Piles, or hemorrhoids, are common during pregnancy due to increased pressure on rectal veins from the growing uterus and hormonal changes that relax vein walls. Symptoms include itching, pain, and bleeding during bowel movements. Constipation, often associated with pregnancy, exacerbates the problem. Management focuses on relieving discomfort and preventing worsening. This includes a high-fiber diet, ample hydration, and gentle exercise. Topical creams and sitz baths can soothe irritation. While typically resolving post-delivery, severe cases may require medical intervention. Consulting a doctor is crucial for safe and effective treatment during pregnancy.