First of all if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, Western toilet increases constipation. Since Constipation is a bigger factor behind piles & Fissure. & always remember Piles are not cure just eating medicines, nor is it right to do modern surgery, Kshara Sutra Therapy is a unique ancient technique, which is proved to be an effective treatment of anorectal disorders. It is commonly recommended in patients suffering from Piles. According to World Health Organisation(WHO) , Kshar Sutra Therapy is better than any Modern Surgery for Piles.
Next Steps
consult me for the treatment. Sushruta Anorectal Clinic ND-45