Do's and Don'ts When You Consult With Doctor For Piles. Piles, also known as hemorrhoids, are swollen and inflamed veins in your anus and rectum. They can be painful and itchy. Piles are one of the most common anal disorders, affecting up to 20% of adults in the India. There are two types of piles: internal and external. Internal piles are located inside the anal canal, while external piles are located under the skin around the anus. There are a number of things you can do to treat piles, depending on the severity of your symptoms. If you have mild symptoms, you may be able to