<s>[INST] what is the best topical medicine for hemrhoids?   Also is there any medicine you recommend to take by mouth?My husband has pain from hemrhoids and his doctor recommended not staying on the toilet too long, to takemeta-mucil and use disposable baby wipes.  He is not doing these things.  He is 80 years old and would notwant any surgery, [/INST] **A. Jatyadi tail can be applied externally for lubrication, around the anal region (also helps in relieving the associated itching)B. Pilex tablet, Arshohar Yoga, Pilon Tablet, Kankayan Gutika are some of the well known Prescription drugs available.1. Give high fibre diet,fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.2. Avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.3.  Give less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals)- take old rice,bottle gourd,moong dal,kali marich, pomegranate,jaiphal,hot water, adequate rest and sleep.- take fried cumin seeds 500mg,         fried asafetida (hing) 125mg,          shweta parpati 500mg, mix them and take with honey three times a day.- 1 glass lukewarm water every morning and night.- to stop bleeding:coconut water from 1 coconut and add 2 table spoon full (tsf) sugar and drink.- drink 1 cup potato juice daily for 1 month.- 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month- 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month- eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt  after lunch and dinner- give: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar,  raw radish and avoid tea,coffee, garlic,onion, fish, hot spices, sitting for long hours.PS:.if job demands sitting, make sure he get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for his chair.. Again piles, is  due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism so can be taken safely. </s>