The document provides home remedies for piles (hemorrhoids), including witch hazel, aloe vera, ice packs, and over-the-counter medications. It notes symptoms of piles like pain, irritation, and swelling around the anus during bowel movements. Home remedies aim to reduce swelling, burning, and itching through witch hazel's anti-inflammatory properties and aloe vera's healing effects. Ice packs can numb the area and relieve pain. Lifestyle changes like staying hydrated and avoiding constipation are also recommended to prevent hemorrhoids.