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Piles in Females: Causes, Symptoms, Images, and Effective Treatments
Published on 06/26/25
(Updated on 06/26/25)
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Piles in Females: Causes, Symptoms, Images, and Effective Treatments

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Piles. Hemorrhoids. Bavasir. No matter what you call it, this common yet uncomfortable condition is something many women in India silently deal with — often without realizing they’re not alone. While piles in females might sound like a taboo topic to some, the truth is, it’s much more common than we think. Women of all ages, from young professionals to new mothers, face the painful symptoms of hemorrhoids at some point. And yes, there’s a lot of misinformation out there too.

In this article, we’ll talk openly (and in simple terms) about what causes piles in females, what it looks like, and how it feels. We’ll dive into real treatments that actually work — not just old wives’ tales. Oh, and don’t worry — we’re also addressing the “people also ask” questions that pop up when you search Google at 3 AM in discomfort. Let's get to it.

Introduction to Piles (Hemorrhoids) in Women

What Are Piles?

Piles, also known as hemorrhoids, are swollen blood vessels located in or around the anus and rectum. They can be internal (inside the rectum) or external (under the skin around the anus). While they affect both men and women, the reasons they occur — and the way they present — can differ quite a bit between genders.

In females, piles are often related to hormonal changes, pregnancy, and issues like chronic constipation. The pressure on the pelvic and rectal area increases during pregnancy and childbirth, which often triggers the formation of piles. But even outside of pregnancy, piles can happen due to other causes like sitting for long hours (yep, office workers, we’re looking at you), low fiber diets, or just bad luck sometimes.

Why Focus on Piles in Females?

So, why this article just for women? Because piles don’t affect women and men the same way. Female bodies go through a lot — menstruation, pregnancy, postpartum changes, menopause. Each of these stages can impact bowel health and anal pressure, increasing the chances of developing piles.

Also, women are less likely to speak up about these symptoms. In Indian households, there’s often a culture of suffering in silence when it comes to health issues that feel “embarrassing.” That leads to delayed diagnosis and unnecessary suffering.

So let’s put that stigma in the bin, shall we?

Are Piles Common in Females in India?

Absolutely yes. According to Indian clinical surveys, more than 50% of women with piles don’t even seek medical help because they think it’s normal. It’s not.

Piles in Indian women are common due to multiple reasons:

  • Low dietary fiber in traditional meals

  • Sedentary lifestyles in urban areas

  • Post-delivery recovery issues

  • Lack of awareness and social stigma

The good news? They’re treatable. Often without surgery.

Causes of Piles in Females

Common Medical Causes

Let’s break this down. The most common medical causes of piles in females include:

  • Chronic constipation – Straining during bowel movements puts direct pressure on rectal veins.

  • Pregnancy – Hormonal changes and fetal weight increase rectal pressure.

  • Obesity – More body weight = more strain on pelvic veins.

  • Prolonged sitting – Sitting for too long (especially on Indian-style toilets!) worsens piles.

Some women also experience piles as a side effect of iron supplements taken during pregnancy, or due to dehydration — especially in hot Indian climates.

Symptoms of Piles in Females

Early Symptoms to Watch For

Not all piles scream for attention right away. Some start quietly, making it tricky to notice until things get worse. Here’s what many Indian women have described as early signs:

  • Mild itching or irritation around the anus

  • A small lump or swelling near the anal area

  • A feeling that you didn’t “completely finish” after using the toilet

  • Light bleeding (especially on toilet paper)

Honestly, some of these symptoms can be brushed off as just a heat rash or something “not serious,” which is why many women delay seeing a doctor.

Severe or Advanced Symptoms

When piles aren’t treated early, they can worsen. Here’s what advanced piles often feel like:

  • Sharp pain while passing stools

  • Continuous bleeding

  • Swelling that doesn't go away

  • Discomfort while sitting for long periods

And the worst part? Sometimes, women just learn to live with the pain because they think it’s “normal.” It’s not.

How Female Piles Symptoms Differ from Males

While many symptoms are common to both genders, women may experience:

  • Increased symptoms during menstruation due to hormonal shifts.

  • Postpartum aggravation – After childbirth, piles can flare up or newly appear.

  • Pain with vaginal pressure – Especially if piles are external and inflamed.

Some women even confuse piles with vaginal infections due to the location of discomfort, which delays correct treatment.

Types and Grades of Piles in Women

Understanding the type of piles you have helps in knowing what treatment will work best. Doctors in India usually classify piles based on their location and severity.

Internal vs External Hemorrhoids

  • Internal Piles: Located inside the rectum. Usually painless but can bleed.

  • External Piles: Found outside the anal opening. They often hurt more, especially when inflamed.

Sometimes both types show up together (a lovely combo, isn’t it? 😐).

Grade 1 to Grade 4 Explained

  • Grade 1: Mild swelling. No visible bulge.

  • Grade 2: Bulge comes out during bowel movement but goes back in on its own.

  • Grade 3: Bulge requires you to push it back in manually (yes, it happens).

  • Grade 4: Constant bulge that doesn’t go back — usually needs surgical help.

Female-specific Complications

Some additional complications women may face include:

  • Thrombosed piles (blood clots in external hemorrhoids)

  • Rectal prolapse, where a part of the rectum slips out

  • Tears or fissures, especially post-delivery or during hard stools

Indian women using squat toilets also report higher discomfort due to awkward posture, which can worsen pressure on the veins.

