Suran, Nagkesar, Shuddha, Triphala and Guggul help solve the problem of piles. While piles is far too painful, it is too embarrassing a problem to talk about at the same time. Take 1 each of Arsohills tablets, Triphalahills tablet & Guggulhills from Arsohills kit from Herbal Hills, twice daily preferably after meals or as recommended by the physician. It is strongly suggested that you contact your regular physician and consult with them. As piles is an abrasive internal problem, it is always advisable to ensure that you are not allergic to any of the elements before you take the tablets. The tablets should be taken with warm water for best results.