We should get clear the distinction between hemorrhoids and piles.
In my, hopefully amusing, description of my showers, I didn't really say much about the care I was taking depressing and expelling the blood from the swelling. It was done carefully, in the upward direction, and no penetrative progress until the sac was nearly deflated.
For some reason, Anodesyn seemed far better than any of the other well advertised brands. (long term and with several patients)
For now, this link does not underplay the
potential seriousness of the condition.
Hemorrhoids: eMedicine General Surgery