Hemorrhoids (piles) are swollen blood vessels that can form inside or around your anus (bottom opening). Blood vessels in your anus are totally normal because they serve a crucial part in continence. However, piles can form if these blood vessels grow, causing symptoms. Your anus is lined with spongy tissue that is supplied with blood vessels - the anal cushions - and they aid in the closure of your anus. These are entirely natural, however, they can sometimes develop into piles. Piles are often tiny, spherical, discolored masses. You might notice them on your anus or dangling from your anal canal. The anal canal is a small, muscular tube with blood vessels that connects the rectum (back passage) to the anus. Internal piles begin inside your anal canal but may hang down and exit your anus. They are assessed based on whether or not they come out, and if so, how far they come out. Piles do not necessarily cause pain or other symptoms, but if you do, they may include: When you poop, you may notice blood (typically bright red) on the toilet paper, in the toilet, or on the surface of your poop.
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