Pile relief what can i do next?

I have had piles since I was 26, (45 now) my then GP said I may require surgery if the internal piles did not improve. I was having real difficulty sitting down after a bowel movement, really painful. But a change in diet more fibre really helped and more exercise, however I was not overweight. I have managed them for many years, and for the majority of the time they never bothered me. This year, Feb, I noticed a lump on my anus, my internal piles had also erupted again quite bad. I was having quite a stressful time at work and home and had lost nearly 2 stone in weight over 6 months, my diet was shot, no sleep, little food, not good. I visited my new GP and had an internal examination, he said my piles were back, and the lump which was oozing puss was an external pile, not a thrombosed one. He prescribed anusol which worked well on my external pile, reduced the pain .It still kept swelling up, but would reduce back down. I was off work due to my GP advice due to stress and heart palpitations, anxiety attacks etc. My internal piles improved, and stopped using the anusol as the external pile had shrunk down, it hadn't gone away though. Come mid July, I had food poisoning, and as a result was planted on the loo on and off for 24 hours, this made my piles really painful, and the external one grew really quickly again. I went and saw another GP at my practice again, and he prescribed another type of cream. I used this for a few days, but it gave me real bad headaches, he said it might. The pain and piles in and out did not improve, even with a change of diet again. So a couple of weeks ago, I went and seen my GP again, and had another internal examination, he could not see anything to be concerned over, and prescribed yet another cream, which was directly for pain relief as the external pile is directly on my anal sphincter, so painful on a bowel movement, and after. This cream has also not worked, I asked about surgery, and he said the piles are not bad enough for surgery, wow, how bad can they get then..a friend of mine has just had surgery on his piles, and is now permanently incontinent from his back passage. I cannot continue like this, it affects my own self being, it is getting very depressing. Hot baths and direct showers on my external pile which is still a lump and oozing puss (serum the GP said) does help temporarily. My GP said the pile will disappear eventually, but I can't see that happening, it is so painful. What can I do??

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