###Human: Please suggest some remedies to prevent the shrinkage of anus. ###Assistant: Hi. You have to remove piles through surgery as it is increasing in size. Anal shrinkage is not a complication of piles. Because of the enlargement seen in piles, the anal area looks shrank. You can take a stool softener for piles like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide). Avoid taking excess spicy foods. Drink more water. If the pain is severe, then an oral anti-inflammatory drug can be taken. Topical Lignocaine jelly can be applied if there is severe pain. You can use anal water sitz bath in lukewarm water for piles.