Hello.. Well first thing is you need to bring about dietary modifications like eating more of green leafy vegetables,fibre like oats...you need to drink lot of water....avoid spicy food and oily food...do not strain while passing stools...try to drink warm glass if water empty stomach in the morning...you can also do sitz bath...that is out some warn me water in a tub and you sit on that... conuslt a surgeon...thank you

Hello. You take nitric acid 30 - TDS, sulphur 30 - in morning.

Inspection on straining piles may come-out,or if of 3rd degree remain prolapsed. Palpation cannot be felt unless thrombosed.Proctoscopy to Visulise.S - entinel pile is overlying skin tag over a - fissure.

She can continue taking Pilex. In addition she can take Dobesil cap twice a day for 20days and Zinase D tab twice a day for 5days . Have lots of fluids and fibre and avoid prolonged standing ,sitting and lifting heavy things