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This image is used to explain the four various grades of internal piles by Dr Maran M, leading surgeon in Chennai.

More About Grades of Internal Piles

Piles generally happen when the pressure in the veins in the rectal region increases and they swell like a bag of worms. This pressure is mainly due to constipation. Other reasons responsible are pregnancy, lifting heavy weights using improper lifting techniques, or chronic diarrhoea. We are aware that piles or haemorrhoids can be internal or external. We will delve deep into internal piles in this post.

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