inside the bowel will be seen if a new growth develops. This is the least common cause of chronic constipation. It is the duty of the attending doctor to look for such a cause and treat it suitably, to remove the mechanical obstruction. As chronic constipation is the cause of piles, the mainstay in the treatment of this condition is to clear the cause in the long run and give immediate relief by medicine or surgery.

What is Piles?

Piles (Haemorrhoid) is an anal cushion which has been pushed down the anal canal. It is a soft, fragile lump which is easily damaged when the stool passes over it. Often you may not be aware that it is there. Some times you can feel a lump just inside or outside the anus. Although this may be uncomfortable, it should not be painful. It may ooze a slimy material - mucus. This is a nuisance because it can soil the underwear and may also lead to itching around the anus. The bleeding from an internal hemorrhoid can appear to be quite alarming, but it is never serious. It may splash or drip into the lavatory pan or just be seen as a streak on the stool or the toilet paper.