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Best Doctor for piles treatment without surgery in Bhadohi Call now : 8860455545  Piles or hemorrhoids are swellings that occur inside and round the anus and therefore the anal canal. The anal canal is that the last a part of the massive intestine. There are many small veins or blood vessels within the liner of the anal canal. These veins sometimes become wider and swollen with more blood than usual. The puffed-up veins and therefore the overlying tissue might develop one or more small swellings called piles. Different types of piles 1. Internal piles - These form above some extent 2-3 cm inside the anus within the upper a part of the anal canal. they're usually painless because the upper anal canal has no pain nerve fibers. 2. External piles - External piles form below some extent within the lower a part of the anal canal. These are painful because the lower a part of the anal canal has pain nerve fibers. Causes of piles • Constipation • Pregnancy • Ageing • ...