Living with piles or haemorrhoids can significantly impact your day-to-day life. Every day routine activities like going to the toilet travelling to work and surviving an entire day in office can seem like a challenge because of the constant pain discomfort and not to mention anal itching. Only a person who has lived with piles or haemorrhoids will understand the struggle of dealing with what gastroenterologists call a fairly common disease. These are the causes of piles you should know about. I was first diagnosed with haemorrhoids and anal fissures at the age of 20 and over the last four