I am suffering from a problem with piles. i consulted a dr. and she gave a cream, which gives me temporary relief from the pain. what can i do more permanently?

Avoid constipation: Hemorrhoids are exacerbated by constipation and the "pushing" necessary. Foods high in fat tend to constipate you. Foods high in fiber favor looser stools. Fruits vegetable, whole grains are excellent sources of fiber. Also, fiber only works if u are well hydrated. Drink plenty fluids to keep stools soft. Don't sit for long periods on the toilet. Surgery is the only definitive treatment.