Brief Answer:
Please give a detailed history.

Detailed Answer:
Hi.
Thanks for your query, albeit short and missing many points:

Please give some additional details for me to assist you better:

-Your age and gender.
-Since when have you got the symptoms?
-What are the symptoms? Any pain, bleeding? Swelling?
-Have you got yourself checked up for this problem? If yes, was there any ano-proctoscopy done?

Please give all these details so that I can assist you further.
Awaiting..

Regards

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Brief Answer:
Get examination and investigations for proper diagnosis

Detailed Answer:
Thanks for your feedback.
For any treatment a proper diagnosis is a must.
For this you have to go for the following:
Tests of blood: CBC to know the hemoglobin as you are bleeding and to get corrected if there is anemia.
Tests of stool and urine.
Consult a General Surgeon for examination in general, systemic, particularly of abdomen, per-rectal digital and ano-proctoscopy to know the exact diagnosis and the grade of piles or whether any other problem like rectal prolapse or polyp is present.
The proper and complete diagnosis alone can lead to the proper management.
If you have prolapsed piles you will need surgery as no medicines help in large piles.

I hope, this answers clears your doubts and helps you with the proper management.
Most of the medicines are prescription medines means needs a proper prescription on Doctor's letterhead which your Doctor will give you.
Please get the examination done and give me the feedback.

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