I'm sorry to hear you're dealing with piles, which are swollen veins in the lower rectum or anus that can cause discomfort. Managing piles often involves lifestyle changes like increasing fiber intake, staying hydrated, and avoiding straining during bowel movements.

For treatment, medications such as topical creams or oral tablets may help reduce symptoms. Since you mentioned piles, a doctor specializing in gastroenterology or colorectal surgery can provide a thorough evaluation and recommend appropriate treatment, which might include prescription medications like Udiliv 300 if indicated for related liver or digestive issues, but this should be confirmed by your doctor.

If you experience severe pain, bleeding, or changes in bowel habits, please seek medical attention promptly. Consulting a specialist will ensure you get the right care tailored to your condition. If you want, I can explain more about lifestyle tips or treatment options.To narrow down potential causes, we will need some more information.Please tell me your age and gender.