Piles, likewise understood as stacks, are protrusions of varicose veins and connective tissue around the canal extending to inside the rectum. Symptoms are itching, discomfort, bleeding, and swelling. The primary cause is genes (an absence of valves within the hemorrhoidal veins), followed by irregular bowel habits (irregularity or diarrhea), and any activity that triggers increased intra-abdominal pressure (extended straining, raising, and so on).Hemorrhoids are categorized as external or internal, and can be staged or graded 1 to 4. Category of Piles page and or watch the Hemorrhoid Surgery Video to see and hear the differences in the Goligher hemorrhoid classification system, and to find out the essentials of Pile surgical treatment.