Piles and lower back pain may not always be related, so both problems should be evaluated properly before starting medicines. For piles, treatment usually focuses on relieving constipation through a high-fiber diet, enough water intake, regular exercise, and avoiding straining during bowel movements. Doctors may prescribe stool softeners, pain-relieving creams, or medicines to reduce swelling and bleeding. Lower back pain lasting many years may occur due to muscle strain, posture problems, disc issues, arthritis, or nerve compression. Painkillers should not be taken regularly without medical advice because they may affect the stomach or kidneys. Since both problems have been present for a long time, it is best to consult a doctor for examination and proper treatment rather than depending only on medicines.