Hi..... For treatment of piles and fissure you hvae to modify your diet and lifestyle. Do following diet modification like......... Take more water per day. Take high fiber foods like whole grains, black beans,broccolie etc....... Avoid alcohol drinking and smoking. Avoid spicy foods. Eat fresh fruits and green vegetable. For proper digestion avoid junk foods and fatty foods. Hydrocortisone ointement can use to decease inflammation and pain. Analgesic ointment can use. Avoid excessive straining at toilet. Stool softner can use for constipation problems. After surgical removal piles may recurrent. Avoid prolonged sitting at stool. Avoid straining. Do regular exercise. Wash area by warm water to prevent infection at anal fissure. SITZ bath warm water helpful in piles. So diet modification, avoid constipation and proper hygine give relife in piles. THANKS.