.page-piles-treatment main {
  background: var(--background-main);
}

.page-piles-treatment .visually-hidden {
  position: absolute;
  width: 1px;
  height: 1px;
  padding: 0;
  margin: -1px;
  overflow: hidden;
  clip: rect(0, 0, 0, 0);
  white-space: nowrap;
  border: 0;
}

.page-piles-treatment .page-hero,
.page-piles-treatment main > .content-section,
.page-piles-treatment main > .toc,
.page-piles-treatment main > .quick-answer,
.page-piles-treatment main > .video-section,
.page-piles-treatment main > .alert-urgent {
  width: min(calc(100% - 2rem), var(--container));
  margin-inline: auto;
}

.page-piles-treatment .page-hero {
  display: grid;
  grid-template-columns: minmax(0, 1.05fr) minmax(19rem, .75fr);
  gap: 1rem clamp(2rem, 6vw, 5rem);
  align-items: start;
  margin-top: 1rem;
  padding: clamp(2rem, 5vw, 4.5rem);
  overflow: hidden;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-xl);
  background: linear-gradient(125deg, var(--background-aqua), var(--surface-white) 68%);
}

.page-piles-treatment .page-hero > :not(.hero-figure) {
  grid-column: 1;
}

.page-piles-treatment .page-hero > * + * {
  margin-top: .5rem;
}

.page-piles-treatment .page-hero .hero-actions {
  margin-top: 1rem;
}

.page-piles-treatment .hero-figure {
  grid-column: 2;
  grid-row: 1 / span 6;
  align-self: center;
}

.page-piles-treatment .hero-figure img {
  display: block;
  width: 100%;
  height: auto;
  aspect-ratio: 3 / 2;
  object-fit: cover;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-xl);
  background: var(--surface-white);
}

.page-piles-treatment .byline {
  margin-top: 1rem;
  padding: 1rem;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-md);
  background: rgba(255, 255, 255, .9);
  font-size: var(--step--1);
}

.page-piles-treatment .byline p + p {
  margin-top: .45rem;
}

.page-piles-treatment .byline__reviewed {
  color: var(--status-warning);
  font-weight: 650;
}

.page-piles-treatment main > .alert-urgent,
.page-piles-treatment main > .quick-answer,
.page-piles-treatment main > .video-section {
  margin-top: 2rem;
}

.page-piles-treatment main > .alert-urgent {
  display: block;
  padding: clamp(1.25rem, 3vw, 2rem);
}

.page-piles-treatment main > .alert-urgent h2 {
  font-family: var(--font-heading);
  font-size: var(--step-2);
}

.page-piles-treatment .callout__note {
  font-weight: 700;
}

.page-piles-treatment main > .quick-answer {
  padding: clamp(1.25rem, 3vw, 2rem);
  border: 1px solid var(--status-warning-border);
  border-left: 5px solid var(--status-warning);
  background: var(--status-warning-background);
}

.page-piles-treatment main > .video-section {
  padding: clamp(1.25rem, 3vw, 2rem);
  border: 1px solid var(--border-light);
  border-radius: var(--radius-xl);
  background: var(--surface-white);
}

.page-piles-treatment .video-section > * + * {
  margin-top: 1rem;
}

.page-piles-treatment .video-section > .eyebrow + h2 {
  margin-top: .75rem;
}

.page-piles-treatment .video-card {
  max-width: var(--reading);
}

.page-piles-treatment .video-frame-shell {
  width: 100%;
  overflow: hidden;
  aspect-ratio: 16 / 9;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-lg);
  background: var(--brand-navy);
}

.page-piles-treatment .video-facade {
  position: relative;
  display: block;
  width: 100%;
  height: 100%;
  padding: 0;
  overflow: hidden;
  border: 0;
  border-radius: inherit;
  background: var(--brand-navy);
  color: var(--surface-white);
}

.page-piles-treatment .video-facade picture,
.page-piles-treatment .video-facade img {
  width: 100%;
  height: 100%;
}

.page-piles-treatment .video-facade img {
  object-fit: cover;
}

.page-piles-treatment .video-facade::after {
  position: absolute;
  inset: 0;
  background: linear-gradient(180deg, transparent 55%, rgba(11, 41, 56, .4));
  content: "";
  pointer-events: none;
}

.page-piles-treatment .video-facade__play {
  position: absolute;
  z-index: 1;
  top: 50%;
  left: 50%;
  display: grid;
  width: clamp(4rem, 8vw, 5.5rem);
  height: clamp(4rem, 8vw, 5.5rem);
  place-items: center;
  border: 3px solid var(--surface-white);
  border-radius: 50%;
  background: var(--color-primary);
  box-shadow: var(--shadow-md);
  transform: translate(-50%, -50%);
  transition: background var(--transition), transform var(--transition);
}

