Piles
Piles, also known as ‘Haemorrhoids’, are small, bluish swellings, comprising of enlarged blood vessels situated either just inside or just outside the anus commonly called internal piles and external piles. In case of bleeding, they are termed as bleeding piles.
Causes
congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge and form piles. If the constipation further continues, they become large enough to be called second or third degree piles.
Signs & Symptoms
Internal piles: These are found inside the anal canal and lined by mucous membrane. Depending on the chronicity of the disease and prolapse these can be;
First-degree Piles:
Many people have these without even being aware of them. These are located just inside the anus, ocassionally causing some discomfort when a motion is passed. Rarely, slight bleeding may also occur during evacuation.
Second-degree Piles:
They usually appear as pea-sized swellings outside the anus after a bowel motion has been passed. They are usually retained inside the anus and may bleed and cause
discomfort during passing stool with some degree of itching.
Third-degree Piles:
The swollen blood vessels are so enlarged that they remain outside the anus permanently. These are known as external piles, and are more troublesome. Soreness and persistent irritation are the common features.
Some people develop internal and external haemorrhoids at the same time.
Home remedies:
1. The poultice made of sesame (til) seeds can be applied over bleeding piles as an
external measure, and internally also ½ teaspoonful of sesame seeds can be taken
orally with some butter.
2. A mixture can be made of: Ripe bael fruit pulp = loz, Sugar = 180gms, Powder of black peppers = 7 in number, Cardamom powder = 7gms. This can be taken twice a day as a good remedy.
3. Radish (Muli) is a useful home remedy for piles.
* The hot poultice of dry radish (Muli) is a good application in non-bleeding
piles.
* The juice is also useful in piles. 60 to 100 ml of radish juice well mixed with little
bit of salt, should be taken twice a day, daily for 40 days.
4. Butter Milk: It is the home remedy of choice in piles. l00ml well mixed with a little bit of black pepper powder, and salt should be taken daily for a few months at least. Ayurveda stresses upon daily intake of butter milk by the piles patients.
5. Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of harad (Terminal a Chebula) is taken 1 cupful with jaggery at bed-time.
6. Rose petals, 11 in number crushed with 50 ml of water should be taken for 3 days on empty stomach. This is a very good remedy for bleeding piles. Banana fruit should not be taken for 1year along with this treatment.
7. The decoction of sonth (dried ginger) is very useful inpiles. It should be taken in
the quantity of 30 to 50ml daily.
Ayurvedic medicines:
1. Triphalachurna: This should be taken regularly to remove the constipation. 2 tsf of
powder well mixed in a glass of lukewarm water should be taken orally before retiring to bed. Externally also it is widely used in different methods. One popular method is to take a plastic tub, fill it with warm water to a level where one can sit comfortably. Add 10 teaspoonfuls of Triphalachurna to the water and mix well for some time.Then the patient should sit in the tub, duly immersing the anus in the lukewarm water for 30 minutes. This should be carried out daily. This practice brings in enormous benefits to the piles patient.
2. Abhayarista: As an oral liquid preparation, it is also useful in constipation. 30 ml of the
medicine dissolved in equal quantity of lukewarm water should be taken before going
to bed.
3. Arsha Harivati is a common herbo-mineral compound prescribed by Ayurveda. 2
pills twice a day with some butter milk or warm water should be taken for 40 days.
This gives great relief from piles.
4. Arshonyt tablet/ointment (Charak) 1-2 tablets thrice daily along with application of ointment before and after defecation.
5. Many Ayurvedic ointments are quite useful. Dosages are as above.
6. Arshoghnivati tablet 1 to 2 tablets with water or butter milk can be taken thrice or four times daily.
7. Kankayan Vati is quite beneficial in piles.
8. Pileen, Arshon and Rasanjan Vati tablets (Bhaat Ayurvedic Pharmacy) can be taken in the dose of 1 to 2 tablets daily for 2 to 3 months.
9. Kasisadi Tailam when applied externally is also helpful.
Ayurvedic surgical treatments:
When internal piles bleed profusely and is in 2nd or 3rd or 4th degree, medicines do not have much benefit. In such case the piles masses have to be removed surgically. In Ayurveda Kshara sutra ligation and Agnikarma excision are the procedures which can be used to remove the piles masses (Internal as well as external) thus leading to a permanent cure of the problem. One should not hesitate or have any kind of fear of surgical procedures and should consult a qualified expert Ayurveda doctor to get rid of the problem. Delay may sometimes lead to serious complications like severe anemia due to continual bleeding and shock and so on.
External piles if get thrombosed need immediate surgical intervention because of severe pain. Kshara sutra ligation and Agnikarma are equally beneficial in curing external piles permanently.
NOTE: Ayurvedic medicines and treatments including surgical procedures like kshara sutra and agnikarma etc. should be taken under Qualified Ayurvedic Doctor/Physician/Surgeon. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.
