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how to treat piles

I am Anuj (34) effected from piles since 2010. I take ayurvedic treatment and get relief but since last 20 days I am not relieved. I contact ayurvedic doctor he advised me to take 2 pills of arsh kalp, trifala guggal and arogyavardhani twice a day . I have finished a bottle of abhyarisht too. I am taking since last 8 days . Now there is no pain but sensation is still alive. Sometime after motion its itching.
Is this curable ? Please help me