Hi piles can be painful and it an cause bleeding. Conservative measures like sitting in warm water that's is sitz bath ,taking laxatives like isabghol ,eating high fibre diet will solve your problem immediately,But giving only temporary relief .definitive treatment for piles is surgical management .laser treatment for piles is definitive management .it is painless ,10 min procedure which solves your problem permanently for complete details .post surgery you will be on proper diet chart and certain pelvic floor exercise will be taught to you ,to avoid constipation in long run .we are the only centre doing laser surgery .you can also contact me through Lybrate for any further details.