According to Dr. Raman Singla at Radiance Multispeciality hospital piles (hemorrhoids) are caused by increased pressure in the anal and rectal veins, primarily due to chronic constipation, straining during bowel movements, prolonged sitting (e.g., driving), obesity, a low-fiber diet, and heavy lifting.

Key Causes and Risk Factors:

Straining and Constipation: Forcing bowel movements or chronic constipation is a primary cause.

Sedentary Lifestyle: Sitting for long hours puts continuous pressure on the anal area.

Dietary Factors: A lack of fiber in the diet can lead to hard stools and increased pressure.

Obesity and Pregnancy: Excess body weight or pregnancy increases pressure on veins in the pelvic region.

Aging: Tissues supporting the veins in the anus can weak with age.

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