Types and Symptoms of Piles (Hemorrhoids): Internal Hemorrhoids: • Swelling and growth of tissues inside the rectum. • Usually no pain. • Tissues may come out during bowel movements. External Hemorrhoids: • Swelling and growth of tissues outside the rectum. • Pain, itching, and burning may occur. • Pain worsens during bowel movements. Itching Before Bowel Movements: • Itching in the rectum before passing stool. • This can be an early symptom of piles. Fistula: • Formation of a pus sac (abscess) in the rectum. • Severe pain, swelling, and fever may occur. Severe Pain and Pricking Sensation in the Anal Area: • A common symptom of piles. • Pain worsens during bowel movements. Bleeding Hemorrhoids: • Presence of blood with stool. • This is a key symptom of piles. Lump-like Mass of Flesh Protruding from the Anus During Bowel Movements: • Occurs when swollen tissues push out of the rectum. Causes of Piles: • Eating excessive spicy food. • Sitting for long periods in one place. • Dehydration. • Constipation. • Pregnancy. • Genetic factors. Herbal Remedy for Piles: • Take 15 ml twice daily, morning and evening, before meals. • Suitable for all types of piles. Note: • Reduce spices in your diet. • Avoid green chili peppers in your food. • No side effects due to being made with natural herbs.