Sir, I have been attacked after 2015 with Piles this time just 15 days ago with excruciating pain in rectum and swollen parts on both sides of anus, though non-bleeding. Now I ahve been advised by the local doctor to take Ayurvedic medicine like Pilex tab , Abhoyaristha Syrup and duphalac laxative syrup. More to take the Sitz bath. After doing all these now I got rid of pain and the wound lessened. But the swollen part remains although somewhat lessened. Now sir, kindly suggest me to get fully cured of the disease with no chance of any recurrence in future. Yours faithfully, Madhusudan Ghosh Raiganj , Uttar Dinajpur, PIN 733134, email: YYYY@YYYY