how about trying a laxative for the short term until it feels a bit less painful. While your piles are big and sore, it will really hurt if you are constipated and strain. And it will be even worse if you try to avoid going because it hurts too much. While you don't want to take laxatives long term, maybe it would help atm.
It isn't just the oldies that get piles, the most common cause is having babies, that's why most older women have them but guys and young people get them.