Hemorrhoids, likewise referred to as piles, are protrusions of varicose veins and connective tissue around the canal reaching inside the rectum. Signs are itching, discomfort, bleeding, and swelling. The top cause is genes (a lack of valves within the hemorrhoidal veins), followed by irregular bowel practices (constipation or diarrhea), and any activity that triggers increased intra-abdominal pressure (prolonged straining, lifting, and so on).Hemorrhoids are classified as external or internal, and can be staged or graded 1 to 4. Classification of Piles page and or view the Hemorrhoid Surgery Video to see and hear the differences in the Goligher pile category system, and to discover the basics of Pile surgical treatment.