Piles, also known as hemorrhoids, are swollen blood vessels in the rectal area that can cause discomfort, pain, itching, and bleeding. Non-surgical treatments for piles are usually the first line of approach and can be effective in many cases. Eating a high-fiber diet can help soften stools and make them easier to pass, reducing strain during bowel movements. Good sources of fiber include fruits, vegetables, whole grains, and legumes. Adequate hydration is also essential to maintain soft stools. Over-the-counter creams, ointments, or suppositories containing hydrocortisone or witch hazel can provide relief from itching, pain, and inflammation associated with piles. These products should be used according to the instructions and for a limited duration. Soaking the anal area in warm water for 10 to 15 minutes several times a day can provide relief from discomfort and promote healing. Adding Epsom salts or a mild antiseptic solution to the bathwater may further enhance the soothing effect. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain and discomfort associated with piles. However, it's important to consult a healthcare professional before taking any medication to ensure it's safe and suitable for you.