Piles are very embarrassing conditions for a patient. It can present in 3 basic forms
1. Pain-- This is due to fissure or a cut in the lining of anal canal. It can also be due to prolapsing of piles from anal canal.
2. Bleeding-- This is due to bleeding from enlarged piles or due to fissure.
3. Prolapse-- This presents as something like small grape like structure coming out from anal canal.It can also be due to purely skin swelling in which it is called sentinel pile which is a indicator of previous fissure.