Symptoms of Piles The symptoms of piles can vary depending on the type and severity of the condition. Common symptoms include: Pain or Discomfort: External piles can cause pain and discomfort, especially during bowel movements or sitting. Bleeding: Bright red blood in the stool or on toilet paper after wiping can indicate bleeding piles. Itching: Piles can cause itching and irritation around the anus. Swelling: External piles might appear as swollen lumps around the anal area. Mucus Discharge: Some individuals might experience mucus discharge from the anus. Feeling of Incomplete Bowel Movement: People with piles might still need to empty their bowels.