Brief Answer:
Need to grade piles and accordingly treatment is given
Detailed Answer:
Hi dear,
It needs medical examination and surgeon will find out external or internal hemorrhoids or piles and accordingly treatment is given.( tests like anoscopy needed)
Grade 1 needs only medical therapy
Grade 2 non surgical procedure
Grade 3 and 4 needs surgery
I hope this solves your query, please let me know if I can further assist.
Thanks.