When pressure is exerted on the blood vessels (haemorrhoids) situated on the muscles in your anal wall and rectum they get swollen. This condition is called piles or haemorrhoids. It’s a painful condition that unfortunately affects many in their lifetime especially those in their late 40s- 60s. The causes of piles include constipation obesity chronic cough pregnancy ascites (fluid accumulation in the abdominal cavity) and diarrhoea among other causes. Usually OTC medication and changes in diet and lifestyle are recommended by doctors. There are certain powerful Ayurvedic remedies for piles that you can try. They have no side effects. Ashoka: