Hi
Welcome to procto
As you told you have both internal and external piles,,...
First of all please describe your problum in details....Then we suggest you better....
For hemorrhoids you take these things regularly as..
Avoid straining
Reduced toilet timing max 3 min
Take more fibre diet and water
Avoid spicy and fast fooding
Arshoghani vati 2 bd
Triphala guggulu 2 bd
Oint pilex locally before and after defecation
Syp abhayarista 40 ml bd with water
Sitz bath with Luke warm water two times in a day
Thanks
Next Steps
consult privately for better result with details description...