Subash ClinicAyurveda & Siddha · Tirupur
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Internal & external piles · Tirupur

Internal or external piles? Know the difference.

Ul moolam and veli moolam feel different and are treated differently. Here is what each one is, and how the doctor decides on care.

Internal & external piles · Tirupur at Subash Clinic, Tirupur
  • உள் மூலம் · ul moolam
  • வெளி மூலம் · veli moolam
  • Walk in · no appointment
  • Woman doctor available
Two types

Where the piles are matters.

Internal piles · உள் மூலம்

Inside the anal canal, above a line where there are few pain nerves. Often painless bleeding. May come out while straining (prolapse).

External piles · வெளி மூலம்

Under the skin around the anus, where there are many pain nerves. Felt as a swelling or lump; can be itchy or painful, especially when sitting.

Stages

Four stages of internal piles.

Stage I.

Swollen inside but does not come out.

Stage II.

Comes out while straining, then goes back on its own.

Stage III.

Comes out and needs to be gently pushed back.

Stage IV.

Stays outside and does not go back; needs careful assessment.

Symptoms

How they usually feel.

Internal.

Bright red blood, a lump that comes out while straining, mucus, a feeling of incomplete evacuation.

External.

Swelling or a lump at the anus, itching, pain when sitting or passing stool. Sudden severe pain may mean a clot.

Treatment

Treatment depends on type and stage.

Early piles may settle with medicines, diet and better bowel habits. Some internal piles may be considered for Kshara Karma or Kshara Sutra. External piles are assessed separately, especially if a clot has formed.

The doctor explains the options, the number of visits and the cost after examining you. Women doctors are available for women patients who prefer one.

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Questions & answers

Good questions, plain answers.

Still unsure? Talk to a person.

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What is the difference between internal and external piles?

Internal piles (ul moolam) form inside the anal canal and often bleed without much pain. External piles (veli moolam) form under the skin around the anus and are more often felt as a swelling or a painful lump.

Can I have internal and external piles together?

Yes. Some people have both, sometimes called mixed piles. The doctor checks both during the examination.

What are the four stages of internal piles?

Stage I does not come out. Stage II comes out while straining and goes back on its own. Stage III comes out and needs to be pushed back. Stage IV stays outside. The doctor confirms the stage after examining you.

What is a thrombosed external pile?

A clot can form inside an external pile, causing sudden, severe pain and a firm, bluish lump. It needs prompt medical assessment.

வெளி மூலம், உள் மூலம் என்ன வித்தியாசம்?

உள் மூலம் ஆசனவாயின் உள்ளே ஏற்படும். வெளி மூலம் ஆசனவாயின் வெளியே தோலுக்குக் கீழே ஏற்படும். பரிசோதனை மூலம் உங்கள் நிலையை மருத்துவர் விளக்குவார்.

மூலம் குணமாக என்ன செய்ய வேண்டும்?

உங்கள் அறிகுறிகள் மற்றும் பரிசோதனை முடிவுகளுக்கு ஏற்ப மருத்துவர் சிகிச்சையை விளக்குவார். உணவு, மலச்சிக்கல் பராமரிப்பு மற்றும் மருந்துகள் குறித்து தனிப்பட்ட ஆலோசனை பெறுங்கள். சிகிச்சை முடிவுகள் நபருக்கு நபர் மாறுபடும்.

Information on this website is for general awareness and is not a substitute for a consultation. Treatment results vary from person to person.

Piles clinic in Tirupur

A piles & fistula clinic in Karuvampalayam.

Looking for a piles hospital in Tirupur, or a piles clinic near you? Subash Clinic is on Mangalam Road in Karuvampalayam, near KVB ATM. We treat piles (moolam, மூலம்), fistula (pavuthiram, பவுத்திரம்) and fissure with Ayurveda and Siddha care, including Kshara Sutra, with examination rooms, a procedure room, day-care beds and our own pharmacy under one roof.

Patients visit us from

  • Karuvampalayam
  • Mangalam Road
  • Vijayapuram
  • Andipalayam
  • Angeripalayam
  • Chinnandipalayam
  • Kangeyam Road
  • Palladam
  • Gobichettipalayam
Come as you are

Visit Subash Clinic.

Walk in, no appointment needed. Or talk to us on WhatsApp before you come.

  • Walk in, no appointment needed
  • Women doctors available for women patients
  • Lift access & two-wheeler parking
  • Tamil · English · Hindi · Bengali
  • Address

    No. 5(1)/4, Venkatachalapuram 1st Street, Mangalam Road, near KVB ATM, Karuvampalayam, Tiruppur, Tamil Nadu 641604

  • Hours

    Monday – Saturday: 8:00 am – 2:00 pm, 4:00 pm – 9:30 pm
    Sunday: 8:00 am – 2:00 pm
    Open on holidays

  • Call or WhatsApp

    +91 97894 48003

  • Get directions