Internal piles aren’t always visible as they are found too deep in the anus. But when they bulge or expand, they look like red or discolored lumps. If internal piles cause severe anal pain or discomfort, contact the doctor immediately. External hemorrhoids develop on the surface of the anus where the bowel movements are passed out or on the outside edge of the anus. They can look like small lumps that are either pink or purple in color near the anus. And the size of lumps [mostly the size of a pea] varies from person to person. Prolapsed hemorrhoids occur when hemorrhoids stick out of the anus. Most prolapsed hemorrhoids l look like red lumps or bumps outside your anus. Grade-1 hemorrhoids are those that are not prolapsed at all. Grade-2 are the ones that prolapsed during bowel movements but get retracted by themselves without any external support. Hemorrhoids that are prolapsed but need to be pushed back to their original position fall under grade-3 hemorrhoids. Grade-4 piles are those which can’t be pushed back into the anus and would require a surgical intervention.
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