A Colonoscopy may be required

Some lifestyle changes to manage piles. Diet: Piles can occur due to straining during bowel movements. Excessive straining is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or primarily eating bran-based breakfast cereals. Also you can increase their water consumption. It is best to avoid caffeine. Body weight: Losing weight may help reduce the incidence and severity of piles. To prevent piles, exercise and avoid straining to pass stools. Exercising is one of the main therapies for piles. Medications Medications include painkillers, ointments, creams, and pads, and can help soothe redness and swelling around the anus. OTC remedies do not cure piles but can help the symptoms. Do not use them for more than 7 days in a row, as they can cause further irritation of the area and thinning of the skin. Do not use two or more medications at the same time unless advised to by a medical professional.