· Avoid sitting on cold hard ground – it is reputed to aggravate piles.
· Get a footstool or a strong box and use it to raise feet on when going to the toilet EXCELLENT
· Allow time to go to the toilet – don’t force or rush. Let natural muscle processes come into play
· Have regular times of day and triggers for going to the toilet
· Respond to urges to go to the toilet – don’t ignore them.
· Respond to urges to pass wind – don’t hold on to it more than you must.· Reflexology of the feet insole area on a daily basis
· For females when wiping yourself after toileting avoid contaminating your vagina with faecal bacteria
· Clean and wash your anal area well especially if you have piles
Wash your hands thoroughly with soap and water
· Avoid coarse or scented loo papers if you have piles.

