Grade one piles are generally diagnosed accidentally because most of the time they are asymptomatic, Itching at anal area is the sign. Females : During Pregnancy is common.less intake of water. Males : History of constipation. Treatment : iInitially with medication, if not resolved within 2 weeks better rectified by I.R.C.( InfraRed Coagulation ). Age Group : 15 years to 21 years.