When piles develop within the rectum, it is considered internal.
But as time goes on, if appropriate attention is not given to this condition, it will keep progressing in its development and will protrude and become visible on the outside of the anus.
It can be a significantly a lot quicker to take care of internal piles compared to an external one.
Internal piles don't usually need so much time to heal as long as you adhere to the basic guidelines below:

• Never sit down for much more than 30 minutes at a time even if you work in an office environment.
  
• Cut down on processed foods or completely quit eating them, as eating them regularly will result in constipation, which is one of the most predominant causes of this condition.
  
• You should definitely try to have a bowel motion each and every morning if possible.
  
• Include at least 5 pieces of fresh fruits and vegetables in your daily diet to help avoid straining caused by hard stools.
  
• Enjoy at least 8 tall glasses of water every day and limit your caffeine intake.
  
• Try to exercise daily, even if it only means walking for 15 minutes at a time.
  It will make an enormous difference.
  

Using the previously mentioned suggestions should certainly handle internal piles, so your health will go back to normal, which means no itchiness, swelling or pain.
External piles however are somewhat more severe.
The discomfort can be extreme as well as the itchiness is going to be felt a lot more.
There's generally the protrusion felt around the buttocks area, which results in a lot of discomfort, especially during bowel movements or while you are sitting.
Suffering from this is a sign that the rectal muscles and the hemorrhoidal vein walls have lost quite a lot of flexibility, which is the reason why you have the protrusion developed in that area.
This in most cases results in pain, swelling and sometimes even the leakage of fluids or blood.
When this happens, many people are not sure about the right management approach.
External hemorrhoid treatment comes in several different forms, including:

• suppositories, - which is shaped as a small bullet and inserted into the anus to eliminate the discomforts
• creams and ointments, - which are generously applied onto the anus wipes, - for disinfecting and soothing the problematic area after bowel movements or different types
• invasive or minimally invasive surgery methods - to completely eliminate the swollen piles