1. Preventative steps... Include plenty of fruit and vegetables in your diet. Avoid
foods that irritate your bowel, especially spicy foods. Drinking plenty of water will not only keep you healthy but will ensure your stools remain soft. Keep your anal area clean. Wear loose underwear, preferably made of soft cotton. Diarrhea and constipation should always be treated as soon as possible as they will place unneccessary pressure on your bowel. 2....and if you already have piles... Use witch hazel on external piles after they, and the area around them, has been cleaned. Apply zinc cream,aloe vera or petroleum jelly onto external piles. Take regular warm baths mixed with tea. Tea is an astringent and will help shrink your piles.