Piles just won't heal. increased fluids, fiber, decreased caffeine, using topical hydrocortisone, phenylephrine. still painful and bleeding 2 months?

R U sure it's piles?: 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 (tried prescription drugs)? Ru sure that its just piles? Time to get seen.