Seriously, I'm 36 weeks pregnant with DS2 and I can barely walk/sit down due to two piles. One small and soft, one huge and rock hard 
I've been using ice packs and witch hazel for two days to no avail, Anusol has also proved useless.
I had DH take a look and he just laughed and said I look like Rafiki back there 
I'm at a total loss, I can't tell you how painful it is. It's actually making me feel sick. Has anyone tried anything that's really helped?