Hello, I'm Dr.Subin. Piles is considered a disease of your gastrointestinal tract. Hence digestion has a major role in the management of piles. Eat diet rich in fibre. Drink plenty of boiled and cooled water. Avoid: Long journeys, curd, chicken, eggs, dried fish, fried items, red chillies etc. Have: Buttermilk, yam, small onion in plenty. Use mild laxatives like Triphala churnam 1 teaspoon with hot water at night for symptomatic relief of constipation. Consult a qualified Ayurveda doctor for medical management. Good luck.