Piles may vary in severity, ranging from mild symptoms to more intense discomfort. The primary symptoms of piles include:

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1. Pain and Discomfort: One of the most common symptoms of piles is pain, especially when sitting or during bowel movements. The pain can be severe in the case of external piles, and it may also worsen if a clot forms within the swollen vein, causing a thrombosed hemorrhoid.

2. Rectal Bleeding: Bleeding during bowel movements is another hallmark symptom of piles. The blood is usually bright red and may be seen on the toilet paper, in the stool, or in the toilet bowl. This bleeding is typically associated with internal hemorrhoids.

3. Itching or Irritation: Internal and external piles can cause intense itching or irritation around the anal region. This is often due to the increased moisture from mucus or discharge, which can lead to inflammation of the surrounding skin.

4. Swelling: External hemorrhoids, in particular, can lead to swelling or the formation of a lump around the anus. This can be both painful and sensitive to touch.

5. Mucus Discharge: Internal hemorrhoids can cause mucus discharge, which may irritate the skin around the anus. This discharge is typically a result of the body’s attempt to lubricate the affected area.

6. Feeling of Incomplete Evacuation: Some individuals with internal hemorrhoids may feel like they haven’t fully emptied their bowels, leading to a sense of fullness or pressure in the rectal area.