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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. Piles (haemorrhoids) are lumps inside and around your bottom (anus). Piles occur in both men and women and affect around 90 of the american population at some stage in their life. Piles usually occur in the anal canal (the first 4 5cm of the anal passage) in areas known as cushions or pads. Hemorrhoids (piles) are commonly caused by straining while having a bowel movement, pregnancy, colon cancer, constipation, or chronic diarrhea. There are internal (inside the anus) and external hemorrhoids. Symptoms of a hemorrhoid include rectal bleeding, rectal pain and itching, and swelling. Most of the time you are not aware of having haemorrhoids but in most cases you will feel a small lump which is just inside or outside the anus. Bleeding from a pile can be quite scary when first discovered but it is not serious. Haemorrhoids, anal tears and anal fissures can all result in bleeding from the anus, which can be quite alarming. Piles (haemorrhoids) are swellings that develop inside and around the back passage (anal canal). There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual. The engorged veins and the overlying tissue may then form into one or more swellings. Hemorrhoids, also spelled haemorrhoids, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed the unqualified term hemorrhoid is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. 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. Sometimes hemorrhoids swell when the veins enlarge and their walls become stretched, thin, and irritated by passing stool. Hemorrhoids are classified into two general categories internal, originating in the rectum, and external, originating in the anus. Hemorrhoids (also termed piles) have caused pain and irritation throughout human history.