Internal Piles - are situated far within the rectum, and can’t be seen or felt. The one symptom is often bleeding. Grade1: These are tiny haemorrhoids inside the lining of the anus. Grade 2: These haemorrhoids too lie within the anus and are barely larger than grade 1 haemorrhoids. These haemorrhoids might get pushed out while passing stool but return to the original place on their very own. Grade 3: These are also referred to as 'prolapsed haemorrhoids'. They appear exterior the anus. The patient can push them back in by pressing against them with his fingers. Grade 4: These haemorrhoids cannot be pushed back and keep outdoors the anus at all times. They should be treated by a physician who normally suggests a surgery. External Piles - are situated across the anus right beneath the skin, the place there are a lot of ache-sensing nerves. They, due to this fact, harm in addition to bleed. Anyone at any age can be affected by piles. Though it has been noticed that folks over forty five years of age usually get affected by piles.