Complications and risks of piles

Piles are usually not dangerous, but they can cause problems if they are ignored or severe.

Possible complications

• Chronic bleeding and anaemia: slow, repeated bleeding can cause tiredness, paleness and breathlessness.
• Thrombosed piles: a blood clot causes sudden severe pain and a hard lump.
• Prolapse: piles stay outside and cannot be pushed back, causing discomfort and mucus.
• Strangulation: the blood supply is cut off, which is painful and needs urgent care.
• Infection: rare, but it needs prompt treatment.
• Skin tags and persistent itching

Important: bleeding is not always piles

Rectal bleeding can come from fissures, polyps, inflammatory bowel disease or bowel cancer. Do not assume it is piles, especially over 40 or with a change in bowel habits, weight loss or black stools.

Emergency signs: call 112 or 102

• Heavy bleeding with dizziness, fainting or a fast heartbeat
• Severe pain with fever
• A painful lump that cannot be pushed back and turns dark

Who is at higher risk

People with long-term constipation, obesity, pregnancy, liver disease, or those on blood thinners.

Ayurvedic view (interpretive)

Neglected Arsha is described as becoming harder to treat. This is a traditional view and does not replace a medical examination.

When to get help

See a doctor early for any bleeding, a lump, or pain that is not settling.

Small steps taken early work better than waiting for symptoms to become severe.

Remember

Early treatment prevents most complications. New bleeding always needs a medical check.