Thank you for posting query at HCM. presentation of symptomatic piles with insufficient history provided. constipation? degree of piles? history of present symptoms? hemorrhoids are divided into internal and external piles. Symptoms of internal hemorrhoids: bleeding, protrusion, swelling, mucous discharge, soiling, burning, itching and pain. Four degrees of internal hemorrhoids exist. third and fourth degree usually require treatment. now non-surgical treatment is available. galvanization method - is the nonsurgical technique to get rid of hemorrhoids. furthermore, modification of diet is also advised. - avoid fat-rich food - increase fiber in diet - take ispagula husk with water - eat plentiful oranges and pears - increase water intake - avoid spicy food and beverages and junk food wish you good health. further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik