You may make slight changes in daily routine ,food and take medicines. The following can be very effective in piles
1. At the very first discontinue or very much reduce spices and chillies in your food. Avoid garam masala and dishes with spices, chllies, pepper and fried items. This may be strictly followed for first few days at least to have immediate effect of reduction in burning , pain and constipation. Use butter milk more.
2. Start taking lunch with a handful of cooked rice added with ghee(homemade ghee preferable). You may even swallow a teaspoon of pure ghee at star and the take food.
3. In acute cases, fry small onions(finely cut a tablespoon ful) in two table spoon ghee and mix the same with rice and take at start of taking food. You may take it whenever convenient(breakfast, lunch or dinner)
4.At night in a glass take two or three spoonfuls of finely chopped small onion(shallot), add two spoonful of candy suagar)kadi shakkar). Keep it overnight. Drink the oozed liquid early next morning and eat the onions. You may also use same onions for frying in ghee.
5.From a popular Ayurvedic medicine shop buy 'Abhayarisht" and ' Sooranaadi Lehyam". Take one ounce of Abhayarisht and one spoon of Sooranaadi lehayam after breakfast and after dinner till fully relieved of problems. In place of Sooranaadi Lehyam "Kankayana lehyam ' also may be used.
6. If you are a person prone to sit at a place for long time either in office or travel, keep small breaks and take walk or stand to reduce pressure on your posture.
For mild cases points 1 5 and 6 are sufficient.
(Note: What is suggested here is for a normal person who does not suffer from any other health issues. Those who have other health issues must consult doctor who is treating them. The Arisht and Leh contain sugar or jiggery and hence those with diabetes should take only after consulting their doctor.)