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Piles (haemorrhoids) are common swellings that develop inside and around the back passage (anal canal.
There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual. The swollen veins and the overlying tissue may then form into one or more swellings (piles).
Piles can be divided into either internal or external piles. Some people develop internal and external piles at the same time.
Internal piles are deeper and initially form above a point 2-3 cm inside the back passage (anal canal) in the upper part of the anal canal or lower rectum (the last part of the large bowel that connects to the anal canal).
External piles start off nearer the surface, below a point 2-3 cm inside the back passage.
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