What Causes Piles? Piles, Also known as swollen veins in the rectal area, cause discomfort, irritation, and occasional bleeding. 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. Why Do People Get Piles? 1. https://www.behance.net/gallery/223473803/What-Causes-Piles