I had piles few days after having ds1 in 2002. I then had it at the late stage of my 2nd pregnancy (2003)was actually quite horrible, couldn't sit down. Sorry for TMI.
Since then things have not been the same again.
A bit difficult to explain but I'll try.
It never bleeds but the outer part, does swell after I have been to the toilet and it seems as if I can never be clean, I keep on finding bits after I have cleaned several times.
I now prefer to go at home because I can then use water as well.
It does go back but it is never completely flat.
I am embarassed to go to GP, or ask my closest friend who is a GP.
I also do have to strain to go. I now eat a lot of fruit and water but these have not helped.
It never bleeds.