Piles, or hemorrhoids, are caused by swollen rectal veins that can develop due to factors such as constipation, prolonged sitting, obesity, and dietary habits, with prevalence increasing in individuals aged 45 and older. Effective homeopathic treatments exist that can alleviate symptoms without surgery, focusing on lifestyle changes and addressing root causes. Major homeopathic remedies include sulphur, acid nitric, and collinsonia, which can help manage the condition and reduce the risk of recurrence.