Understanding Piles: Causes And Triggers Piles, also known as swollen veins in the anal area, can be painful, itchy, and sometimes bleed. Let’s explore what triggers this painful issue. Dr. Sunny Agarwal, a top piles specialist in Chembur, understanding the causes of piles is essential for effective relief and management. https://seosunnyagrawal.wordpress.com/2025/04/11/what-causes-piles-understanding-the-reasons-behind-hemorrhoids/