Thanks for posting your query.
Are you sure that you are suffering from piles or something else? In this area a patient may have anal fissure
and treatment of anal fissure and abscess is different from hemorrhoids.
Do you have any fever
There are multiple medicines are available for piles but clinically few patients are treated by these oral medications.
You should also consult with surgeon for faster recovery if any surgery improves your problem.
Although treatment of 14 days with medicines are required for there effect. You should also go for hot sitz bath.
Dr. Mayank Bhargava