I wonder how many IBS D sufferers get bothered with Piles. Generally piles more associated with constipation, however, I have the D variety and have also suffered quite badly with Piles for approx. , the last 20 years. This just makes the whole episode of multiple BM's even worse.
Recently , I have been using ALUM ( aluminium sulphate crystals) and this has improved matters considerably. It is cheap to buy and all you do is mix it in a rough proportion of one part to five parts water. You can bathe your bottom in it-- but it works quite well by dabbing the area with a soaked cotton ball, especially following a toilet visit. Shrinks the piles and stops bleeding -if any.
Not sure if this is a common problem for other sufferers but would be interested to hear. Hopefully Alum might help others --it certainly worked better than any of the many ointments etc., that I have tried.