Can tensing the muscle that opens/closes the anus irritate external piles?

I have had an external pile for about a year, it never hurts, just feels like a tender lump on my anus. I’ve always had a weird habit of contracting the muscle of my anus when I’m nervous or sometimes when I just sit – Its the muscle which also holds off your pee. I’m wondering if prolonged tension of this can put pressure on the pile and stop it from going, as my stool is always soft and I can’t think of any other reason why its still there!
I’m a 22 year old male by the way, I think I caused the problem from a bad diet!

Ok, a couple of points need to be clarified.

The term ‘external pile’ is often misused to mean a skin tag at the anus. These form following healing of an anal fissure (a tear in the anal lining). Healing causes excessive tissue growth beyond that surrounding it, hence it forms a skin tag, otherwise known as an ‘external pile’ or ‘sentinel pile.’ It sounds like you are a prime candidate to have this, since clenching of the anus compresses small blood vessels, thus reducing blood supply to the anal lining, resulting in anal fissure formation followed by healing and skin tag formation. Anal fissures often itch and may cause slight bleeding, seen on the toilet tissue. Passing stool may sometimes hurt too.

External pile is often also used to describe a ‘prolapsed haemorrhoid.’ These are veins that start off inside the anus and over months or years, they can start to prolapse out. They may initially only appear on passing stool and then return into the anus (and not be noticed). But eventually, they may constantly remain outside the anus. They may bleed (into the toilet or onto the toilet paper) and sometimes a clot can collect inside them (thrombosed pile) causing them to swell and be a real ‘pain in the arse.’ No joke.

Both anal fissure and haemorrhoids are easily treated. I suggest you see a colorectal surgeon who can diagnose and treat you. Often earlier treatment is better and may avoid potential surgery.

Is Piles or Hemorrhoids a Disease Cures and Treatments

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Hemorrhoids, hemroids or piles as they are more commonly known to the layperson affect at least 50% of people at some point in their lives. Considering the world has 6 billion people, that is an astounding percentage that warrants our attention!

So, what exactly are piles, why do we get them, and what are the symptoms of hemroids?

Hemroids are engorged blood vessels that manifest as painful inflammation of the rectal area. What gives rise to them?

Several factors increase the risks of piles developing. Just everyday activities can have rather exacerbating consequences. These include:

• standing without a break for long periods of time
• sitting still for prolonged periods
• extreme straining due to constipation and interestingly, its diametrical opposite; diarrhea
• extreme obesity
• pregnancy; especially during the difficult final trimester
• anal sex
• poor diet that is deficient of high fibers
• a sedentary lifestyle that is devoid in exercise
• genetics; a cause that may be purely conjecture.

So, how can we tell that we are suffering from piles; or in other words, what are the symptoms of hemroids?

As with all medical conditions, proper diagnosis is very important for correct treatment. Piles have often been erroneously blamed for other conditions such as skin fissures, fistulae, abscesses and itches.

There are two classifications of hemroids; internal and external.

Bleeding is the most commonly experienced symptom of internal hemroids. Bright red blood can be seen coating expelled stools, coloring the toilet bowl or staining used toilet tissue. Whilst it may appear alarming, hemorrhoidal bleeding does not normally lead to life-threatening major blood loss.

Another symptom of internal hemroids is when they are described as prolapsed. This is when they protrude from the anal opening. It is quite alright to push such prolapsed piles back into the anus with a firm but gentle tuck.

As for external hemorrhoids or piles, the most common symptom is the clotting of blood that results in swollen lumps. In this state, they are classified as thrombosed. This condition calls for more attention as excessive attempts to relieve the intense pain, via physical cleaning, can result in an aggravated state.

Recognising the symptoms of hemroids is the first step to recovery. Normally, piles are very easily treated. They do away without the help of any medication or treatment by a doctor. For the more persistent variety, there are plenty of over the counter remedies at the local drugstore or even on the internet. The key thing to watch out for is when they are thrombosed, whereupon it is imperative that you seek medical attention even if the embarrassment kills you. A doctor can ascertain that you are in fact suffering from piles and not any other medical condition requiring a different form of treatment.