at 08:22:00 pm

I have had a baby 7months ago and during my pregnancy i had no pain with piles or any trouble. Just days after i had my son i suffered piles. I immediatialy knew i had 3rd degree piles. I am now still suffering and have been waiting for a hospitial date for 2 months. It is so bad that i cannot go to the toliet after 4pm or i wont be able to sleep during the night. My smptoms are aching, severe bleeding and swelling. i have tried everything and the only thing i have found to help is walking a long distance to stop the pain. A fewweeks ago i had a bad stomach and had dioreaha for a few days which i found to be worse as it made the burning sensation worse. I am still waiting for surgery today!

Posted by Cider Lip on 10/09/2009 at 01:39:00 am

I have got piles! it hurts me! when will it go away?!

Posted by Daisy on 09/09/2009 at 03:23:00 pm

I am 18 and i have gotten piles probably because im very heavily pregnant as i havn't had them before this. Theyre extremely uncomfortable and i cannot wait for them to go away! Ive tried creams but they dont really help some of them caused me to itch more.

Posted by Anonymous on 20/08/2009 at 06:11:00 pm

i am 21 and think i have piles. i am in sooooo much pain and have been for about 6 months. i have 3 greaat big lumps around my anaul hole i tend to bleed alot n its very itchy it is very painful wen i do a number 2 or wipe. ive tried a cream called anusol but hasnt done nothing i will not go doctors as im too embassed even tho i kno they see it all the time i see can go to get it checked out!! any one got any other suggestions????

Posted by Anonymous on 09/08/2009 at 06:50:00 pm

i am not sure if i have piles, maybe secondary. i am bloated and feel constipated and feel no pain when i pass a stool but when i wipe there is blood on the toilet paper. i never see any blood on the stool or in the toilet but it has been going on for quite some time now.

Posted by mary on 06/08/2009 at 10:07:00 am

i have very bad bleeding from by back passage, i can see piles in my back passage, i have used creams but stil very very sore,

Posted by Chengetayi Kaitano on 05/08/2009 at 02:16:00 pm

I AVE SUFFERD 20 YEARS WITH PILES ON AND OFF BLEEDING. I HAVE BOOKED OF A SURGERY ON THE 10TH AUGUST IS TOO LATE OR NOT. PLEASE HELP IAM SUFFERING, ITS VERY PAINFUL

Posted by Patrick on 03/08/2009 at 07:52:00 am

My umm... area has itched and hurt for 5 days. I think this is why.

Posted by katie wicks pannone on 29/07/2009 at 09:35:00 pm

i have been given emla cream from my doctor for my piles all i want to know is it safe to use on my piles.

Posted by Anonymous on 21/07/2009 at 05:31:00 pm

I`m a 29 year old female. At the age of 24, I went to the loo and realisd I had a prolapsed pile. I don`t understant why. I have suffered from Anorexia for 18 years. I have abused laxatives for much of that time. I thought only overweight people who suffered from constipation got these things. I was actually an in patient in an eating disorder unit when I noticed it. 5 years later, it`s still there. I can`t speak to my GP/anyone about it. I am so embarassed by my body anyway, nevermind the more private parts.

Posted by Sjj on 15/06/2009 at 01:39:00 am

Once I had poop and blood came out then the second time I did it no blood came out right now I am confuse need help

Posted by tree on 30/05/2009 at 07:44:00 am

i have a pimple on my bcak passage since one month and i am worried , its a first degree pile.since it is not paining. should i go and see docter or no need , plz sagest me

Posted by FABIAN on 28/05/2009 at 11:19:00 am

PLEASE I NEED A DRUG THAT CAN CURE MY PILE THANKS.

Posted by meee on 22/05/2009 at 07:27:00 pm

i was horrified when i found out i had piles im 21, i thought it only ocured in older people, i made an opointmnt at the DR's straight away to see a female doctor, they see bums all the time so really it isnt anything to be embarrased about, just think the quicker u go the quicker u get sorted.

Posted by Megasorearse on 18/05/2009 at 07:01:00 pm

Have had piles for years, since birth of my son. At times, I am terrified to go to the toilet because of the pain. At the moment I am sitting on one bum cheek because I have this massive thrombosed pile, a massive purple, painful, throbbing lump. Horrible, horrible things. I got over my embarrassment years ago - loads of people have them, and even doctors have anuses :) so they don't mind looking at yours. From experience...take senna to soften the stool, use witch hazel gel to relieve pain (it nips like hell but works the best)and go to the doctor before you end up like me.

Posted by Mrs.Socorrina Fernandes on 17/05/2009 at 01:38:00 pm

my mother, is going through a stress problem of somekind, but will be sorted out as quickly as possible, but in the meantime, what happens is, she gets a pile problem. i'm sure it is through stress.(meaning stress coming from her children. You know how indian ladies are to their children. always think about them whether married or non-married. and they live together as a family till they are gone forever). the reason i'm writing to you is, i am the daugther who still waits to get married. So in the meantime, she gets stress problems, and, than her pile gets irritated a becomes big, like a ballon and bleeds. what do i do in this case for my mother. Please help! I'm Indian, hailing from an exotic place called GOA. Tourist spot for the tourist. you must have heard about it. Too much. Anyways, please help us if you can, by giving us your doctor's advise. Pleaseeeeeeeee.

Posted by Anonymous on 06/05/2009 at 02:32:00 am

I have had piles recently,its been itchy and bleeding but with very little blood,im going to my doctor in a few days but i'm not to worried.there's a few younger people leaving messages here who are to embarrassed to tell anyone and my advice is to just tell a parent 99% of people get them (even your parents) it's nothing to be embarrassed about. Doctors see much worse things than piles especially...up there

Posted by Anonymous on 05/05/2009 at 02:02:00 pm

i found out yesterday i have a pile its so small but so painful jus on the outside of my anal, yesterday was so painful i couldntnt barely walk or stil down iv been using a hemaroid cream and iv found that it has really helped the discomfort and irritation but i am too scared to go to the tiolet as it hurts so much and i dont want to strain incase it makes the pile worse. iv made a doctors appointment so hopefully they will help me so i can get rid of it as soon as possible because it really is a pain in the bum!!!!

Posted by Jacqueline Mosby on 27/04/2009 at 07:53:00 am

I think i may have plies should i go to the doctor?

Posted by Martin on 23/04/2009 at 01:00:00 pm

I think I had a pile. Large lump on the outside and very very itchy. Roughly wiped it and it bled quite a lot. When taking a shower, I put the shower on the jet option, like a jet washer and pointed in the area while crouched down. Moving it around it was releiving the itch and washing at the same time. After a couple of minuted I stopped. In the bath was a pale coloured soft, squashy "thing". I didn't know what it was and thew it away. Just realised now after going to the loo, my lump has gone, so it must have been the pile. Just thought I would pass that on

Posted by kel on 22/04/2009 at 12:01:00 pm

after having children i had this problem an i do get quite constipated an now i think i have the third-degree type an really embaressed about it dont know what to do also have a new partner an get very worried around him need some help

Posted by Anonymous on 21/04/2009 at 05:46:00 am

How can i tell the differnce between having plies or somekind of std-herpes. I have been going poo alot more than normal but not alot at a time. It itches around the anal and feels sore. i looked at it and its like a dark purple/blue pea size sore looking. im soo worried and my next appt for the drs is in a few weeks. but i want to get an idea of whats going on?!!?!?! 17 years.female.

Posted by Anonymous on 17/04/2009 at 02:50:00 am

I have had piles for like 10 monthes and havent seen a dr. It only occurs after bowell movement and is really making me depressed. I want to get rid of it and I have tried the high fiber diet and I do not know what to do =(

Posted by Anonymous on 06/04/2009 at 02:54:00 pm

How save is hemorrhoidectomy surgery. Does it give a permanent solution to piles? Does piles affect fertility in men?

Posted by Steven on 24/03/2009 at 06:24:00 pm

I've had piles for about 20 years. I've had injections, banding and last summer, a haemorrhoidectomy. For me, piles seem to be stress related - avoid stress. I used to strain a lot when I went to the loo - don't strain. Avoid constipation - my doctor prescribed senna tablets - to make the bowels work, and lactulose - to loosen the stools. I didn't bother about my diet - now I try to eat lots of fruit and fibre, and drink lots of liquids. Drinking hot, boiled water seems to help. I didn't do any exercise - now I exercise. Avoid the misery - see a doctor.

Posted by santosh behera on 24/03/2009 at 12:06:00 pm

i have a piles from last 1 year , its like a small tube like appeareance in the outside anal. how to cure it? please suggest.

