Piles are swollen veins located around the anus or lower in rectum. Piles are also called hemorrhoids. Hemorrhoids are normal part of the anatomy and are located at the junction where small arteries merge into veins. There are two kinds of hemorrhoids like internal and external hemorrhoids. Internal hemorrhoids are present within anus and external hemorrhoids are present outside of anus. If you have extreme itching around the anus, painful bowel movement, fecal leakage these sign are piles. There are many treatments like dietary Fiber and pain relief.