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Hemorrhoids, also known as piles, are swollen blood vessels that form in and around your rectum. The condition is very common, and cases of internal hemorrhoids are classified on a grade from 1-4, based on degree of protrusion from the rectum. But why are hemorrhoids called piles? Here’s what you need to know.

Despite the dual names, piles and hemorrhoids are the same. So why do we use two terms to describe the same condition? Basically, the origins for each word describe different aspects of this condition. Hemorrhoid is a combination of two Greek words—haema, meaning blood and rhoos, meaning flowing. In this way, the term hemorrhoids can hint at the cause of this condition—pooled blood that couldn’t flow out of vessels in and around the rectum, leading to swelling. The term piles, on the other hand, comes from pila, a Latin word meaning ball, and describing the shape of a large hemorrhoid.
Now, while hemorrhoids are called piles interchangeably, there actually is a subtle difference between the meaning of these two terms. Technically, the word hemorrhoids describes any type of pooling in the blood vessels in and around your rectum, while the term piles refers to vessels that have become swollen or enlarged due to this pooling. However, this technicality is one that most people aren’t familiar with, so most people use either of these terms when dealing with uncomfortable symptoms such as itching, swelling, leaking of mucus and even bleeding when passing a bowel movement.
Mild to moderate hemorrhoids may resolve with lifestyle changes such as increased physical activity, changes in diet and reduced periods of sitting—especially on the toilet when trying to pass a bowel movement. Topical over-the-counter products may also provide temporary symptom relief. However, grade 2-3 internal hemorrhoids are unlikely to resolve without medical intervention. Not sure what stage your hemorrhoid is? This link can help! Then, you can begin exploring your candidacy for Hemorrhoid Artery Embolization, (HAE) by requesting a consultation at one of our seven Texas Endovascular locations. Because, whether you call them hemorrhoids or piles, we’re here to help you find lasting relief without undergoing surgery.