Severe piles are usually due to swollen veins caused by constipation, straining, or prolonged sitting, causing pain and discomfort. Keep stools soft by drinking plenty of water, eating fibre-rich food, avoiding straining, and taking warm sitz baths to reduce pain and swelling. Avoid long sitting and maintain regular toilet habits to prevent worsening. If pain is severe or not improving, consult a doctor to guide proper treatment and relief options.

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.