.page-piles-treatment .video-facade__play .icon {
  width: 2rem;
  height: 2rem;
  margin-left: .2rem;
  fill: currentColor;
  stroke: currentColor;
}

.page-piles-treatment .video-facade:hover .video-facade__play {
  background: var(--color-primary-hover);
  transform: translate(-50%, -50%) scale(1.04);
}

.page-piles-treatment .video-facade:focus-visible {
  outline: 3px solid var(--focus-ring);
  outline-offset: -6px;
}

.page-piles-treatment .video-facade__duration {
  position: absolute;
  z-index: 1;
  right: .8rem;
  bottom: .8rem;
  padding: .25rem .5rem;
  border-radius: var(--radius-sm);
  background: rgba(11, 41, 56, .88);
  color: var(--surface-white);
  font-size: var(--step--1);
  font-weight: 700;
  line-height: 1.2;
}

.page-piles-treatment .video-frame {
  display: block;
  width: 100%;
  height: 100%;
  border: 0;
}

.page-piles-treatment .video-fallback {
  margin-top: .75rem;
  font-size: var(--step--1);
}

.page-piles-treatment main > .toc {
  position: static;
  display: block;
  margin-top: 2rem;
  padding: clamp(1.25rem, 3vw, 2rem);
  border: 1px solid var(--border-light);
  border-radius: var(--radius-lg);
  background: var(--surface-white);
}

.page-piles-treatment .toc__title {
  margin-bottom: 1rem;
  font-size: var(--step-2);
}

.page-piles-treatment .toc ol {
  columns: 3;
  column-gap: 2rem;
  margin: 0;
  padding-left: 1.2rem;
}

.page-piles-treatment .toc li {
  break-inside: avoid;
  margin-bottom: .55rem;
  padding-right: .5rem;
}

.page-piles-treatment .toc a {
  color: var(--text-secondary);
  font-size: .9rem;
  text-decoration-thickness: .06em;
}

.page-piles-treatment main > .content-section {
  max-width: var(--reading);
  padding-block: clamp(3rem, 6vw, 5rem);
  scroll-margin-top: 8rem;
}

.page-piles-treatment main > .content-section + .content-section {
  margin-top: 0;
  border-top: 1px solid var(--border-light);
}

.page-piles-treatment .content-section > * + * {
  margin-top: 1rem;
}

.page-piles-treatment .content-section > h3 {
  margin-top: 2rem;
}

.page-piles-treatment .content-section > .eyebrow + h2 {
  margin-top: .75rem;
}

.page-piles-treatment .content-section ul,
.page-piles-treatment .content-section ol {
  padding-left: 1.35rem;
}

.page-piles-treatment .content-section li + li {
  margin-top: .5rem;
}

.page-piles-treatment .callout {
  padding: 1.15rem 1.25rem;
  border: 1px solid var(--color-primary-300);
  border-radius: var(--radius-md);
  background: var(--color-primary-50);
}

.page-piles-treatment .callout--urgent {
  border-color: var(--status-danger-border);
  background: var(--status-danger-background);
}

.page-piles-treatment .callout--caution {
  border-color: var(--status-warning-border);
  background: var(--status-warning-background);
}

.page-piles-treatment .symptom-list {
  display: grid;
  grid-template-columns: repeat(2, minmax(0, 1fr));
  gap: 1rem;
  padding: 0;
  list-style: none;
}

.page-piles-treatment .symptom-list li,
.page-piles-treatment .process-list li,
.page-piles-treatment .card-grid li {
  padding: 1rem;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-md);
  background: var(--surface-white);
}

.page-piles-treatment .process-list {
  display: grid;
  gap: 1rem;
  padding: 0;
  list-style: none;
  counter-reset: preview-step;
}

.page-piles-treatment .process-list li {
  position: relative;
  padding-left: 4.25rem;
  counter-increment: preview-step;
}

.page-piles-treatment .process-list li::before {
  position: absolute;
  top: 1rem;
  left: 1rem;
  display: grid;
  width: 2.25rem;
  height: 2.25rem;
  place-items: center;
  border-radius: 50%;
  background: var(--color-primary-100);
  color: var(--color-primary-hover);
  content: counter(preview-step);
  font-weight: 750;
}

.page-piles-treatment figure:not(.hero-figure) {
  padding: 1rem;
  border: 1px solid var(--border-light);
  border-radius: var(--radius-lg);
  background: var(--surface-white);
}

.page-piles-treatment figure:not(.hero-figure) img {
  display: block;
  width: 100%;
  height: auto;
  border-radius: var(--radius-md);
}

.page-piles-treatment figcaption {
  margin-top: .75rem;
  color: var(--text-secondary);
  font-size: .84rem;
}