Diagnosing Piles in Females

When to See a Doctor

If you’ve been bleeding for more than a week, or have pain that doesn’t go away, don’t wait. It’s time to get checked. Contrary to what many people think, diagnosis is usually quick and not very painful.

Diagnostic Methods Used in India

Most doctors begin with a physical exam. Depending on your symptoms, they might also recommend:

  • Proctoscopy – A small tube to look inside the rectum

  • Digital rectal exam

  • Colonoscopy, if bleeding is severe or something else is suspected

Don’t worry — these aren’t as scary as they sound. The procedures are usually done in-clinic and take just a few minutes.

Gynecological Confusion: Piles vs Other Anal Disorders

Sometimes, what feels like piles could be:

  • Anal fissures

  • Rectal polyps

  • Vaginal infections radiating pain

That’s why it’s important not to self-diagnose — get a proper check-up.

Images of Piles in Females

Medical Illustration and Reference

Let’s be real — most people search for piles images in female out of worry or curiosity. While it’s natural to want to “see what’s going on,” very few medical sites in India actually show real photos. And that’s okay. Instead, medical illustrations and diagrams are often used to show:

  • The location of internal hemorrhoids

  • How external piles appear around the anus

  • The difference between grades 1–4 visually

What Do Piles Look Like in Women?

External piles often look like small, round lumps or skin tags near the anus. They may be reddish or purplish if inflamed. Internal piles aren’t visible unless they prolapse outside.

If you're trying to self-diagnose based on photos, please don’t! Many conditions (like skin infections or fissures) look similar. Always consult a doctor, even if it's just an online one.

Why Real Photos Are Rare in Indian Resources

Two reasons: 1) patient privacy, and 2) social taboos. Still, some trusted Indian health portals and dermatology resources include sketches or 3D diagrams to help understand the condition without feeling awkward.

Treatment Options for Female Piles

How to Treat Piles in Females Naturally

Start with the basics:

  • Eat more fiber: Add fruits, vegetables, and whole grains

  • Stay hydrated: 3–4 litres water daily

  • Walk and stretch: Improve blood flow and reduce pressure

  • Don’t ignore the urge to poop (seriously — that’s a major cause)

Home Remedies Used in Indian Households

  • Sitz bath (hot water tub for the bum) — 15 minutes daily

  • Ice packs to reduce swelling

  • Aloe vera gel for soothing external piles

  • Triphala churna (ayurvedic mix for digestion)

Some of these remedies are age-old and work quite well — but they’re not miracle cures.

Over-the-Counter Medicines for Women

  • Anovate or Preparation H for soothing creams

  • Isabgol (psyllium husk) for easier stool passage

  • Daflon tablets to strengthen veins (ask a doctor first)

When to Consider Medical Procedures

If home remedies and medicines don’t work, don’t worry — there are safe options:

  • Rubber band ligation (ties off the piles so they shrink)

  • Infrared coagulation (burns off piles painlessly)

  • Surgical removal (last resort, but effective)

Surgery these days is often done as a day procedure. You might walk out the same day.

Prevention Tips for Women

Lifestyle Changes for Indian Diets

  • Replace white rice with brown

  • Add dahi (curd) and pickles for gut health

  • Avoid too much spice and fried food

Constipation Management in Female Patients

Hormonal fluctuations in women make constipation worse — especially before periods. So track your cycle and prep with fiber and fluids.

Postpartum Piles Prevention for New Mothers

  • Ask your gynecologist for stool softeners after delivery

  • Avoid straining during the first few weeks

  • Do gentle pelvic exercises

Female Hemorrhoids During Pregnancy

Why Pregnant Women Are at Higher Risk

As the uterus grows, it presses on the rectal veins. Plus, progesterone relaxes blood vessel walls, making them more likely to swell.

Safe Remedies During Pregnancy

  • Use mild stool softeners

  • Eat soaked raisins, bananas, and sabudana

  • Apply coconut oil externally (yes, it helps!)

Do Female Hemorrhoids Go Away After Delivery?

Often, yes. Mild piles disappear on their own within a few weeks post-delivery. But if they persist, seek treatment. Don’t wait for years.

Frequently Asked Questions (FAQs)

Q: How to treat piles in females?
A: Begin with fiber, hydration, and over-the-counter creams. If severe, see a doctor for medical procedures.

Q: Are piles common in females?
A: Very much so — especially in India, due to diet, sedentary life, and childbirth. But they’re totally treatable.

Q: Do female hemorrhoids go away?
A: Yes, especially if caught early. Some go away naturally. Others need medication or minor surgery.

Q: Can piles be cured permanently?
A: With proper diet, lifestyle changes, and in some cases procedures — yes, they can be gone for good.

Q: What foods to avoid?
A: Too much red chili, fried snacks, maida-based foods, and low-water diets make things worse.

Conclusion

Piles in females isn’t something to be ashamed of — it’s something to treat, manage, and talk about. Whether you’re 22 or 52, postpartum or perimenopausal, if you're dealing with piles, you’re not alone. And the best part? Relief is totally within reach.

Share this with your sister, mom, wife, or friend — you never know who’s been silently struggling.

 

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