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Piles" is another term for hemorrhoids, which are swollen veins in the lower part of the rectum and anus. They can cause discomfort, itching, and sometimes bleeding during bowel movements. Hemorrhoids can be either internal (inside the rectum) or external (under the skin around the anus). They are often caused by factors such as straining during bowel movements, prolonged sitting, pregnancy, and chronic constipation or diarrhea.