Most people exacerbate their piles problem by not properly expelling feces from their anus. Technique is key and can make the difference between a speedy recovery or surgery! 
Position your azzhole in the middle of the toilet's opening and plant your feet flat on the floor. Now lean your torso forward at a 45-degree angle. Don't go further! When you feel the gorilla approaching, shift all weight onto your heels and angle your toes up so that only your heels are on the floor. Now drive your heels into the floor as if you are trying to push them through! This will slide the gorilla out amicably and ensure no excess tearing up of your anus.
Young guns think this post is a joke but us ole timers know piles are no laughing matter. Since I started shitting this way, boys, back in 1994, I have not had any piles issues. I now look forward to the can and find it a pleasureable experience.
Shit joyfully.
Dr. Buzzy

Position your azzhole in the middle of the toilet's opening and plant your feet flat on the floor. Now lean your torso forward at a 45-degree angle. Don't go further! When you feel the gorilla approaching, shift all weight onto your heels and angle your toes up so that only your heels are on the floor. Now drive your heels into the floor as if you are trying to push them through! This will slide the gorilla out amicably and ensure no excess tearing up of your anus.
Young guns think this post is a joke but us ole timers know piles are no laughing matter. Since I started shitting this way, boys, back in 1994, I have not had any piles issues. I now look forward to the can and find it a pleasureable experience.
Shit joyfully.
Dr. Buzzy