The patients suffering form piles have bleeding during defection. There are four degrees of piles. First and second degree piles remains inside the anal canal and patients only experience bleeding while going to toilet: there is no pain. The third degree piles come out of anus during straining at stool and go back inside the anus after urge of defecation over. The fourth degree piles prolapsed out of anus. The treatment of first and second degree piles is Ayurvedic medicines and injection therapy. Third degree piles are best treated by Ksharsutra and fourth degree piles are best treated by KS or PPH.
Piles or haemorrhoids are caused by straining during defecation as in a case of constipation or dysentery. It is also caused by raised intra abdominal pressure as in a case of pregnancy or abdominal tumours.