For bleeding piles, your doctor may recommend a topical ointment or suppository containing a mild steroid and a local anaesthetic to reduce pain and swelling, along with sitz baths and dietary fibre to ease bowel movements. Avoid self-medicating with strong painkillers or oral steroids without medical advice.

The patient should consult their doctor to review their treatment, as persistent high blood pressure may require adjusting their current medication or adding another antihypertensive. It is also essential to follow lifestyle measures, such as reducing salt intake, exercising regularly, and managing stress, to prevent complications.