Grades of Piles
Grade I Haemorrhoids
Early-stage internal piles. The swollen veins stay inside the anal canal and usually show up as painless bleeding during a bowel movement.
Medical Gallery
Different types of piles
Real clinical photographs of each grade and type of haemorrhoids, with simple explanations so you can understand your condition before your consultation.
Medical content warning: these are graphic clinical images intended for patient education only. Images stay blurred until you choose to view them.
Grades of Piles
Grade II Haemorrhoids
Piles that come out while straining but go back inside on their own. Bleeding, itching and a feeling of incomplete emptying are common.
Grades of Piles
Prolapsed Grade III Haemorrhoids
The mass prolapses out and has to be pushed back manually. Discomfort, mucus discharge and soiling become noticeable at this stage.
Grades of Piles
Prolapsed Grade IV Haemorrhoids
Permanently prolapsed piles that cannot be pushed back. These need prompt specialist treatment to avoid strangulation and severe pain.
Advanced & Complicated Piles
Large Circumferential Piles
Bulky piles involving the whole circumference of the anal canal, often seen in long-neglected cases with chronic constipation.
Advanced & Complicated Piles
Gangrenous / Strangulated Piles
Blood supply to the prolapsed mass is cut off, turning the tissue dark. This is a painful emergency needing immediate surgical care.
Advanced & Complicated Piles
Acutely Inflamed Piles
Swollen, inflamed haemorrhoidal masses with intense pain and swelling, usually after prolonged straining or an acute attack.
Advanced & Complicated Piles
Thrombosed External Pile
A clot forms inside an external pile, creating a hard, tender bluish lump at the anal margin with sudden severe pain.
Advanced & Complicated Piles
Bleeding Pile Mass
Actively bleeding piles noted during examination. Repeated bleeding can lead to anaemia and needs early treatment.
Treatment & Procedures
Pile Mass Under Treatment
The pile mass being examined and treated in the clinic under sterile conditions with minimal discomfort to the patient.
Treatment & Procedures
Post-Procedure Anal Canal
Appearance after treatment — the prolapsed mass has settled and normal anatomy is restored with proper wound care.
Treatment & Procedures
Healing After Treatment
Healing tissue during follow-up review. Most patients return to routine work within a few days with simple aftercare.
Not sure which type you have?
Only an examination can confirm the grade and the right treatment. Consult Dr. P. Mastan Khan for a private, judgement-free assessment.