Thanks for contacting healthcare magic. Piles means hemorrhoids have more chanses of recurrence .After surgical removal it come again this is common thing. For tretment of hemorrhoids you have to modify your diet. ...... Avoid spicy foods. Avoid alcohol drinking and smoking. Avoid oily and fatty foods. Eat fresh fruits and green vegetables. Drink more water. More fiber foods like brocoli, whole grains. ..... Stool softner can use for avoid constipation. Avoid prolonged sitting. Avoid excessive straining. Sitz bath warm water may helpful. Topical ointment can use. Wish you a good health. Take care. Thank you very much.