Piles or hemorrhoids are swollen and inflamed blood vessels in your back passage. It is usually a gradually progressive disease and one of the most common cause of bleeding while passing stools. Hemorrhoids or Piles can be Internal: Internal hemorrhoids develop within the anus or rectum External: these develop just outside the anal opening Internal piles can prolapse as the disease progress. They can be classified into 4 grades: Grade 1: prominent vessels but no prolapse Grade 2: hemorrhoids prolapse while passing stools but reduces spontaneously Grade 3: hemorrhoids prolapse but can be reduced by manually Grade 4: permanently prolapsed hemorrhoids
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