What can be treatment done at home for high bleeding piles (painless) 4th stage? what will be my next step now? thanks

Home treatment: Keeping your stools soft with a stool-softener, drinking lots of water, and eating food high in fiber will help keep your stool soft so as not to irritate the pile, and prevent trauma and re-bleeding. Excellent hygiene after a bowel movement is mandatory. Try moist toliet wipes or shower after a bowel movement, and pat the skin dry between your cheeks. If problematic, consult a surgeon for recs.