You need to provide further info like other complaints, any tests done. Consult a Gastroenterologist/ surgeon for further management. For piles issue, she need to be examined , atleast a picture of it.
Next Steps
She may require evaluation with Endoscopy and ultrasound scan of Abdomen
Health Tips
Avoid spicy food, nonveg, deep fries, coffee, chocolates.
High fibre diet, drink more water.