How can i get rid of piles because i can feel they are coming back for the second time ?

Check diet.: Hemorrhoids frequently follow diarrhea. Try to add some fiber in your diet, stay hydrated and continue with your normal activity. Your PCP could monitor your progress. You could use a topical analpram cream, tucks, or nupercainal ointment.

Hemorrhoids: I feel that a proctologist is best to evaluate, advise, treat and follow you for hemorrhoids which are problematic. Internal hemorrhoids can often be removed by banding them and it can be done in the office setting.