Piles are classified into four grades depending on how much they bulge or prolapse from the anus. Understanding these stages helps you know when to seek treatment and what options are suitable.

• Grade 1 Piles: Grade 1 is the earliest stage of piles. The veins inside the rectum become swollen, but they do not come out of the anus. Many people do not notice this stage because the symptoms are mild. You may experience minor bleeding during passing stools, slight itching, or a feeling of discomfort. At this stage, simple measures like eating a fibre-rich diet, drinking more water, avoiding straining, and using stool softeners can give good relief. Medicines prescribed by a specialist also help reduce swelling. Early consultation with an experienced doctor ensures that the condition does not progress to higher grades.
• Grade 2 Piles: In Grade 2, the piles begin to prolapse. They may come out while passing stool but return inside on their own soon after. Symptoms usually include bleeding, mild pain, swelling, and irritation around the anus. Treatment for Grade 2 piles starts with diet correction, fibre supplements, drinking more fluids, and medicines. If symptoms continue, non-surgical options such as rubber band ligation can be used. This procedure is simple, quick, and helps stop the blood supply to the swollen vein, allowing it to shrink. Timely treatment prevents the piles from moving to the next stage.
• Grade 3 Piles: Grade 3 piles are more serious. In this stage, the piles come out of the anus during bowel movements and do not go back inside on their own. The patient needs to push them back manually. This can cause significant discomfort. Symptoms include more intense pain, visible swelling, mucous discharge, itching, and bleeding. Treatment usually requires advanced methods. Minimally invasive procedures like laser piles treatment in Thrissur are commonly recommended because they cause less pain and ensure faster recovery. Surgical correction may also be needed in some cases. At this stage, consulting the Best Piles Specialist in Thrissur is important because proper evaluation and expert care make a big difference in long-term relief.
• Grade 4 Piles: Grade 4 is the most advanced and painful stage of piles. The swollen veins remain outside the anus all the time and cannot be pushed back inside. Patients may experience continuous bleeding, severe pain, thrombosis (clot formation), and great difficulty while sitting or walking.

Because the condition is severe, conservative treatments are usually not effective. Grade 4 piles require Piles Surgery in Thrissur for complete relief. Modern surgical and laser techniques offer quick healing, minimal discomfort, and a smoother recovery compared to traditional methods. Early medical attention ensures fewer complications and better outcomes.