Internal Piles (Hemorrhoids) - Causes & Treatment

Internal piles are found inside the rectum and are not visible from the outside. You can get the best treatment for internal piles at Pristyn Care using advanced surgery, post-surgery care, multiple payment options, etc. Book a consultation today for proper guidance and safe surgery for internal piles.

Internal piles are found inside the rectum and are not visible from the ...outside. You can get the best treatment for internal piles at Pristyn Care using advanced surgery, post-surgery care, multiple payment options, etc. Book a consultation today for proper guidance and safe surgery for internal piles.Read More

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What Are Internal Piles?

Piles (hemorrhoids) are enlarged blood vessels inside or around your anus (the opening of the bottom). It is normal to have blood vessels in your anus, as they play an essential role in continence. But piles can evolve if these blood vessels become enlarged, which can cause certain symptoms like blood in stools, swelling or painful lumps near the anus, etc. Also, piles can develop because of multiple reasons, including older age, constipation, and pregnancy. 

Internal piles are found inside the rectum and are not visible from the outside. They are generally minimal pain and rectal bleeding is the first sign of internal piles. Piles can also be external as well.

An internal pile protruding through the anus is called a prolapsed pile. This medical condition can be due to the wearing out of the muscles around the anus and can be extremely painful. Medical experts grade internal piles from 1 to 4, depending on the degree of prolapse:

• Grade 1 piles remain in the rectum without protruding out of the anus. 
• Grade 2 piles prolapse when someone passes stool, then return inside on their own.
• Grade 3 piles are prolapsed and should be pushed back in.
• Grade 4 piles are prolapsed and cannot be pushed back in.

Symptoms Of Internal Piles

Usually, internal piles are not a serious medical condition, and they do not readily show signs and symptoms. However, specific symptoms of internal hemorrhoids include:

• Blood on the poop, on toilet paper, after you wipe, or in the toilet bowl
• Pain and discomfort during defecation (bowel movement)
• Feeling of constipation
• Tissue that bulges outside the anal opening. This may be painful and can hurt when you poop. You might be able to see prolapsed piles as moist bumps that are pinker than the surrounding area. 

Diagnosis And Treatment Of Internal Piles

Diagnosis

An experienced proctologist can quickly diagnose and treat internal piles. Your proctologist will ask about your medical history and symptoms to diagnose internal piles. They can also suggest the below mentioned examinations for a better diagnosis:

• Physical exam- The proctologist will examine your anus and rectum to check for swelling, lumps, irritation, or other concerns.
• Digital rectal exam- Your doctor will wear gloves, apply lubrication, and insert a finger into the rectum to inspect muscle tone and feel for lumps, tenderness, or other problems.
• Anoscopy- In an anoscopy, the doctor uses an anoscope to see the lining of the anus and rectum. The doctor will examine the tissues or blood vessels lining the anus and rectum to look for lower digestive tract problems and bowel disease. 
• Sigmoidoscopy- In sigmoidoscopy, the doctor looks into the lower colon with a flexible tube called a sigmoidoscope. They can also use the tube to take some tissues for tests.
• Colonoscopy– In a colonoscopy, the doctor looks at your large intestines with a flexible colonoscopy tube. They can also take tissue samples or treat other issues they find.

Treatment

The doctor’s treatment plan for internal piles depends on the severity of the symptoms. Some of the ways to treat internal piles include:

• Home remedies – Lifestyle changes can reduce internal piles symptoms within 2 to 8 days. Some lifestyle changes can include adding fiber to the diet with over-the-counter supplements and foods like fruit, vegetables, and grains. Also, avoid straining during bowel movements and drink more water. However, to prevent piles from recurring, surgery is considered the most effective method to treat them. 
• Nonsurgical treatments – Over-the-counter creams and other medications can help ease pain, itching, and swelling. 
• Surgical treatments – Piles Laser surgery is one of the most successful and effective treatment methods for internal piles. Laser surgery is a surgical procedure in which a laser beam ablates the piles. It is also known as the hemorrhoidal laser procedure or laser hemorrhoidectomy. Alternatively, your surgeon may staple a prolapsed pile back into place in the anus. It is known as stapler surgery or stapled hemorrhoidectomy that uses a stapling device to remove piles tissues. Doctors advise this treatment procedure for patients whose piles have prolapsed or become abnormally large. 

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