** 1. The mechanical strangulation [pressure effect] made by kshara of the blood vessels and tissues causes the necrosis of pile mass, which is seen during defecation. [which might be the presentation in your case], so check again with the ksharsutra doctor to confirm your doubts and examination. 2. since kshara acts by invading into the cells of the lesion till the engorged tissue of the mass destruction occurs or up to the removal of the pile masses there may be oozing of blood. 3. do not strain while passing stool, high fibre diet and water intake are two major things to follow. 4. piles is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism. 5. Things which you can add to your food diet is/are: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and to avoid are: tea,coffee,garlic, onion,fish, hot spices, sitting for long hours. . oatmeal is good for breakfast.