instruction: for piles am using himalayan tablets daily tablets but cant able sit properly due to anal itching please give me a medicine
output: hello I have reviewed your history the medication you are on is basically ayurvedic which sometime may help and sometime not I would give you some treatment but I want that you should be examined in person by a local general surgeon if any need of surgical removal of this because if pile remain for so long could lead to significant pain and trouble in daily life style at moment take following treatment let me know in one week time if symptoms improve I have written all generic drugs which could be purchased at local store