Depending on the severity of piles, in extreme cases, you may need to get surgery. The surgery will cost you a lot of money and might gives additional bad side effects therefore unless your piles have reached an extreme case, it is recommended to stay with natural piles treatment.
Use cold to reduce the inflammation. Apply a cold pack directly to the anus. The best way to do this is to lie face down and have someone apply the cold pack for you.
You may even find it beneficial to soak in the bathtub for a few minutes periodically throughout the day for 15 minute sessions. Do this after having a bowel movement in order to both keep the affected area clean and to ease the itching and irritation.
You must first make sure you are taking proper care of the affected area before you begin using a natural cure for piles. It is important to take a bath or shower at least once a day to keep the affected area clean. According to Mayo Clinic, you should not cleanse this part of your body with soap because that can make the symptoms worse.
One differentiation between internal and external is that most often you won't be aware of internal hemorrhoids. This is why it's recommended you know all of the piles symptoms - knowledge here, is power. Without knowing the consequences of having piles it's possible to be completely unaware you have this problem and so never link the symptoms with what can be a very afflictive experience.
Wheat Grass: Wheat Grass juice website is used an enema for piles treatment. The general procedure is to given an enema with lukewarm or neem water. After waiting for twenty minutes, 90 to 120ml of the wheat grass juice enema is given. This should be retained for 20 minutes.