Hello dear patient, piles become painful due to hard stools which compresses both nerves and blood vessel in Anal canal so bleeding and pain are common in external hemorrhoids, I advise you to take high Fibre diet like eating salad with food. Eat Papaya daily. Drink adequate amount of water and avoid spicy and fried foods. You can also take laxatives like lactifibre 3 teaspoon mixed with a glass of water during night time. It will help you with your problem. Tc