Piles are swollen blood vessels in or around the anus and rectum. The haemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes they swell so that the vein walls become stretched, thin, and irritated by passing bowel movements. Piles are classified into two general categories: internal and external.

Internal Piles lie far enough inside the rectum that you can’t see or feel them. They don’t usually hurt because there are few pain-sensing nerves in the rectum. Bleeding may be the only sign that they are there. Sometimes internal Piles prolapse, or enlarge and protrude outside the anal sphincter

External Piles lie within the anus and are often uncomfortable. If an external hemorrhoid prolapses to the outside (usually in the course of passing a stool), you can see and feel it. Blood clots sometimes form within prolapsed external Piles, causing an extremely painful condition called a thrombosis

The symptoms are Bright red bleeding from the anus. Blood may streak the bowel movement or the toilet paper.A mass coming out of the rectum, Tenderness or pain during bowel movements, Painful swelling or a lump near the anus. Anal itching. A mucous anal discharge.

Increased fluid intake and dietary fiber (roughage) will decrease the potential for constipation and lessen the pressure on the rectum and anus during a bowel movement, minimizing further swelling, discomfort, and bleeding. Dietary fiber supplements may also help bulk up the stools

The proper analysis of the case with the qualified homoeopathic physician will give the better results. In homoeopathy medicine like nux vomica, aloes aesculus are used for the treatment.