Not a nice subject i know but does anyone know why we get piles? I have had them twice in the past six months. The first time my doctor told me it was due to being constipated, i changed my diet and now constipation is not a problem with my ibs, but hence i have them again! Is this just a common complaint with ibs whether constipation is a feature or not?? I'm getting a little concerned now as i dont want to be having this every six months for the rest of my life.