I am a 55 year old male. I am 5'8" tall and my weight is 69 kg. I am suffering from piles over three years but there is no bleeding. I constantly have some sensation in anus which troubles me while walking. I am noticing my right wrist and feet with swelling almost daily morning. My BP was high around 160-200 over three to four years but now it is normal. My blood sugar is normal. In urine test, sugar and albumin are absent, pus cells 1/2 hpf and epithelial cell occ. Serum glucose was 110 mg. Currently, I am using Pilorute cream and capsule Hamdoroid. But, it is not so beneficial. My doctor suggested surgery but I am not ready for it. Please suggest a remedy.