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1. #Difference between sentinel pile and hemorrhoids manual#
2. #Difference between sentinel pile and hemorrhoids skin#

Grade I piles are just expanded blood vessels without prolapse. Grade II piles come down while straining and spontaneously go back. Grade IV piles are already outside and irreducible.

#Difference between sentinel pile and hemorrhoids manual#

Grade III internal piles come down while straining, but go back up with manual reduction.

#Difference between sentinel pile and hemorrhoids skin#

Skin covers the outer half, and the anoderm covers the inner half of it. External piles appear on the pectinate line. Observation of the anal region is adequate to diagnose external piles and grade III and IV internal piles. Blood covers the stools, drips down into the toilet bowl, or is seen on the toilet paper. Internal piles feature painless, fresh bleeding after defecating. If not infected they heal spontaneously leaving a skin tag. External piles are very painful if thrombosed. Signs of external and internal piles present differently. Exact cause for hemorrhoids is not known constipation, diarrhea, low fiber diet, sedentary life style, straining, pregnancy, obesity, chronic cough, and pelvic floor abnormalities lead to hemorrhoids.Ĭlinical features, signs and symptoms, and diagnosis of Hemorrhoids (or Piles)ĭiagnosis of hemorrhoids is clinical. External hemorrhoids arise from the inferior hemorrhoidal plexus. Internal hemorrhoids arise due to excessive expansion of superior hemorrhoidal plexus. Hemorrhoids occur when the venous pressure is very high and when the sinusoidal complex comes down. They expand in size during straining to keep the anus closed. The sinusoid set is known as hemorrhoidal plexus. These sinusoids are different from veins because they do not have smooth muscle in their walls. Hemorrhoids contain sinusoids, smooth muscles, and soft connective tissue. There are three anal cushions in human anal canal located at 2, 7 and 11 O’clock positions (when the patient is supine). What is Hemorrhoids (or Piles) and what are the causes? Nevertheless, this article will talk in detail about piles (or hemorrhoids), highlighting their clinical features, symptoms, causes, diagnosis, prognosis, and also the course of treatment/management they require. Hemorrhoid is the medical term and pile is the general term. Some say that hemorrhoids are internal, and piles are external. Sometimes people think that normal anal cushions are called hemorrhoids and swollen anal cushions are called piles. There is no difference between piles and hemorrhoids. Hemorrhoids and piles are the same thing.