What Causes Piles? Piles, also referred to as swollen veins in the anus area, can be painful, itchy, and sometimes bleed. What exactly causes piles? According to Dr. Sunny Agarwal, one of the best piles surgeons in Chembur, understanding the causes of piles is essential for lasting recovery and control. https://share.evernote.com/note/d61b3ac0-86d0-2fd3-a009-6f1403b73fb4