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Based on the stage and the type of piles, the doctor may recommend either medical line of treatment or surgical line of treatment. Medical line of treatment include medication that can be consumed orally or ointments to be applied around the affected area. 

Non-surgical treatment for piles:

The doctors may recommend simple home remedies such as:

• Warm water bottle for external hemorrhoids to relieve pain.
• Ointments, creams (hydrocortisone or hemorrhoid cream) or rectal medicated suppositories. 
• Over-the-counter fiber supplements to soften the stools.
• Cold-compress on the anus to aid reduce swelling.
• Pain killers such as aspirin or acetaminophen.

Surgical treatment for piles:

Only when home remedies fail, the doctors may choose to perform surgical procedures:

Rubber band ligation: The doctor places a rubber band around the hemorrhoid to cut out blood circulation to it. As a result, it shrinks and can be removed. It is a procedure performed by doctors only, and should not be attempted at home.

Sclerotherapy: It is used as an alternative to rubber band ligation when the latter is not an option for the patient. The doctor injects a chemical into the blood vessel, resulting in the shrinking of hemorrhoids.

Hemorrhoidectomy: A minimally invasive surgery, Hemorrhoidectomy is further classified in three types:

Hemorrhoids are caused by increased pressure in the lower part of the rectum. Under pressure the veins around the anus bulge or swell leading to the formation of hemorrhoids. Factors contributing to increased pressure in the lower rectum are as listed below:

A phenomenon where the blood vessels in the anus become swollen and the bulge is known as piles. The swelling is created due to strenuous bowel movement which irritates the vein walls of the anus.

Piles or hemorrhoids can be classified into 3 main types - External piles (external hemorrhoids), Thrombosed piles (Thrombosed hemorrhoids) and Internal piles (Internal hemorrhoids).

External hemorrhoids: These are formed under the skin surrounding the anus and have the following symptoms-

• Soreness or itchiness around the anus.​
• Dull ache and uneasiness. 
• Swelling on the skin around the anus.
• Bleeding in severe cases.

Thrombosed hemorrhoids: A condition in which blood accumulates in external hemorrhoids and coagulates (thromboses); it can lead to:

• Inflammation​
• Swelling
• Hard lump near the anus.
• Severe pain

Internal hemorrhoids: These are formed inside the rectum. They can't be seen or felt and generally do not cause discomfort. However, passing stools can aggravate and cause:

• The affected area to bleed without causing any pain. Bloodstained stools or blood on the toilet paper while cleaning the area.​
• A prolapsed or protruding hemorrhoid forced through the anus, producing irritation and pain.

One should visit a doctor should any of the above symptoms show up. However, rectal bleeding is not exclusively because of hemorrhoids. Moreover, other causes such as other diseases, including anal cancer and colorectal cancer should be eliminated.