.page-piles-treatment .doctor-figure {
  max-width: 20rem;
}

.page-piles-treatment .doctor-figure img {
  aspect-ratio: 5 / 6;
  object-fit: cover;
}

.page-piles-treatment .doctor-experience {
  font-weight: 650;
}

.page-piles-treatment .link-row,
.page-piles-treatment .reference-links {
  display: flex;
  flex-wrap: wrap;
  gap: .75rem;
}

.page-piles-treatment .reference-list a {
  display: inline-block;
  margin-left: .35rem;
}

.page-piles-treatment .faq-list {
  border-top: 1px solid var(--border-light);
}

.page-piles-treatment .faq-item {
  border-bottom: 1px solid var(--border-light);
}

.page-piles-treatment .faq-item summary {
  display: flex;
  min-height: 3rem;
  align-items: center;
  justify-content: space-between;
  gap: 1rem;
  padding: 1.1rem 0;
  color: var(--color-heading);
  cursor: pointer;
  list-style: none;
}

.page-piles-treatment .faq-item summary::-webkit-details-marker {
  display: none;
}

.page-piles-treatment .faq-item summary::after {
  display: grid;
  flex: 0 0 2rem;
  width: 2rem;
  height: 2rem;
  place-items: center;
  border: 1px solid var(--border-strong);
  border-radius: 50%;
  color: var(--color-primary);
  content: "+";
  font-weight: 750;
}

.page-piles-treatment .faq-item[open] summary::after {
  content: "–";
}

.page-piles-treatment .faq-item summary:focus-visible,
.page-piles-treatment .table-wrap:focus-visible {
  outline: 3px solid var(--focus-ring);
  outline-offset: 3px;
}

.page-piles-treatment .faq-question {
  font-weight: 700;
  line-height: 1.4;
}

.page-piles-treatment .faq-answer {
  padding: 0 3rem 1.25rem 0;
  color: var(--text-secondary);
}

.page-piles-treatment .card-grid {
  display: grid;
  grid-template-columns: repeat(2, minmax(0, 1fr));
  gap: 1rem;
  padding: 0;
  list-style: none;
}

.page-piles-treatment .cta-band {
  max-width: var(--container) !important;
  margin-bottom: clamp(3rem, 6vw, 6rem);
  padding: clamp(2rem, 5vw, 3.5rem) !important;
  border: 0 !important;
  border-radius: var(--radius-xl);
  background: var(--brand-navy);
  color: var(--color-primary-100);
}

.page-piles-treatment .cta-band h2 {
  color: var(--surface-white);
}

.page-piles-treatment .cta-band p {
  color: var(--color-primary-100);
}

.page-piles-treatment .button-tertiary {
  border-color: var(--border-strong);
  background: transparent;
  color: var(--color-primary-hover);
}

.page-piles-treatment .button,
.page-piles-treatment .icon-button {
  min-height: 3rem;
}

.page-piles-treatment .icon-button {
  min-width: 3rem;
}

@media (max-width: 980px) {
  .page-piles-treatment .page-hero {
    grid-template-columns: 1fr;
  }

  .page-piles-treatment .hero-figure {
    grid-column: 1;
    grid-row: auto;
    max-width: 38rem;
  }

  .page-piles-treatment .toc {
    display: block;
  }

  .page-piles-treatment .toc ol {
    columns: 2;
  }
}

@media (max-width: 760px) {
  .page-piles-treatment .page-hero,
  .page-piles-treatment main > .content-section,
  .page-piles-treatment main > .toc,
  .page-piles-treatment main > .quick-answer,
  .page-piles-treatment main > .video-section,
  .page-piles-treatment main > .alert-urgent {
    width: min(calc(100% - 1.25rem), var(--container));
  }

  .page-piles-treatment .page-hero {
    margin-top: .5rem;
    padding: 1.25rem;
  }

  .page-piles-treatment .hero-figure {
    display: block;
    max-width: none;
  }

  .page-piles-treatment .hero-figure img {
    min-height: 0;
    aspect-ratio: 3 / 2;
  }

  .page-piles-treatment .hero-actions .button,
  .page-piles-treatment .link-row .button {
    width: 100%;
  }

  .page-piles-treatment .toc ol,
  .page-piles-treatment .symptom-list,
  .page-piles-treatment .card-grid {
    columns: 1;
    grid-template-columns: 1fr;
  }

  .page-piles-treatment .content-section {
    min-width: 0;
  }

  .page-piles-treatment .faq-answer {
    padding-right: 0;
  }
}

@media (prefers-reduced-motion: reduce) {
  .page-piles-treatment *,
  .page-piles-treatment *::before,
  .page-piles-treatment *::after {
    scroll-behavior: auto !important;
    transition-duration: .01ms !important;
  }
}