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

Inside the anal canal, above a line where there are few pain nerves. Often painless bleeding. May come out while straining (prolapse).
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.
Swollen inside but does not come out.
Comes out while straining, then goes back on its own.
Comes out and needs to be gently pushed back.
Stays outside and does not go back; needs careful assessment.
Bright red blood, a lump that comes out while straining, mucus, a feeling of incomplete evacuation.
Swelling or a lump at the anus, itching, pain when sitting or passing stool. Sudden severe pain may mean a clot.
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.
The full piles page: diet, pregnancy, cost and more.
Ratha moolam: when bleeding needs checking.
மூலம், பவுத்திரம், ஆசனவாய் வெடிப்பு பற்றி தமிழில்.
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.
Yes. Some people have both, sometimes called mixed piles. The doctor checks both during the examination.
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.
A clot can form inside an external pile, causing sudden, severe pain and a firm, bluish lump. It needs prompt medical assessment.
உள் மூலம் ஆசனவாயின் உள்ளே ஏற்படும். வெளி மூலம் ஆசனவாயின் வெளியே தோலுக்குக் கீழே ஏற்படும். பரிசோதனை மூலம் உங்கள் நிலையை மருத்துவர் விளக்குவார்.
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.
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
Walk in, no appointment needed. Or talk to us on WhatsApp before you come.
No. 5(1)/4, Venkatachalapuram 1st Street, Mangalam Road, near KVB ATM, Karuvampalayam, Tiruppur, Tamil Nadu 641604
Monday – Saturday: 8:00 am – 2:00 pm, 4:00 pm – 9:30 pm
Sunday: 8:00 am – 2:00 pm
Open on holidays