Piles problem. Me i wanna be okay

Hi, I'm 20 years old female I'm facing piles problem from last 6 months it's like a constant pain in ass I take himalaya pilex tablet and using anovate cream but I never feel complete relief how can I get rid of it completely, I'm even doing regular stretches and exercises and when I'm on periods it increases like my digestion doesn't work properly on periods. I don't know how to get rid of piles completely. I'm so tired I don't know what to do 😭😭😭😭 I feel inside pain nothing on outside. Please help me I'm trying so hard kindly suggest me something that may help. And if you suggest any tablet kindly suggest that are available over the counter because whenever I get tablet suggestion those tablets aren't available on counter so it gets hard to find those medicines. Please help me I wanna be okay 🥺😭