Internal Piles

Painless, Effective Solutions for One of the Most Common Anorectal Conditions

Overview

Internal piles, also known as internal hemorrhoids, are swollen veins located inside the rectum, just above the anal opening. Unlike external hemorrhoids, internal piles often present without pain but may cause rectal bleeding, mucous discharge, or a sensation of incomplete evacuation. In advanced stages, they may protrude through the anus (prolapse), causing significant discomfort.

Common Causes

• Chronic constipation or straining during bowel movements
• Low-fiber diet and dehydration
• Sedentary lifestyle
• Pregnancy and childbirth
• Prolonged sitting or standing
• Obesity
• Family history of hemorrhoids

Symptoms of Internal Piles

• Painless rectal bleeding during or after passing stool
• Blood in the toilet bowl or on tissue paper
• Mucus discharge or a feeling of rectal fullness
• Prolapse of hemorrhoidal tissue (especially during defecation)
• Itching, irritation, or discomfort in the anal region
• Rarely, pain if there is thrombosis or prolapse with strangulation

Grades of Internal Piles

• Grade I: No prolapse, only bleeding
• Grade II: Prolapse during straining, spontaneously reduces
• Grade III: Prolapse requiring manual reduction
• Grade IV: Irreducible prolapse, often painful

Diagnosis

• Detailed history and physical examination
• Proctoscopy / Anoscopy – Visual inspection of the rectal canal
• Colonoscopy – In select cases, especially with bleeding, to rule out other causes
• Digital rectal examination – To assess co-existing conditions like fissures or fistulas

Why Choose Us for Piles Treatment?

• Over 30 years of surgical expertise
• Advanced training in laparoscopic, laser, and robotic anorectal surgery
• Focus on sphincter preservation and rapid recovery
• Thousands of successful proctology procedures
• Personalized treatment plan tailored to your severity and lifestyle

Don’t Suffer in Silence — Get Expert Help Today

Internal piles are common and treatable. Early diagnosis and proper treatment can prevent complications and improve your quality of life. Trust CARE Hospitals, Visakhapatnam for compassionate care, advanced procedures, and expert surgical outcomes.