This may be the reason that either it has not been completely cured. Kshar Sutra has not been done properly or with Piles you may have also Anal Fissure. No doubt Kshar Sutra is the Number one Treatment for AnoRectal diseases. According to World Health Organisation(WHO) , Kshar Sutra Therapy is better than any Modern Surgery for Piles. Always Remember Piles are not cure just eating medicines, nor is it right to do modern surgery,
Next Steps
Go to Good Experienced Ayurveda Doctor or consult me
Health Tips
Eat Fiber Food, Avoid Constipation