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Piles are inflamed and swollen collections of tissue that develop in the anal area. Also called hemorrhoids, they can develop inside or outside the anus and can be itchy and painful. piles are very common but not something youll want to talk to your friends about. We dont know precisely how common piles are because many piles are small and not seen by a doctor. Piles often dont cause any problems but can cause bleeding and sometimes pain. piles (haemorrhoids) are lumps inside and around your bottom (anus). when the operation is over, youll be taken to a recovery room for a brief period of observation. You can expect rectal and anal pain after having hemorrhoid surgery. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. Piles (haemorrhoids) are enlarged blood vessels that you can get inside or around your anus. You might be able to feel them on your anus or hanging down from your anal canal. Your anal canal is the short, muscular tube with blood vessels that connects your rectum (back passage) with your anus. If any signs of thrombosis are present, he will most likely refer you to a general surgeon who will do an operation to reduce or remove the piles. Now a simple procedure, which causes less pain than conventional surgery, can treat even the most advanced kind. They can be internal or external depending on their location external being outside the anal opening and internal inside rectum. External always remain outside while internal piles are inside but as the.