Arsha (piles) is one of the commonest diseases of ano-rectal region which is included under the Asthamahagada (eight great diseases). The faulty dietary pattern and lifestyle, anatomical deformities and hereditary factors are the important etiological factors of this disease. Among these the increasing prevalence are mainly due to unwholesome lifestyle changes. Irrespective of age, sex, socio-economic status, the people may suffer from Arsha (piles). In the Ayurveda classics, along with hereditary the lifestyle related factors for the manifestation of Arsha (piles) are explained in detail. These factors can be well correlated with our present day faulty lifestyle pattern. The present article is intended to describe the classical view about the causative factors of disease Arsha (piles), correlating it with present lifestyle. For this the material were collected from the Brihatrayee (the great trio-Charaka Samita, Sushruta Samita and Asthanga Sangraha and Hridaya), PubMed, published article in the reputed journals and aut hentic internet sources. Understanding classical view on this aspect can help avoid the harmful dietary habits and lifestyle pattern. Such information will be also helpful in prevention and better management of disease Arsha (piles).