What medicine we will take for the piles problem...

piles treatment :
- consult a sugery doctor ,and avoid spending long time sitting during using bathroom or in daily routine , plus you have to have a healthy diet , prepared at home and having regular meals time and a diet rich with fibers and vitmian C juice such as lemon or apple juice , drinking water as much as you can  ( warm ) , and as the treatment options are :
medications such as : 
1. % hydrocortisone 
2. topical lediocine 
3. sitz baths 
surgical options such as : 
1. laser surgery 
2. open surgery 
causes of piles :
1. unhealthy diet and lack of fibers 
2. constant constipation
3. sitting for long periods 
4. lack of exercises 
Required medical checks : 
1. clinical medical check by specialist doctor ( internal medicine ) 
2. blood 
3. stool test 
4. endoscopy for lower GI tract