I have been suffering from Fissuer , Piles from last 1 year. I have been performing hot water sitting exercise for curing it and I consume natural fiber powder with water daily as advised by a doctor but I am not getting rid of it permanently. I also consume sufficient water daily to make sure that stool does not get hard to pass. More than pain I am fed up with Anus itching which I feel quite often and is unbearable. Can anyone suggest how I can get a permanent relief from this problem other than surgery ?