Hemorrhoids or piles are the dilated veins in the anal canal formed by radicals of superior middle and inferior rectal veins. It is of 3 types. Internal hemorrhoids External hemorrhoids Internal external hemorrhoids Internal hemorrhoids: Internal hemorrhoids are our inside anal canal just above the dentate line this area is generally painless so if patient complaining bleeding per rectum without pain then it can be internal hemorrhoid . External Hemorrhoids: External hemorrhoids are can be seen from outside these are covered by skin these are generally painful when get thrombosed. Sometimes the pathology is too much advanced that internal and external are used for big hemorrhoid that can be called as internal or external hemorrhoid or piles. From those Piles are too painful. Thrombosis means the blood has come out of the vein and clotted within the skin so that's why the piles get purple or blackish color. Internal External Hemorrhoids: if...
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