Top Homeopathic Medicines for Piles Several homeopathic medicines show promise in managing piles: Aesculus Hippocastanum: This remedy is indicated for piles with backache and a feeling of dryness in the rectum. Collinsonia Canadensis: Useful for piles with constipation and a sensation of sticks in the rectum. Hamamelis Virginiana: Indicated for piles with bleeding and soreness in the anus. Nux Vomica: Beneficial for piles with constipation and a frequent desire to pass stools.