Surgery is not always necessary when haemorrhoids (piles) come out. Many cases improve with a high-fibre diet, adequate fluids, stool softeners, medicines to reduce swelling and pain, or minor procedures like rubber band ligation. Surgery may be considered if the haemorrhoids cannot be pushed back or if your symptoms remain severe and persistent after trying conservative treatments.

For piles with pain and bleeding, doctors usually recommend sitz baths, topical creams or ointments with mild pain relief, and sometimes oral painkillers. Avoid self-medicating with potent medications and consult a doctor for proper treatment.