What Causes Piles? Hemorrhoids, Also known as swollen veins in the rectal area, can be painful, itchy, and sometimes bleed. What exactly causes piles? Dr. Sunny Agarwal, a top piles specialist in Chembur, understanding the causes of piles is essential for effective relief and management. Primary Reasons Behind Piles 1. https://medium.com/@seo.sunnyagrawal/what-causes-piles-understanding-the-reasons-behind-hemorrhoids-3c05a26ac775