Hemorrhoids/Piles Most people who have piles or haemorrhoids (haemorrhoids)- internal or external- feel this is unusual, but in fact any doctor can tell you that piles are quite common. Almost everyone experiences them occasionally, and quite a few have regular issues with hemorrhoids (piles). Even though common, they can sometimes be cause for concern. If hemorrhoids enlarge, that can cause many problems of which painless bleeding is the most common. Do note: In common man’s reference, Piles refers to various anorectal disorders such as sentinel tags, fistulas and fissures Symptomatic hemorrhoids cause regular problems for up to 60% of the Indian population. A significant number of anorectal cancers behave like haemorrhoids or piles and draws the attention of patients. Symptoms What are the main symptoms of hemorrhoids? Symptoms of hemorrhoids/piles differ on the basis of age, condition, severity, type and location. The usual symptoms are: Pain during passing stools Anal bleeding Soreness sensations Lumps on the rectum Opening the bowels causing pain The appearance of slimy mucus A constant need to empty the bowels Stained underwear Swelling of the rectum A constant need for passing stool Lack of appetite A pale face from bleeding A heavy feeling while opening the anus Causes Here are some common causes of hemorrhoids : Constipation Exercise Low-fiber diets Intense straining Genetic reasons Pregnancy Ageing Obesity Prolonged sitting No valves within the hemorrhoidal veins