More commonly known as piles – is a very painful condition wherein the internal and external veins of the anal region become varicose. The veins can be seen protruding from the anal area. If bleeding occurs, then they are called as bleeding piles. Both bleeding and non-bleeding piles are painful. In Ayurveda, hemorrhoids are called as Arsha Shoola, which literally means ‘pain from pricking like needles’. This is indeed how the pain from the hemorrhoids is felt. It is caused due to vitiation of any of the three doshas. It is classified as a digestive disorder; accumulation of waste materials in the rectal area can give rise to piles. The chances of piles are increased by other factors such as sitting on hard seats, chronic constipation and pregnancy.