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Treatment of piles:

• high-fiber dietary intake
• drinking fluids
• rest, and avoiding heavy lefting
• you can apply some topical ointments or tablets to lessen the symptomes like the drug you suggested (himalaya tablets, 2 tablets per day) or (himalaya ointment)
• other drugs can be used depending on the pile grade
• surgical intervention is considered when the problem is recurrent and cause recurrent bleeding or pain

Diagnosis of piles:

• history and clinical examination
• rectoscopy and clonoscopy
• abdominal and pelvis ultrasound
• complete blood count

Causes of piles:

• chronic cinstipation
• chronic diarrhea
• heavy weight lefting
• pregnancy
• masses in the rectum and anal area
• liver diseases