You are only 21 years old. You should go for a permanent cure like branding of the piles. I don't know whether the diagnosis of piles was made by a Qualified General Surgeon or some other Doctors.

Consult with an General Surgeon Don't delay

Grade three Haemorrhoids can managed by surgery. Not a big deal these days.  For conservative management, feel free to consult on practo

Tab zerodol sp three times a day after food for five days.  Tab Oz two times a day after food for five days. Defcort 500 two times a day after food for 15 days. Oxyurate ointment locally by index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for  3 weeks for complete healing. LISTEN  TILL U DON'T CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST  NO THERAPY  WILL GIVES YOU  PROPER RESULTS. LAST BUT NOT LEAST PLEASE  CONSULT A GENERAL SURGEON  FOR LINE OF TREATMENT  FURTHER IF REQUIRED.   NO IDEA ABOUT AYURVEDA TREATMENT. PLENTY OF WATER N LIQUID,  HIGH FIBERDIET, INCLUDING  OATS WHICH HELP U TO  FRESSH EASILY. USE OF ISABGOL HUSK  OR SOFTOVAC  TWO TEA SPOON FULL THREE TIMES WITH  A GLASS OF WATER SOOTHS INTESTINAL  MUCOSA N HELP THE STOOL TO PASS EAS NON HABIT FORMING A PLANT PRODUCTS  NO SIDE EFFECTS  FOR 20 DAYS  OR MORE.

Combination of 3rd degree piles and anal fissure is unlikely to be cured by medicines alone , which are reasonable for 1 st degree piles.Consult a surgeon in your area for a clinical examination and appropriate management.

Need few more details Kindly connect.

Visit nearest surgeon Apply anosum ointment till then

Need few more details Kindly consult

Need few more details for further evaluation. Kindly consult for further management

Adv surgery opinion

Syp softolax 10 ml during night. Drink plenty of water.

Pls connect

Can help you, kindly consult and provide detailed history for proper diagnosis and further management