Understanding Piles: Causes And Triggers Piles, also referred to as swollen veins in the anal area, cause discomfort, irritation, and occasional bleeding. What exactly causes piles? As explained by Dr. Sunny Agarwal, a top piles specialist in Chembur, understanding the causes of piles is essential for effective relief and management. https://medium.com/@seo.sunnyagrawal/what-causes-piles-understanding-the-reasons-behind-hemorrhoids-3c05a26ac775