I have an external pile what's the best to treat it and how can i stop them from cuming bk ?

Considerations...: "healing" depends on whether the original cause for hemorrhoids persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have your hemorrhoids been surgically or medically managed (; with otc or prescription drugs)? Are you sure they're hemorrhoids?