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I have evaluated your query in details .
* Management of piles depends upon the clinical staging , but I can
give general guidelines herewith as
Drink plenty of liquids .
Prefer soft , light diet with more of green leafy veg , whole grains , cereals , pulses , legumes , organic fresh fruits .
Avoid all types of oily , spicy , non veg , hot beverages , junk foods , dairy fat .
Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of drinking lukewarm water helps by smooth bowel evacuations .
Tab.
Ibuprofen ( 400 ) mg after meals for control of pain , burning .
Tab .
benadryl for itching relief .
Xylocaine ( 5 % ) jelly application over the anal part gives soothing action .
Sitz bath ( sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools ) helps .
Avoid long drives , sitting prolong on hard surfaces .
Control of blood sugar ,
cholesterol , body weight .
Avoid
smoking , alcohol if consuming .
* Surgery may be required in some cases as well .
Hope this will help to clear your doubt .
Wishing you fine recovery .
Always welcome for any further assistance anytime .
Regards .