Hello , please go the reply  here as Dr.A.K.Mandal on 6th August as homoeopath ,from where my  name has been deleted  due to change of Photo. However along with earlier reply I want to mention here that I  should not discuss so many causes for medical hazards  but  I should suggest you that you should go through a proper homoeopathic characterized case recording system which will help for treatment and find out the basic causes. You may contact for ONLINE treatment through Practo location dumdum Kolkata.

If your problems have not yet been solved you may contact Dr a k mandal through Practo location dumdum Kolkata for your characterized treatment

Ya, women do suffer from piles and fistula in ano diseases. chronic constipation, Or you taking low fibre diet for longer duration, or if u r pregnant Or if you are obese are the some the causes of piles. Symptoms depends on the location whether internal or external. Symptoms like painless bleeding during stool, Itching, burning pain or some discomfort, swelling around anus. Homeopathy provides better care for the treatment, again its based on the stages of piles which determines the cure(Stage1&2) or palliative /Symptomatic relief(Stage3&4). If you are intreseted in homeoathy, get an appointment, plz.