Pile is a common term used by patients. Often patients attribute any discomfort in the anal region to "piles." Haemorrhoids are the medical term for piles, and they refer to a cluster of blood vessels present in all of us in the anal region. They cause discomfort when they enlarge, bleed, protrude (prolapse), or itch. The majority of haemorrhoids do not need surgery. They need a high-fibre diet. Prior to attributing bleeding to hemorrhoids it is important to ensure that a colonoscopy is done to rule out a tumour or malignancy.