If you know that you are suffering from piles ,most important treatment is to avoid smoking ,spicy and oily food , because it aggrevates the symptoms. And start eating high fiber diet like grren leafy vegetables and more of fruits. Start using lactifiber powder 3 tsf in a glass of water after dinner . Dont strain during defecation . Use sitz bath twice a day ,like take a big bowel of loop warm water mix salt or betadine into that and sit inside for half hour twice a day. Anobliss ointment local application twice a day. With all these measures your symptoms will come diwn . If still persisting symptoms then go and meet your primary doctor . hope this information helps you thank you