For anyone uninitiated to that particular term, apparently "piles" is another word for Hemorrhoids.

Also, these concerns can be mitigated with a a squatty-potty [1] or a small footstool to get you into the proper position. We've lost the flexibility for that in Western Culture [2]

[1] https://www.squattypotty.com/

[2] https://www.theatlantic.com/health/archive/2018/03/can-you-d...

Give a Squatty Potty a try and you'll only need that 1 minute with no forcing.

if you can't make a 1-min poop, apart from other specific physiological reasons, it means you should check your diet, in my opinion. If you get the right amount of fiber and enough water, the whole thing shouldn't take more than that. This and a squatty potty have been life changing for me.

Both true! Don't force it, but also don't spend more than 10 minutes there. (Source: med school, personal experience :\ )