At Pradnya Piles Clinic, we understand that discussing piles (also known as hemorrhoids) can feel uncomfortable—but knowledge is the first step toward relief. One of the most common questions our patients ask is:
What’s the difference between internal and external piles?
Let’s break it down for you in simple, clear terms.
What Are Piles (Hemorrhoids)?
Piles are swollen blood vessels in and around the rectum and anus. They can cause pain, itching, bleeding, and discomfort—especially during bowel movements.
There are two main types:
- Internal Piles
- External Piles
Though both affect the anal region, they differ in location, symptoms, and treatment approach.
Internal Piles
These develop inside the rectum, above the pectinate line. Because this area lacks pain receptors, internal piles usually don’t cause pain—at least in the early stages.
Symptoms of Internal Piles
- Painless rectal bleeding (bright red blood during or after bowel movement)
- Mucus discharge
- A feeling of incomplete evacuation
- Prolapse (in later stages), where the piles protrude outside the anus
External Piles
These occur under the skin around the anus, below the pectinate line. This region is rich in nerve endings, making external piles much more painful than internal ones.
Symptoms of External Piles
- Pain or discomfort while sitting or passing stool
- Swelling or lumps around the anus
- Itching or irritation
- Blood clots in the hemorrhoid (thrombosis), which can cause severe pain
Diagnosis at Pradnya Piles Clinic
We use a combination of medical history, physical examination, and if needed, anoscopy to identify the type and grade of your piles. This helps us provide targeted Ayurvedic treatments—without the need for surgery in most cases.
Treatment Options at Pradnya Piles Clinic
We believe in treating the root cause, not just the symptoms.
For Internal Piles:
- Ayurvedic medications to reduce inflammation and bleeding
- Ksharasutra therapy (minimally invasive, Ayurvedic thread technique)
- Panchakarma detoxification
For External Piles:
- Herbal applications to reduce swelling and pain
- Sitz baths
- Natural methods to prevent clot formation and recurrence
Prevention Tips for All Types of Piles
- Stay hydrated
- Eat a fiber-rich diet
- Avoid straining during bowel movements
- Exercise regularly
- Don’t ignore the urge to go
Why Choose Pradnya Piles Clinic?
- Expertise in Ayurvedic & non-surgical treatment
- Personalized consultation
- Fast, effective relief
- No side effects
- A caring and discreet environment
Book Your Consultation Today
Don’t suffer in silence. Let Pradnya Piles Clinic help you reclaim comfort and confidence—naturally.