I have been working on not having ANY piles in our house - AT ALL. I have gone through needing a filing cabinet to store all of my papers in, to keeping a pile on the kitchen counter, to keeping a small stack on a corner, to NOTHING. And I have to say, it takes work to get to that point, but it is completely worth it!
Always make the surgical method your last resort since it is really drastic. Two of the best and effective surgical methods are laser and band treatment.
Clearing rocks from a field is a very labor intensive process. Farmers only cleared fields they intended plow or cut for hay. Fields for pasturing livestock were generally not cleared of stone. The rocks being cleared were thrown in a wagon or onto a heavy duty sled and transported to the edge of the field or to a non farmable spot in the middle of the field and unceremoniously dumped. Loose piles of rock with stone scattered around the edges found along the edges of old farm fields are almost always field clearing stone piles.
In more severe cases the puffed up veins can emerge outside the anus and be visible to the human eye. This is usually known as piles (or prolapse) because it's when you become distressingly aware you have a problem.
If you'd rather use an over the counter product to cure your piles, you have a couple of option. You can use petroleum jelly and read more apply it to the affected area or there are creams available such as Preparation H that is very helpful in relieving the symptoms of piles. Treatment for hemorrhoids can also include an oral pill such as Canesten or a suppository like Monistat.
All cases of piles are the same but whatever your piles problem is like I'm sure there is a natural remedy out there that can help you avoid piles surgery.