Hello, There are several causes for constipation, the most common being dietary habits and life-style. Please try using more of whole fruits and fresh vegetables in your diet, avoid fried and baked foods and sweets. Get some regular exercise. You can also practice certain yogic postures to alleviate constipation. You can use lactulose solution to facilitate easy bowel movement. If the piles or hemorrhoids as they are called, are small and do not protrude out while passing stool, you need not worry, they will remain small or regress if you follow remedial measures. Else, you need to see a surgeon for proper help. Hope you find this information useful.