I have been having piles for almost the last 10 years. Whenever I have constipation, I get them and they go on their own within two days. I never had severe pain or complications with them. But this time I am having these swollen piles for the last one week after I have consumed some heavy non veg food. I am currently using prescribed medicine, calcium dobelisate twice a day, lyser d twice a day, duphalac one time in night and anobliss application twice a day. But I did not find any use of it till now. I'm having severe pain after bowel movement. I could not apply anobliss inside the anus due to these swollen piles. Please suggest whether these medicines are ok or need to change. I have attached the picture of my condition, they are quite swollen but they are slowly going inside after bowel movement. I don't want to go for surgery, I wanted to manage with my diet. Sorry for the image. Please suggest the solution for this. Do you think surgery is the only option ?