** Thanks for contacting with your health concern and if not sure what exactly is going on you may consult a general surgeon for examination [per rectum] 1. As the condition is 4 days old thus one has to exclude constipation,under hydration,sodium deficiency or excess sweating as the cause and in long run one can ask for thyroid profile, till then -take fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages. - eat slowly,avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion. - take less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals) - take old rice,bottle gourd,moong dal marich, pomegranate,jaiphal,hot water, adequate rest and sleep. - take fried cumin seeds 500mg, fried asafetida (hing) 125mg, shweta parpati 500mg, mix them and take with honey three times a day. - 1 glass lukewarm water every morning and night. - to stop bleeding:coconut water from 1 coconut and add 2 table spoon full (tsf) sugar and drink. - drink 1 cup potato juice daily for 1 month. - 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month - 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month - eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt after lunch and dinner - take: elephant yam, papaya, butter milk, pistachio, almonds, pear,old rice, milk, crystallized sugar, raw radish and avoid tea,coffee,garlic,onion,fish,hot spices, sitting for long hours. - Trifla because of its high nutritional-detoxification [Shodhan] and cleansing value is very helpful in treating your present complaints. [take 3 gm with luke warm water at bed time] PS: . 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. . Again piles, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism. . 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.