### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have piles problem from last 10 years. Now i am facing lots of problem from this. unbearable pain and blood losses. I want its treatment ASAP. I just want to know whether it can be cured with medicine or operation is the only option. also I want to know the process of operation. how many days of rest require after operation and how cost effective it is. I have a mediclaim facility of Max Bupa up to 5 lak. can it be cover under this facility.

### output:

Hello, Welcome to Chat Doctor, Proper treatment of piles requires thorough assessment by Surgeon. It's unusual to have pain in case of piles be it external or internal. Presence of pain indicates thrombosed pile (Piles are dilated blood vessel, clotting of blood is thrombosed pile) or also possibility of fissure in anus is to be considered. Proper management will therefore require thorough clinical examination to know the character of pile and other associated complication. I would suggest you the following which will definitely help 1. Increase water consumption-Consume at least 2 to 3 liters of water per day. 2. High fiber diet-Two serving of vegetable salad every day 3. Hot Sat bath-Add a handful of common table salt to a tub of lukewarm water. Immerse your bottom by sitting in it for 15 to 20 minutes each session twice a day. It will decrease pain and inflammatory edema. 4. Stool softener-Syrup Lactulose 10 ml twice a day will keep the stools soft preventing constipation and decreases bleeding and pain. Further management will depend on clinical assessment by your SurgeonThank you.