Hi and thanks for the query
Piles are nothing but prominent dilated rectal and perianal veins. These usually occur secondary to straining or loss of perianal fat pad.
This can be a primary disorder where it is secondary to straining or secondary to another disorder like a rectal growth. Considering your age, you are likely to have a primary disorder. Hypothyroidism and faulty toilet habits are more common cause of piles at your age.
Whenever there are hard stools or excessive straining these vessels rupture and bleed. Hence avoid having hard stools by taking a high fiber diet and avoiding straining. If deemed necessary get yourself tested for hypothyroidism and develop a good toilet hygeine.
Hope this answers your queries
Regards
Dr XXXXXXX

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Hi and thanks for the follow up
In many of your cases there may not be a full blown hypothyroidism and only subtle symptoms. Other common symptoms of hypothyroidism are constipation, fatigue, loss of appetite, disturbed sleep and weight gain.
Low vegetable intake leads to a low fiber intake and can cause constipation and may lead to piles development. Hence improve the vegetable and fiber intake.
Regards
Dr XXXXXXX

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