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Piles Doctors

Piles are inflamed and swollen collections of tissue in the anal area. They can have a range of sizes, and they may be internal or external.

Internal piles are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.

Piles is classified into four grades:

1. Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.

2. Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.

3. Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.

4. Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.