Due to inflammation of the pile mass you feel itching..pain may be due to anal fissure..we have many medicines in ayurveda for the management of piles both symptomatically and also helping plie mass reduction..In severe cases surgical procedures like ksharasutra ,cauterization etc will be help ful..
Next Steps
Avoid constipation..Don't sit continuesely more than one hour in a place.Use donut pillow in the office..Avoid spicy and junk foods..Use butter milk daily..Add fruits and vegetables daily.If possible consult an ayurvedic doctor nearby.
Health Tips
Take Chirvilwadi kashayam 15 ml with 45 ml of water morning and evening before food..Brihath thriphala choornam 1tsp at bedtime ..