Piles are generally classified into three types:
Internal Hemorrhoids:
Internal hemorrhoids develop as hard lumps in the rectal cavity's back passage. Because that area has few pain-sensing nerves, you may not notice them at first. However, if you have a long period of constipation or a strained bowel movement, you may have some blood and pain.

First-degree Hemorrhoids are limited to the rectum. They may bleed, but they are normally not painful.

Second-degree When strained, usually during defecation, hemorrhoids become swollen and tear. They eventually return to the rectum on their own.

Third-degree Hemorrhoids do not relapse by itself and must be pushed into place. These are rather painful and require some time to recover.

Fourth-degree Hemorrhoids never return within the rectum and cannot be pushed back in.

External hemorrhoids are more visible and painful because they occur on the outside of your anal canal. They are normally covered in normal skin and have pain nerves around them. This type of pile is more painful and is associated with an increased risk of clots, skin tags, and other skin diseases.

A blood clot that blocks blood flow characterizes thromboses hemorrhoids. Because of the extra blood, these hemorrhoids might burst and begin to bleed. If you're concerned about the dangers of bleeding hemorrhoids, don't be! Although thromboses hemorrhoids might be incredibly painful, they are typically harmless.

• Blood on your poop, on toilet paper, after you wipe, or in the toilet bowl
• Tissue that bulges outside your anal opening (prolapse).

External hemorrhoids are under the skin around your anus, where there are many more pain-sensing nerves. Symptoms of external hemorrhoids include:

• Pain
• Bleeding
• Itching
• Swelling

A blood clot can turn an external hemorrhoid purple or blue. This is called a thrombosis or a thrombosed hemorrhoid. You may notice symptoms like:

• Severe pain
• Itching
• Bleeding

• You are more likely to get hemorrhoids if other members of your family, such as your parents, have them.
• Pressure in your lower rectum might impair blood flow and cause veins to swell. This might result from:
• Pushing during bowel movements
• Straining occurs when you do a physically demanding task, such as lifting a heavy object.
• Extra weight, like obesity
• During pregnancy, when your growing uterus presses on your veins
• A diet low in fiber
• Anal sex
• People who stand or sit for long periods are at greater risk, too.
• You may get them when you have constipation or diarrhea that doesn't clear up. Coughing, sneezing, and vomiting could make them worse.

Symptoms of hemorrhoids normally go away on their own. Your doctor's treatment plan will be determined by the intensity of your signs.

• Simple lifestyle changes can often treat minor hemorrhoid symptoms in 2 to 7 days.
• Fiber may be added to your diet through over-the-counter vitamins and meals such as fruits, vegetables, and grains.
• Try not to strain during bowel motions; drinking additional water might help.
• Warm sit baths for 20 minutes many times a day may also help. Ice packs might help to reduce discomfort and swelling.

• Pain, swelling, and itching can be relieved with over-the-counter lotions and medicines.

If you have severe hemorrhoids or if previous treatments haven't worked, surgery may be necessary. To get rid of them, your doctor may apply chemicals, lasers, infrared light, or small rubber bands. If they're large or chronic, your doctor may need to remove them with a scalpel, a sharp tool.

Hemorrhoids can often cause complications

• Skin tags: When the clot in a thrombosed hemorrhoid dissolves, there may be some exposed skin that becomes irritating.
• Anemia: If you have a hemorrhoid that lasts a long time and bleeds a lot, you may lose too much blood.
• Infection: Some external hemorrhoids develop inflamed ulcers.

Hemorrhoid strangulated muscles might obstruct blood flow to a hemorrhoid that has prolapsed. This might be quite painful and necessitate surgery.

Follow these methods to avoid hemorrhoids burst:

• Consume fiber: It improves the passage of food through your system. Plant foods are a good source of it: vegetables, fruits, whole grains, nuts, seeds, beans, and legumes. Aim for 20 to 35 grammas of fiber each day.
• Add fiber supplements: If you don't get enough fiber from your diet, over-the-counter supplements can help soften your stool. Begin with a little bit and gradually increase the amount.
• Drink plenty of water: It will help in the prevention of hard stools and constipation, allowing you to strain less during bowel movements. Water is included in fruits and vegetables that contain fiber.
• Exercise: Physical activity, such as walking for 30 minutes every day, keeps your blood and bowels flowing.
• Don't hold it any longer: Use the restroom as soon as you sense the need.
• Don’t strain during a bowel movement or sit on the toilet for long periods. This puts more pressure on your veins.
• Keep a healthy weight.