Change your diet eating habits. Do not take red and green chilli. Do sutz bath daily. If the piles are effecting you then go for minor surgery otherwise no need.

Take triflachurnwith with lukewarm water at night.for constipation.eat fibrediet.

Hi As per your details you have already suffered from pile but treated in past. If you currently have problems from piles, than you should contact a doctor for local examinations if your pile in third or fourth degree than go for surgery. Now you take balanced diet rich of fibres Avoid straining Toilet timing should be less than 2 min Thanks

Your problems needs proper treatment and management so you may consult with me through this channel and solve your problem.

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine

Syp. Abhayarista TDS Tab. Pilex TDS

Please get it checked if it need surgery or will be managed on Medicine

Piles can be a recurring issue if you don't care abt your diet and lifestyle habits..like..you need to avoid spicy food etc..

Good to consult at authentic Ayurvedic dr

Recurrent piles usually mean some triggers (mainly constipation, straining, sitting long, or poor diet) are still present or the previous piles were not completely resolved; this is manageable, but needs both medical review and strict lifestyle care.

Its a recurring issue because you've still not changed your lifestyle,food items,pathya apathya,ahar vihar and manasa. So please start eating light meals,laxative in nature and more fluids with essential minerals and vitamins. Get supplements such as multivitamins,omega 3,prebiotics,and you can even take triphala guggulu tab-0-0-1(before bed time) for 11 days.

Hello sir, May be it returned due to some factors . You should follow strict daily routine advised by the ayurvedic physician . For treatment you can consult me , I have to ask you some questions related to the symptoms you are facing now . For time being you can involve sitz bath( sitting in hot water tub for 10-15 minutes) daily 2-3 times a day, plus you should avoid eating heavy spicy food or avoid eating dinner after 6:30-7:00. Drink at least 11-12 glass of water daily. And most important - add more and more fibre in your diet . Try to eat salad and fruits more for fibre so that your gut clears easily ,

Consult personally for better treatment

Piles problem have reoccurrence along with medicine need of  lifestyle and diet change are included in daily life.so you take better treatment plans and lifestyle changes in prescription

Check with your metabolism How is your appetiate? Are you able to digest whatever you eat? If not even this leads to Constipation and then piles.. So i suggest you to consult me for exact advices