Yes, you can often feel external piles (hemorrhoids) with your finger, while internal hemorrhoids are usually not felt unless they prolapse.
Here's a more detailed breakdown:
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External Hemorrhoids: These develop under the skin around the anus. Due to their location, they are often easily felt as bumps or lumps. You may also experience itching, pain, or bleeding.
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Internal Hemorrhoids: These form inside the rectum or anus lining. You typically can't feel them unless they become enlarged and prolapse (extend) outside the anus. If they prolapse, they can then be felt as a lump.
Important Considerations:
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Self-Diagnosis: While you might be able to feel a lump, it's always best to see a doctor for a proper diagnosis. Other conditions can mimic hemorrhoids.
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When to See a Doctor: Consult a healthcare professional if you experience:
- Rectal bleeding
- Persistent anal pain
- Lumps or swelling around the anus
- Fecal incontinence
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Examination: A doctor can perform a physical exam, including a digital rectal exam (using a gloved, lubricated finger) and possibly other tests like a sigmoidoscopy or colonoscopy, to properly diagnose the condition.
In summary, external hemorrhoids are typically felt with a finger, while internal hemorrhoids are usually only felt if they prolapse. Professional medical evaluation is crucial for accurate diagnosis and treatment.