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What Causes Piles? Common Causes, Symptoms, Risk Factors & Prevention

What Causes Piles? Common Causes, Symptoms, Risk Factors & Prevention

Dr. Deepali Koli

Dr. Deepali Koli

Sep 23, 2026

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Piles, also called haemorrhoids, usually develop when increased pressure affects the veins and supporting tissues around the anus and lower rectum. Constipation, straining during bowel movements, prolonged sitting, low-fibre diets, pregnancy, excess weight and repeated physical strain can increase the risk.

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Frequently asked questions

Do not assume that all rectal bleeding is caused by piles. Persistent, heavy or recurrent bleeding should be evaluated by a healthcare professional.

Focus on fibre-rich foods, adequate hydration, regular physical activity, shorter toilet visits, and avoiding excessive straining.

Recurring piles may be linked to ongoing constipation, straining, low fibre intake, prolonged sitting, or other unresolved bowel and lifestyle factors.

Mild haemorrhoids can sometimes improve with better bowel habits and lifestyle changes. Persistent or severe symptoms require medical assessment.

Pregnancy can increase the risk of haemorrhoids because of increased pelvic pressure, hormonal changes and constipation.

Prolonged sitting may contribute to haemorrhoid risk, particularly when combined with inactivity, constipation or poor bowel habits.

Yes. Constipation can make stools harder to pass and encourage repeated straining, increasing pressure around the anal veins.

What causes piles most commonly involves increased pressure around the anal and lower rectal veins. Constipation, straining, low fibre intake, prolonged sitting, pregnancy and physical strain can contribute.

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