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Piles, also known as hemorrhoids, are swollen and inflamed veins in the rectum and anus that can cause discomfort, pain, itching, and sometimes bleeding. They can be internal (inside the rectum) or external (under the skin around the anus). Common causes include straining during bowel movements, chronic constipation or diarrhea, a lack of fiber in the diet, obesity, and prolonged sitting or standing. Treatment often involves lifestyle changes such as consuming a high-fiber diet, staying hydrated, avoiding straining during bowel movements, and practicing good hygiene. Over-the-counter creams, ointments, or suppositories can help relieve symptoms like itching and pain. In severe cases, medical procedures like rubber band ligation, sclerotherapy, or surgery might be necessary. If you're experiencing symptoms of piles, it's recommended to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.