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

### input:
dear doctors tell me the bleed and painfull piles cure in home made medicines. iam business man suffering last 3month i can taken the ayurvedic medicin course two months and also taken natural medicin one time, that medicin works very fast, last 2months no pain and no bleed. but recently i can take the junk food and spicy food frequently. last 1 weak iam suffring the same thing.please suggest the home made medicine long relax and cure my piles.

### output:

**1. Before opting for any alternate system of Medicine, have a check-up with General surgeon regarding nature of piles [internal or external], or to exclude other possibilities like perianal abscess, fissure, thrombosed piles.2. Make sure you do not strain while passing stool, and use WARM water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion PS. Avoid cold/tap/jet (western seat) water.3. High fiber diet and water intake are two major things to follow. Things which you can Add to your food diet is/are: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and to avoid are: tea, coffee,garlic, onion, fish, hot spices, sitting for long hours. Oatmeal is good for breakfast.1 glass lukewarm water every morning and night. To stop bleeding: take coconut water from 1 coconut and add 2 tablespoon full (SF) sugar and Chat Doctor. . Trifle because of its high nutritional-detoxification [Showman] and cleansing value is very helpful in treating your present complaints. [take 3 gm with Luke warm water at bedtime]PS.  Piles is due to low digestive fire and taking AMLA & aloe vera juice will help in cleansing the liver to speed up the metabolism.