The high incidence of piles and the non-specificity of the clinical symptoms need a precise differential diagnosis, in order to exclude other disease of the lower GI tract, in particular the tumors.
The treatment of the hemorrhoid disease should be guided by an accurate clinical evaluation: nowadays it is possible to choose among a wide range of different treatments according to the severity of the disease and symptoms: from the conservative treatment (diet. lifestyle, topic oral treatment). To the outpatient procedure, to the different surgical options.
Internal Hemorrhoids occur deeper in the anus and can cause painless bleeding with bowel movement.
External hemorrhoids occur towards the tail of the anus.
Internal Prolapsed Hemorrhoid occur when internal hemorrhoid protrude outside the anus and appear as small, grape-like masses causing severe pain.