Piles are swollen veins in the anus and lower rectum that can cause pain, itching, and bleeding during bowel movements. They can be caused by several factors, including constipation, straining during bowel movements, pregnancy, and obesity. 

The good news is, there are several ways to treat and manage piles. Here are some tips: 

1. Increase fiber intake- Eating foods that are rich in fiber, such as fruits, vegetables, and whole grains, can help regulate bowel movements and reduce constipation, which is a major risk factor for piles. This can help alleviate symptoms and prevent future flare-ups. 

2. Stay hydrated- Drinking plenty of water and fluids can also help regulate bowel movements and prevent constipation. Adequate hydration also softens stools, making them easier to pass, which reduces strain on the anus and rectum. 

3. Avoid straining- Try not to strain too much during bowel movements. If you find yourself straining, take a break and try again later. 

4. Practice good hygiene- Keeping the anal area clean and dry can prevent irritation and infection. After bowel movements, gently pat the area clean with moist wipes or soft toilet paper. 

5. Don't sit for too long- Sitting for long periods of time can also contribute to piles. If you have a sedentary job or lifestyle, try to get up and move around every so often. This can help improve circulation and reduce pressure on the rectal area. 

6. Exercise regularly- Exercise can help improve circulation and promote healthy bowel movements. Additionally, regular exercise can help lower your risk of obesity, which is a common risk factor for piles. 

7. Eat a high-fiber diet- Eating a diet rich in fiber can help prevent constipation and reduce the risk of piles. Whole grains, fruits, and vegetables are good sources of fiber. 

8. Avoid sitting on hard surfaces- Sitting on hard surfaces for extended periods of time can increase pressure on the rectal area and contribute to the development of piles. If possible, try to sit on a soft cushion or use a padded seat.

9. Practice good hygiene- Cleaning the anal area after each bowel movement can help prevent irritation and infection. Use soft, unscented toilet paper and avoid harsh soaps or wipes.

10. Manage chronic coughing- Chronic coughing can strain the abdominal muscles and increase pressure on the rectal area. If you have a chronic cough, talk to your doctor about treatment options.

So you see, piles can be quite uncomfortable and painful, but with proper management and prevention strategies, they can be controlled. If you experience persistent symptoms or bleeding, it is important to see a doctor to rule out other underlying conditions.