Hello , please go the reply  here as Dr.A.K.Mandal on 7th August as homoeopath ,from where my  name has been deleted  due to change of Photo. However along with earlier reply I want to mention here that I  should not discuss so many causes for medical hazards  but  I should suggest you that you should go through a proper homoeopathic characterized case recording system which will help for treatment and find out the basic causes. You may contact for ONLINE treatment through Practo location dumdum Kolkata.

I should not make any suggestion without taking proper case taking along with investigation which is required for homoeopathic characterized treatment for each individual patients as they are not alike. So you may contact through email abanm@rediffmail to get my no

A venous congestion at rectum is associated with sphinteric weakness and dryness of lower end of stool. Exercise your pelvic muscles and homeopathic remedies will cure it but creams will give immediate but temporary relief.

Your condition will be definitely cured.you.first u should avoid constipation ,by rectifying your diet,having lots of water,fruits,fiber rich diet otherwise treatment will fail.your constipation treatment will also go side by side.

External cream can give temporary relief, if you want permanent treatment then you can go for Homeopathy, you can also consult us online we will send medicine at your given address, you can also search in google Piles Expert Treatment. Feel free if you have any query

There are best Homoeopathic medicine to treat Piles and Fissures of ano. In Modern medicine there are recurrence even after surgery, For frequent problem of Piles or Haemorrhoids you need to Homoeopathic Medicine. Homoeopathic doctor ask questions about nature as well as tendency to understand constitution of patients, with the help of each and every question Homoeopath decide medicines. So better to start treatment early. You can contact me or any nearby best homeopath, and have patience to complete recovery of this Piles problem. There are many indicated medicines but some of them are Aesculus H, Nit.Acid, Nux vom. Sulph, etc.. you can take after consulting your Homoeopath.