actually there are 2 types of piles, one male and another female

male ones (is called that way because it doesn't 'breed') is easier to solve, either take medicine prescribe by doctor to control it (take less heaty or hot food) or to cut it out. but bear in mind, when cutting it out is easy, taking care of the wound is a hassle.

female ones as opposite to the above, tends to grow bigger and it has tendency to make the owner very uncomfortable . it's to be cut out to prevent from growing any further. constant care need to be apply to prevent infection after surgery.

hope the above helps.