# bright red blood after you poo.
#an itchy anus.
#feeling like you still need to poo after going
to the toilet.
#mucus in your underwear or on toilet paper
after wiping your bottom.
#lumps around your anus.
#pain around your anus.

Piles symptoms can vary depending on the size, position and grade of the piles.

Grade 1 are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the opening of the back passage (anus). Grade 1 piles are common. In some people they enlarge further to grade 2 or more.
Grade 2 are larger. They may be partly pushed out from the anus when you go to the toilet, but quickly go back inside again when you stop straining.
Grade 3 hang out from the anus (prolapse) when you go to the toilet. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger.
Grade 4 permanently hang down from within the anus (prolapse), and you cannot push them back inside. They sometimes become quite large.