Use warm sitz baths, plenty of water, and a high-fibre diet to soften stools and reduce pain. Apply a prescribed haemorrhoid cream and avoid straining. If pain continues, consult a doctor as 3rd-stage piles may need a procedure.

Haemorrhoids (piles) can cause severe pain, swelling, itching, bleeding during stool passage, burning sensation, or a feeling of heaviness around the anal area. Piles often worsen because of chronic constipation, hard stool, prolonged sitting, straining during bowel movement, low-fibre diet, obesity, or poor hydration. Severe piles may sometimes lead to painful swelling, prolapse, or repeated bleeding. Relief may improve with stool softening medicines, fibre supplements, pain-relieving medicines, anti-inflammatory creams or suppositories, depending on symptom severity. Warm sitz baths several times daily, increased water intake, regular bowel habits, and high-fiber foods such as fruits, vegetables, oats, and whole grains may help reduce straining and irritation. Avoid sitting for very long periods, and do not delay the urge to pass stool because this may worsen pressure on the veins. Proper hygiene and gentle cleaning after bowel movement may also reduce discomfort and itching. Some people with severe, bleeding, or prolapsed piles may require procedures such as banding, laser treatment, or surgery if medicines do not provide enough relief. Seek medical care urgently if heavy bleeding, severe swelling, fever, dizziness, or intense pain.