Normal hemorrhoidal tissue cannot be seen since it must first swell and become inflamed or develop a clot to cause symptoms. One can see swollen external hemorrhoids or internal prolapsed hemorrhoids exposed outside the anus but internal hemorrhoids cannot be seen because they remain inside the anus.

Hemorrhoids are nothing less than vascular dilatations of the venous plexuses that supply the anal region. They may cause bleeding, itching and even exit from the dilated structure through the anal orifice. The larger the hemorrhoid, means that there is a greater extent of dilation, which directly implies treatment. Currently, the classification of the disease varies between grades I and IV, and grades III and IV dilations (prolapse of the structure through the anal canal on exertion, requiring manual maneuver to return to the site or not returning even with assistance) are commonly indicative of surgical treatment.

Internal hemorrhoids, also known as **piles**, can cause various symptoms.Let's explore them: 1.**Painless Bleeding**: Internal hemorrhoids lie inside the rectum, making them difficult to see or feel.However,

Hemorrhoids can develop inside the rectum, called internal hemorrhoids. They also can develop under the skin around the anus, called external hemorrhoids. There are several options available to treat hemorrhoids. Many people get relief with home treatments and lifestyle changes. Symptoms of hemorrhoids usually depend on the type of hemorrhoid.