Treatment of piles includes Medical treatment of hemorrhoids is aimed initially at relieving symptoms. The other is endoscopically or surgical treatment of hemorrhoids to shrink and destroy the hemorrhoidal tissue. Surgical and endosurgical treatment include: ? Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside the rectum. The band cuts off circulation, and the hemorrhoid withers away within a few days. ? Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoid. ? Infrared coagulation. A special device is used to burn hemorrhoidal tissue. ? Hemorrhoidectomy. Occasionally, extensive or severe internal or external hemorrhoids may require removal by surgery known as hemorrhoidectomy. The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass.