** 1. If there is relief with said medicine, you may continue the same, but make sure to have regular follow up with surgeon for evaluation and under his guidance. 2. You can incorporate following methods to alleviate the symptoms: . hot hip bath: sit in a tub of warm water for 10 minutes [2 times a day] . do not strain while passing stool,and use warm water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion . avoid cold/tap/jet (western seat) water. . if job demands sitting, make sure you get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for your chair. . taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism. . In Ayurveda we hold Piles/anal fissure to be due to low digestive fire and since butter milk has digestive properties you can take it along with ingredients like asafoetida, coriander leaves, ginger, currey leaves and sea salt to enhance its digestion-aiding properties.