Respected user, hi I evaluated your query thoroughly. * Management of piles depend upon the degree, severity of it. * Conservative measures as follows are mandatory for initial period of 1-2 months , in successful cases can continue it or else should see the General Surgeon in person & further decide management plans . - manage diet in such a way to get smooth bowel evacuations daily as high fiber, green leafy vegetables , cereals , pulses, legumes , plenty of liquids - avoid all oily / spicy / non vegetarian stuffs / beverages / junk foods - Sitz bath ( sitting in a tub filled with leukwarm water 10-10 minutes morning , evening and additionally after passing stools ) on regular basis has excellent results - avoid stress / anxiety - avoid smoking / alcohol / any abuse substance usage - in our clinic according to clinical evaluations we recommend to take certain molecules to control capillary bleeding , bulk molecules to soften stool, anti-inflammatory , antibiotics , analgesics according to the demand of the case. Local application of Xylocaine (2%) jelly helps . Hope this helps you. Welcome for any further assistance. Thanks for using Health care magic & reviewing my answer thoroughly. Wishing her fast recovery from the same. Regards dear take care.