I have achieved 100% improvement. The piles are cured. One has to be careful and should drink plenty of water and eat lot of fiber avoiding hot, spicy and non-vegetarian food to avoid piles. 

Significant improvement. There was not severe episode of disease since the start of medication. Before starting of medication stool was loose all the time with frequency of passing 8-10 times per day. Now frequency has come down to 4 times a day. Stool is well formed except in the beginning some mucus mixed with blood comes. No severe relapse. Hb count has improved to 13.5 against 9.5 earliar. Softening/cracking of nails normalised. I have not taken steroids since last three months.

There is good improvement. I am happy to see the result. The scaling is reduced, there is no itching at all. But still there is back color in the skin. Thank you very much.