Sir am suffering from external piles any home remedies please inform and wat care should I take and exercises if any please inform whether to use hot or cold water and does it effects my spine because am getting back pain when I stand for long time my age is 27 and ht 5.4 wt=80
**1. Piles are mainly due to cause and effect of Constipation, so make sure you are taking care of the same [take trifle churn at bedtime with Luke warm water]2. Endocrine disorders like under active thyroid, disturbed blood sugar can also lead to constipation with resulting piles [please check with the values]3.  Do not strain while passing stool, and use WARM water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion. Avoid cold/tap/jet (western seat) water.4. Take