The ideal treatment for your problem is the surgery.
Till you get the surgery done,you must keep your stool soft by taking plenty of water,avoiding non vegetarian foods and alcohol,eating plenty of green leafy vegetables and fresh fruits,taking extra fiber in form of isabgol husk or softovac powder with I glass of water at bed time.
If pain is there at the time of defecation,you can use xylocaine
jelly before defecation.
Surgery of piles a very ordinary surgery and all general surgeons do it.
You can go to any good hospital in your city and get the surgery done without any problem.