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There are certain measures which can reduce the symptoms and prevent recurrence of piles, but if Surgery has been advised after examination, then it should be done.
Symptoms can be reduced by relieving constipation
, for that it is important to
1) Take oral laxatives and stool softeners,
2) Take Fibre foods like Whole wheat bread, biscuits, fruits and nuts. Date is natural laxative. He can also use Ispaghula Husk.
3) Drink plenty of liquids.
4) Dont strain.
5) Keep the anal area clean to avoid infection.
6)Apply Ice-packs on the anal area for upto 10mins 4 times a day.
7)Use Sitz bath with warm water, you can get it at a medical stores.
I hope this answer help your brother.