OVERVIEW
Bleeding piles, medically known as haemorrhoids, is nowadays very common ailment and can be caused by many factors. Anything from hereditary to severe constipation can cause this extremely uncomfortable physical condition. When the veins lining the anal canal and lower rectum swell up, and it hinders easy passage of bowel movement and causes bleeding, you realize it is an instance of haemorrhoids.
Generally, piles are not troublesome and go away on their own after a few days. But, they should not be ignored as they increase the risk of colorectal cancer. This can occur in any age group but most commonly in Piles can affect anyone at any age, but they mostly affect oldsters and pregnant ladies. Bleeding piles in its initial stage can be treated at home with maintaining a proper diet and minimal medical interventions.

TYPES
Piles are classified into four grades:
Grade I: Inflammation is present inside the linings of the anus which is not visible.
Grade II: Even though the condition is worse than grade 1 piles, it also remains inside the anus. During the passage of stools these get pushed out but they return unaided.
Grade III: They appear outside the anus and are commonly known as prolapsed haemorrhoids. The person might feel them hanging from the rectum, but they can be easily re-inserted.
Grade IV: These permanently remains outside the rectum. They cannot be pushed back in and need to be treated.
External piles form small lumps outside the anus. They exhibit symptoms like itching and severe pain with bleeding Thrombosed external piles needs to be immediately treated.

Causes
Due to increased pressure in the rectum, piles occur. The blood vessels around the anus and in the rectum will stretch under pressure and this results in swelling which leads to piles.
The factors that contribute to this condition are:
• Chronic constipation
• Chronic diarrhoea
• Lifting heavy weights
• Pregnancy
• Straining during the evacuation of stool
The risk factor is more in elderly adults.

Symptoms
Most of the time, the symptoms of bleeding piles may not be serious. They normally resolve on their own in a few days without any treatment.
A person with piles may experience the following symptoms:
• A hard, possibly painful lump may be felt around the anus.
• It might contain coagulated blood. These are called as thrombosed external haemorrhoids.
• After clearing the stomach, still, an individual feels the urge to evacuate or feeling that the bowels are still full.
• Bright red blood is visible after passing stools.
• The area around the anus is showing symptoms of itching.
• The anal region becomes red in colour and sore
• Difficulty and painful during the passing of a stool

In extremely severe conditions, symptoms are:

• Excessive anal bleeding, possibly leading to anaemia
• Infection
• Faecal incontinence, or an inability to control bowel movements
• Anal fistula

DIET
Diet Recommendations for piles are
• Every day, include fruit, vegetables, beans, and whole grains in your diet. These groceries are high in roughage.
• Have full grains, bran, oat, green leafy vegetables, peas, beans, potatoes, raw vegetables, salads, dried fruits and fresh fruits.
• It’s said that Bitter Gourd, Black Musale (Kali Musli), Kareer (Ker) are beneficial.
• Be sure to drink enough water to avoid constipation.

Foods to be Avoided –
• Unhealthy and flavoured foods
• Highly savoury food
• Fatty and fried foods
• Caffeinated foods, such as coffee, tea and chocolate
• Processed or packed foods should be avoided completely.