I gave birth 5 days ago & I think the piles are getting better, not worse
. It's probably not helped by me sitting up half the night holding the baby so she'll sleep!
MW said to give it a week, but if they are still bad then the maternity Physio should be able to do something (no idea what?!)
So, in the meantime what can i do that will actually work? I'm drinking loads of water & eating lots of fibre, so actually pooing isn't a problem. It's just getting more & more uncomfortable to sit down & move about.
I got some Anusol cream from the GP when I was pg, I've been applying it a few times a day, but wondered about putting a load on some cotton wool & wedging it in my bum crack?! 
Does an ice-pack really work? I've tried it a couple of times but it didn't really make much difference.
How about pads soaked in witch hazel? Or those rubber ring seats?
Oh, the glamour of motherhood!