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Piles are inflamed and swollen collections of tissue that develop in the anal area. Also called hemorrhoids, they can develop inside or outside the anus and can be itchy and painful. Treating hemorrhoids hemorrhoids , sometimes called piles, are swollen veins in your anus and rectum. Common symptoms can include pain, itching, and rectal bleeding. Piles (haemorrhoids) are lumps inside and around your bottom (anus). Hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed. Treating enlarged hemorrhoids is important, because they tend to get worse over time. your gp can diagnose haemorrhoids (piles) by examining your back passage to check for swollen blood vessels. However, theres no need to be embarrassed all gps are used to diagnosing and treating piles. The most common cause of external hemorrhoids is repeated straining while having a bowel movement. External hemorrhoids are usually found beneath the skin that surrounds the anus. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. Hemorrhoids or piles are generally caused by excess pressure on the veins in the rectal and pelvic area and can put a damper on your everyday life. These inflamed swollen veins occur either inside the anus (internal hemorrhoid) or outside near the anal opening (external hemorrhoid). Piles (haemorrhoids) are enlarged blood vessels that you can get inside or around your anus. You might be able to feel them on your anus or hanging down from your anal canal. Your anal canal is the short, muscular tube with blood vessels that connects your rectum (back passage) with your anus.