** 1. Doctor must be referring to sclerotherapy [A shot into the hemorrhoid to reduce swelling] 2. If you think, to be comparatively better, initially manage with lifestyle changes and diet. i. 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. ii. piles, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism. iii. 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 iv. avoid cold/tap/jet (western seat) water. v. Trifla because of its high nutritional-detoxification [Shodhan] and cleansing value is very helpful in treating your present complaints. 3. if lifestyle/diet changes and medicines doesn t work, then opt for sclerotherapy or other options.