Posted by prakash on 21/03/2009 at 11:37:00 am

i have problem piles bleeding

Posted by Anonymous on 18/03/2009 at 04:00:00 pm

I have recently been bleeding from my anal area when I pass stools. I also occaisionally have a small lump at the enrty to my anal passage (joined to my external skin). I have tried treats to soften my stools and also gtn creams but I cant seem to get rid of this situation and it is very painful. Can you help

Posted by Anonymous on 18/03/2009 at 08:59:00 am

i have recently had a hemorrhoidectomy, it is very painful and does not always take away the piles, think twice before having this surgery. ALOE VERA ORGANIC GEL is very good and soothing for itchy piles,

Posted by Anonymous on 11/03/2009 at 06:45:00 pm

i have been suffering severe pains in my anus for the past days. Each time i go to the toilet i have severe pain and at the end nothin comes out i have tried using anusol but it doesnt work. I have alos been drinkin loads of water but nothin still comes, i only have a feeling like i need to poo and now i hav problems sitting down properly pls help what do i do.

Posted by Anonymous on 10/03/2009 at 10:28:00 pm

i have a query an i think i have piles i have a really red an sore when i come to have a poo my asshole opens liek a + shape an im not sure weather thats normal or i have piles in four corners of my crack the things i think are piles are also really hard an its wuite uncomfortable when i sit down

Posted by Anonymous on 10/03/2009 at 08:46:00 pm

I am going to be having my third haemorrhoidectomy on friday the 13th of march, red nose day! I am very worried as you can imagine, I only hope that the surgeon is able to solve my haemorrhoid problem once and for all. I have suffered with pretty severe pain since my first operation, I would advise anyone to think very carefully about their options before going ahead with this treatment, I have been in so much pain since the first haemorrhoidectomy that I have been left wondering whether there will be and end to this discomfort. It is excrutiating, I find it very difficult to pass faeces and have abdominal discomfort most of the time, I am concerned about my future prospects to be honest with you.

Posted by satish on 06/03/2009 at 04:16:00 pm

A small pain(anal) occures before going to toilet.This problum for last 10 days.please advice me.

Posted by Jack on 05/03/2009 at 07:09:00 pm

For weeks my arsehole felt completely and utterly battered due to a very bad case of piles... But thanks to the amazing healing power of "Anusol" my ring is on the mend !!!

Posted by Sjd on 26/02/2009 at 12:44:00 pm

Good Info for a new person.....

Posted by satya on 20/02/2009 at 07:32:00 pm

Hi, My name is satya, iam 23 year old, from last 1 and half month, iam suffering form svere pain in my anal. The pain is like buring, irritating, discomfort. I am unable to do the work properly, so much burning in my ass hole. Sometimes i tought that i am going to die. I am apply some cold water and some normal petroleum gel, but no use. Its very embarssing while iam in office. Please suggest any gel or cold cream, which makes the surface cool. Regarding my diet dialy iam eating only curd rice and two bananas. Please help me out from this svere discomfort. Help me Help Me.... Thanks

Posted by Anonymous on 20/02/2009 at 10:11:00 am

are piles related to miscarriages

Posted by Anonymous on 19/02/2009 at 11:00:00 am

I think i have a pile. I notice it after my delivery. Its not painful but it slides down somtimes. Shall i see the doctor. Please advice.

Posted by abhijit on 19/02/2009 at 06:50:00 am

I have been having severe pain in my anal area. sometimes the pain is so severe that i cant sit anywhere. i find it difficult to do my daily chores and fear eating anything. i am afreaid of a surgery. which medicines do you suggest?

Posted by Anonymous on 16/02/2009 at 08:56:00 am

i found that i had piles this morning and am worried they will not go away and am to scared to tell my parents or go to the doctors how embrassing would that be. do you have any advise

Posted by Beth on 08/02/2009 at 09:34:00 am

I had banding done last november and 3rd day i had to ave a poo cause and when did pooh i had put fingers in to help it come out i ad bit clotting but now since having this operation have had shooting pains up bottom everytime poo and after i poo could the piles still be there and be worse? help i dont no what to do

Posted by Anonymous on 05/02/2009 at 10:46:00 pm

help! im only 14, and i think i have piles. my anus is really itchy red and sore and there is a small lump just above the anus. i can sometimes ignore the itching for a short time but as soon as i scratch again it ends up bleeding and really sore! ive scratched so much i think im wearing some of the skin away. i cant tell my mum its too embarassing. someone please help?

