Ikram Hakim Health Care

Hemorrhoids also called piles, are swollen veins in your a**s and lower re**um, similar to varicose veins. Hemorrhoids can develop inside the re**um (internal hemorrhoids) or under the skin around the a**s (external hemorrhoids).

External hemorrhoids are when one or more tender bumps form beneath the skin surrounding your a**s. These are dilated blood vessels that have become so enlarged that they protrude. Blood may clot, or thrombose, inside the protruding blood vessel. This can form a hard lump and cause considerable pain in some cases.