How many types of piles are there, and which one is life-threatening?
- bySherya
- 14 Sep, 2026
Hemorrhoids are a common problem, but not all types of hemorrhoids are the same. So, learn about the types of hemorrhoids, their symptoms, and when excessive bleeding can be a serious risk
piles problem
Hemorrhoids, also known as piles, are a common problem in which the veins around the anus or rectum become swollen. Constipation, straining during bowel movements, prolonged sitting on the toilet, and a low-fiber diet are among the main causes. Hemorrhoids can cause pain, itching, burning, and bleeding in the stool. Hemorrhoids are generally classified into two main types: internal hemorrhoids and external hemorrhoids. Both have different symptoms and complications. So, learn when hemorrhoids can become life-threatening.
What are internal hemorrhoids?
Internal hemorrhoids occur in the veins inside the rectum. Initially, there is little or no pain, but fresh, red blood may appear during bowel movements. Sometimes, the hemorrhoidal veins enlarge so much that they begin to protrude from the anus. Internal hemorrhoids are also divided into four grades based on their severity. In the initial grade, the veins remain inside, while in the later grades, they begin to protrude and sometimes have to be pushed out manually.
What are external hemorrhoids?
External hemorrhoids are caused by inflammation of the veins outside the anus. This condition causes severe pain, itching, and swelling. In some cases, a blood clot forms inside the vein, which is called a thrombosed hemorrhoid. This condition causes sudden, severe pain and a lump near the anus. Although it is not usually life-threatening, it is important to consult a doctor if there is severe pain or sudden swelling.
Are hemorrhoids life-threatening?
Common hemorrhoids are generally not life-threatening. However, ignoring them for long periods is not advisable. Especially if bleeding is persistent or excessive, it can lead to anemia. However, bleeding with stool isn't always due to hemorrhoids. Fissures, other intestinal diseases, and in some cases, cancer can also cause bleeding. Therefore, it's not advisable to self-medicate by assuming that recurring bleeding is simply hemorrhoids.
When to see a doctor?
If you experience persistent or excessive bleeding from your anus, dizziness or weakness, fainting, severe pain, or black stools, you should immediately seek medical attention. If constipation, pain, itching, or bloody stools persist for several days, it's best to consult a doctor. Preventing constipation is crucial to preventing hemorrhoids. Include fiber-rich foods like fruits, vegetables, whole grains, and pulses in your diet. Drink plenty of water and avoid straining during bowel movements.






