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Piles and hemorrhoids are swollen and inflamed veins in the rectal and anal region, commonly resulting from increased venous pressure in the hemorrhoidal plexus. One of the most important causes is chronic constipation, where repeated straining during defecation leads to engorgement and protrusion of the veins. A low-fiber diet and inadequate fluid intake contribute significantly to hard stools and difficulty in passing feces, thereby increasing pressure on the rectal veins. Prolonged sitting, especially on the toilet, further aggravates venous congestion. Pregnancy is another common cause due to increased intra-abdominal pressure and hormonal changes that relax vascular walls, leading to venous dilation. Obesity also predisposes individuals to hemorrhoids by raising intra-abdominal pressure. Chronic diarrhea can irritate the anal canal and contribute to inflammation and swelling. Aging plays a role _____ ________ _____ ___ ______ ________ ______ __________ ____ _______ _____ _____.
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