Piles Piles or haemorrhoids is one of the most common ailments today. It is a varicose and often inflamed condition of the veins, inside or just outside the rectum. In external piles, there is a lot of pain but not much bleeding. In the case of internal piles, there is discharge of dark blood. In some cases the veins burst and this results in what is known as bleeding piles. Piles Symptoms: Pain or irritation while passing stools, bleeding Feeling of soreness and irritation after passing stool are the usual symptoms of piles. The patient cannot sit comfortably due to itching , discomfort, and pain in the rectal region.Best piles hernia surgeon in Pune.