Please 🙏 I'm suffering from 4years pile and I need...

what is the Treatment
haemorrhoids is one of the most common anal conditions that manifest in the anus as protruded Venus congestion that will cause bleeding and pain during  defecation, and it should be treated once detected by avoiding constipation using solution lactulose by a dose of 15 ML twice daily. In addition to that you should use Diosmin  500 mg twice daily for three consecutive weeks., surgical treatment by band ligation, or surgical removal, is one of the most commonly used modalities for treating anal haemorrhoids.
investigations
after proper physical exam, the degree of haemorrhoids is detected and assessed , then CBC should be done to look for anaemia in addition to a colonoscope to look for any lesions.
signs and symptoms
Anal pain
feeling of an anal lump
constipation
bleeding
itching
our advice
You should avoid constipation by consuming more vegetables and water daily and by doing four times daily sitz bath with warm water, then you should consult a general surgeon .