Internal hemorrhoids form inside your body, within the rectum. Because they are concealed in the rectum, they can be harder to diagnose. Some internal hemorrhoids can prolapse, meaning they extend outside of the anal opening. Although internal hemorrhoids can cause bleeding, they typically don’t cause pain. This is because they are located in an area that doesn’t have nerve endings. However, if an internal hemorrhoid prolapses, it can be extremely painful. Dr Sarita Atul Patil is a renowned proctologist for female patients complaining of Piles of fissures and fistula in Pune & PCMC area. For Ayurvedic treatment for piles fissures in Pune do visit http://www.ladypilesdoctorpune.com/ for more information.