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The Last of us
The Last of us

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PILES

Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers.


Although hemorrhoids are thought of as unpleasant inflammations, we all have them. It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids. Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.

An individual with piles may experience the following symptoms:

  • A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful
  • After going to the toilet, a feeling that the bowels are still full
  • Bright red blood after a bowel movement
  • Itchiness around the anus
  • Mucus discharge when emptying the bowels
  • Pain while defecating
  • The area around the anus may be red and sore.

The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum.
This may be due to:

  • Chronic constipation
  • Chronic diarrhea
  • Lifting heavy weights
  • Pregnancy
  • Straining when passing a stool.

The tendency to develop hemorrhoids may also be inherited. The risk of developing piles grows with age.



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