I only just realised this is probably what's causing pain when I poo - four weeks after giving birth. It's not excessively painful but I have bled a couple of times when I was a bit constipated. Right now I'm just drinking lots of prune juice and hoping for the best. Do the creams actually get rid of them or will they eventually just go? Was looking at the packet of Prep H etc in Boots yesterday and it said you have to see a doctor for piles. I didn't buy the cream as I wasn't sure if it cured them or just eased the pain, and I'm not in a lot of pain right now.