The likelihood of suffering from piles increases with age. One of the most common causes of piles is constipation which generally increases as people grow older. Piles occur due to chronic constipation chronic diarrhoea from regularly lifting heavy weights during pregnancy or while straining to expel stool. Piles may also be inherited. Usually a doctor can diagnose if someone is suffering from piles after an examination. Symptoms of piles A person may feel that their bowels are still full. They may see bright red blood in their stool. The area around the anus may be itchy red or sore. They