Non-surgical treatments for piles, also known as hemorrhoids, are often the first line of defense against this common medical condition. These treatments are typically recommended for individuals with mild to moderate symptoms. Some non-surgical approaches include dietary and lifestyle modifications, medications, and minimally invasive procedures. Dietary and lifestyle changes are crucial in managing piles. Patients are advised to consume a high-fiber diet, which can soften stools and reduce straining during bowel movements. Drinking plenty of water is also essential to maintain soft and regular bowel movements. Avoiding excessive straining during bowel movements and prolonged sitting on the toilet is advisable. Over-the-counter medications, such as stool softeners, topical creams, and ointments, can help alleviate discomfort and reduce inflammation. However, they are typically considered short-term solutions.