The problem of haemorrhoids (piles) is made worse when you have hard stools.
Next Steps
Drink plenty of water atleast 4-5 litres daily. Take high fibre diet like fresh leaffy vegetables , cucumber, water guard,etc. Take tablet Augmentin 375 twice daily, tablet Zerodol-P twice daily for 1 week. Continue to apply pilex ointment.
If no relief consult a surgeon.