hi I'm only 17 and I know I have piles cause I've noticed a small lump beside my anus I don't know since when but it has been there for quite some time. My mom has it, my grandmother has it too so I guess it runs in the family, but it still concerns me as I've done some research on it and there's different grades of piles. Mine is the external kind but since its been there for quite some time, does it mean it's grade 4 piles which cannot be pushed back in?? I've asked my mom and she has grade 3 and I guess it's pushed back in, but I'm concerned about mine since it had been there for quite some time? I've tried pushing it back in but it still comes out. Oh and mine doesn't have the symptoms written on the internet such as bleeding or pain. Mine doesn't. It just exists there. Please help, it's causing me to worry a lot these days and kinda insecure and embarrassed about it too..