Posted by mrs j jones on 05/02/2009 at 01:31:00 pm

i have suffered piles all my life and there are very painfull i eat a high fibre diet and drink plenty of water i have even had opperations on my piles even a fisher.It makes me depressed most times

Posted by v raj on 03/02/2009 at 05:45:00 am

once in a 2 week i gets some problem like piles it bleed without pain is it piles or somthing else?? i use to go toilet not very routine time but not in constipation like. plz advise.

Posted by sakora on 24/01/2009 at 11:15:00 am

i am having piles and it's been worrying me for more than 5 years now,before once or twice in a years i will be bleeding when i go to toilet for about 2 weeks,but these days it has gotten worse.when i inset my indesk finger in my anus,i do feel some small swallings,about 2 or 3 against my finger and it pains.i have the tried haemorrhoids creams but still.and anytime i eat sugar the pain increases.is it the sugar?

Posted by CAROLINE on 21/01/2009 at 06:17:00 pm

I AVE SUFFERD 30YEARS WITH PILES AND BLEEDING AND 4YEARS WITH A VERGINAL PROLAPS SEX IS VERY PAINFULL MY HUSBANDS SEES ME CRY IN PAIN AND I CANT WALK AS ITS SO PAINFULL I AVE PILES OUT SIDE THE RECTOM AND IS VERY UNCOMFORTABLE WHEN WALKING AND SITTING DOWN

Posted by ola on 19/01/2009 at 04:48:00 pm

I HAVE PILE FOR THE PAST THREE . I HAVE TRY ALOT OF MEDICINE SUCH ANUSOL, PILEX, FLEXICAN, DAFLON . AM STILL HAVING PAIN WHAT CAN I DO . I NEED UR HELP . THANKS

Posted by Anonymous on 19/01/2009 at 03:50:00 pm

I am 28 years old female. I have 4 years daughter. I have piles problem after my delivery. Now i am planning to give birth to second child. It is any risky or not. please guide me

Posted by enda36 on 13/01/2009 at 02:58:00 pm

i had my piles removed on 9th jan 2009 now i cant use the toilet for a bowl movement and it is difficult to urinate.it is now the 14th jan ! the hospital gave me laxatives but nothing,iam bloated and feel like sh@' is this normal after this type of operation? HELP!!!!!

Posted by Raghunath on 12/01/2009 at 07:56:00 am

I've been having piles which is painless, i do get bleeding at times fresh blood, at lease once a month, but whenever my diet is Good, i don't get any blood, is this Ok not to go for any medication or should i have operation done?

Posted by lisa on 11/01/2009 at 10:20:00 am

H I am a 41 year old women and i am suffering with a issue that i have never had before. I think i am constipated, although i do poo little pellits sometimes. My bum is so sore and it feels like i need to poo all the time and when i get there, nothing. My bum is really sore from all the pushing and need something to south my problem. Can anyone suggest anything.

Posted by Sophia on 10/01/2009 at 05:38:00 pm

I dont know if i have piles or not my stomach has a stabbing pain here and there and my pooh is softish hardish but i has fresh blood no pain in the anal area. What is it?

Posted by B on 03/01/2009 at 02:43:00 pm

I have bleeding (anal wise) and it started a week ago and it is fresh blood but I am menopausal and I am wondering if that has anything to do with it?

Posted by Banarasi on 02/01/2009 at 04:57:00 pm

I am suffering from piles since I was 16 yr old.I usually feel itching,burning &swelling of anus.These problems increases in lavatory.Then I started taking fibres food & plenty of water along with exercise.In this way I am now relaxed much from piles....hope u too

Posted by brenda on 01/01/2009 at 07:50:00 pm

I have a pain in my back passage when i sit down, dont have any blood or discharge and apart from sitting no other problem

Posted by TITUSPETER on 30/12/2008 at 01:55:00 pm

I HAD BEEN OPERATED FOR LAST 3YRS,BUT MY STOOL COMING HARD AND IT HIT MY OPERATION IT GET BLEEDING AND PAIN IN OPERATION ARES,WHAT MEDICNE SHOULD I TAKE TO BECOME CURE

Posted by Loz on 27/12/2008 at 05:39:00 pm

After having a baby 4 weeks ago my piles went within a couple of days, however i now have another one which is bigger and more painful from before. Every sitting or lying position is uncomfortable and hurts all the time. Tried using Anusol which is not working very well at the moment and this is the 2nd day and dreading going back to sleep tonight. Struggle to get up and sit down. Hot baths is always an ease and sitting on heat pads is relieve the itching and irritation.