The conventional presentation of a person with Pile is bleeding, usually during bowel movement. The bleeding connected with Pile smears the stool or the tissue paper, while the feces are negative for blood smudges. Many cases for Piles are painless, unless there is consequent thrombosis. Moreover, even though patients may complain of blistering or prickling, the reality is that Piles do not prickle or blister. It is the anal lining which is the spot of pruritis, and is commonly the cause of bad hygiene in the region. Clinical treatment for Piles is generally based on the gravity of symptoms and level of the condition. In asymptomatic Piles, traditional treatments are commonly carried out. Bulge-forming causes, the prevention of constipation, or a traditional Sitz bath can usually eliminate the problem, or decrease the symptoms. Thus, minor degree, as asymptomatic Piles are cured in these methods. In symptomatic Piles, most doctors use infra red coalescence, or a rubber band ligation is performed. A more conventional surgical therapy, called sclerotheraphy, is not performed today.