Why Do Hemorrhoids Happen? Piles, also referred to as swollen veins in the anal area, can be painful, itchy, and sometimes bleed. What exactly causes piles? According to Dr. Sunny Agarwal, a top piles specialist in Chembur, understanding the root triggers of piles is essential for effective relief and management. https://www.zupyak.com/p/4541547/t/what-causes-piles-understanding-the-reasons-behind-hemorrhoids