I am only sharing this information because I understand the utter misery of painful piles and anything that might help a fellow sufferer should, nay, MUST be shared. It's not because I like talking about my bottom on the internet. Clear?
So. I've suffered to various degrees with piles for years. Having two enormous babies really didn't help matters. Then, last year I moved to a country where the bidet is king. Got into the habit of washing instead of wiping. Noticed a massive improvement arse-wise, but didn't connect it with the bidet use.
Last month I spent some time back in good old Blighty. Dry wiping. OUCH. It took a week to get back to being as bad as I've ever been.
Back home to the bidets and miraculous recovery.
Coincidence? I think not.
It's not a cure, but it has made things so much better that I never even think about using cream or ointment any more.
Just putting this out there for anyone who is in dispair.