The question that you need to ask your self is this: How do I know that I am battling with a case of piles? To answer this question conclusively, you have to appreciate the fact that piles can be both internal and external in nature. For a case of internal hemorrhoids, the signs and symptoms that you will be dealing with are as follows:
- Small swellings on the inside of the anus. These swellings are located at the rim of the anal opening, and one can feel them if they inserted their finger in the anus. This is classified as a grade 1 internal hemorrhoid.
- The hemorrhoids might be slightly pushed out of the anus when one goes to the toilet. This condition of a collapsed anal wall is referred to as a prolapsed. The hemorrhoids however go back into the anus after one is done with their toilet business. This is classified as a grade 2 internal hemorrhoid.
- The hemorrhoids fully hang out from the anus. They can be pushed back in by use of a finger. In the classification of internal hemorrhoids, this is classified as a grade 3 hemorrhoid.
- The hemorrhoids permanently hang out of the anus and you can not return them into the anus, even if you tried. This is classified as a grade 4 hemorrhoid. These internal hemorrhoids are accompanied by a feeling of itching, possibly bleeding after visiting the toilet and some mucus secretions. Smaller hemorrhoids are normally painless but the larger hemorrhoids can cause anguish.
There are also external hemorrhoids. These are however rare, they develop along the outside edge of the anus. The pain that is associated with this hemorrhoid usually peaks between 48-72 hours. The external hemorrhoid last some 7-10 days and will simply drop off as some flake of the skin. The only possible complication that can arise with this external hemorrhoid is in the vent that it develops a clot. This might necessitate immediate surgery and this does not bode well for the individual who bears this sort of fate.