is surgery nessasary, as he had it done once?
You can most easily prevent piles by maintaining a healthy diet and exercising regularly. You have to soften your stools to let them pass more easily and the best way to do this is to add fiber and water to your diet and minimize your intake of junk food.
ok...i will tell him that weither he will follow that is a differnet story hahaha...i will rule over him with an iron fist and make him eat more healthy and exersice more hehehe