Piles, also known as ‘Haemorrhoids’, are small, bluish swellings, comprising of enlarged blood vessels situated either just inside or just outside the anus commonly called internal piles and external piles. In case of bleeding, they are termed as bleeding piles.
Causes
- Persistent constipation due to poor dietary habits.
- Sitting on hard seats for prolonged periods.
- Lack of exercise.
congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge and form piles. If the constipation further continues, they become large enough to be called second or third degree piles.
Signs & Symptoms
Internal piles: These are found inside the anal canal and lined by mucous membrane. Depending on the chronicity of the disease and prolapse these can be;
First-degree Piles:
Many people have these without even being aware of them. These are located just inside the anus, ocassionally causing some discomfort when a motion is passed. Rarely, slight bleeding may also occur during evacuation.
Second-degree Piles:
They usually appear as pea-sized swellings outside the anus after a bowel motion has been passed. They are usually retained inside the anus and may bleed and cause
discomfort during passing stool with some degree of itching.
Third-degree Piles:
The swollen blood vessels are so enlarged that they remain outside the anus permanently. These are known as external piles, and are more troublesome. Soreness and persistent irritation are the common features.
External haemorrhoid (sometimes called a perianal haematoma)
This is less common than internal haemorrhoids. An external haemorrhoid is a small lump that develops on the outside edge of the anus. Many do not cause symptoms. However, if a blood clot forms in the haemorrhoid (a thrombosed external haemorrhoid) it can suddenly become very painful and need urgent treatment. The pain due to a thrombosed external haemorrhoid usually peaks after 48-72 hours, and then gradually goes away over 7-10 days. A thrombosed external haemorrhoid may bleed a little for a few days. It then gradually shrinks to become a small skin-tag.Some people develop internal and external haemorrhoids at the same time.
Home remedies:
1. The poultice made of sesame (til) seeds can be applied over bleeding piles as an
external measure, and internally also ½ teaspoonful of sesame seeds can be taken
orally with some butter.
2. A mixture can be made of: Ripe bael fruit pulp = loz, Sugar = 180gms, Powder of black peppers = 7 in number, Cardamom powder = 7gms. This can be taken twice a day as a good remedy.
3. Radish (Muli) is a useful home remedy for piles.
* The hot poultice of dry radish (Muli) is a good application in non-bleeding
piles.
* The juice is also useful in piles. 60 to 100 ml of radish juice well mixed with little
bit of salt, should be taken twice a day, daily for 40 days.
4. Butter Milk: It is the home remedy of choice in piles. l00ml well mixed with a little bit of black pepper powder, and salt should be taken daily for a few months at least. Ayurveda stresses upon daily intake of butter milk by the piles patients.
5. Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of harad (Terminal a Chebula) is taken 1 cupful with jaggery at bed-time.
6. Rose petals, 11 in number crushed with 50 ml of water should be taken for 3 days on empty stomach. This is a very good remedy for bleeding piles. Banana fruit should not be taken for 1year along with this treatment.
7. The decoction of sonth (dried ginger) is very useful inpiles. It should be taken in
the quantity of 30 to 50ml daily.
Ayurvedic medicines:
1. Triphalachurna: This should be taken regularly to remove the constipation. 2 tsf of
powder well mixed in a glass of lukewarm water should be taken orally before retiring to bed. Externally also it is widely used in different methods. One popular method is to take a plastic tub, fill it with warm water to a level where one can sit comfortably. Add 10 teaspoonfuls of Triphalachurna to the water and mix well for some time.Then the patient should sit in the tub, duly immersing the anus in the lukewarm water for 30 minutes. This should be carried out daily. This practice brings in enormous benefits to the piles patient.
2. Abhayarista: As an oral liquid preparation, it is also useful in constipation. 30 ml of the
medicine dissolved in equal quantity of lukewarm water should be taken before going
to bed.
3. Arsha Harivati is a common herbo-mineral compound prescribed by Ayurveda. 2
pills twice a day with some butter milk or warm water should be taken for 40 days.
This gives great relief from piles.
4. Arshonyt tablet/ointment (Charak) 1-2 tablets thrice daily along with application of ointment before and after defecation.
5. Many Ayurvedic ointments are quite useful. Dosages are as above.
6. Arshoghnivati tablet 1 to 2 tablets with water or butter milk can be taken thrice or four times daily.
7. Kankayan Vati is quite beneficial in piles.
8. Pileen, Arshon and Rasanjan Vati tablets (Bhaat Ayurvedic Pharmacy) can be taken in the dose of 1 to 2 tablets daily for 2 to 3 months.
9. Kasisadi Tailam when applied externally is also helpful.
Ayurvedic surgical treatments:
When internal piles bleed profusely and is in 2nd or 3rd or 4th degree, medicines do not have much benefit. In such case the piles masses have to be removed surgically. In Ayurveda Kshara sutra ligation and Agnikarma excision are the procedures which can be used to remove the piles masses (Internal as well as external) thus leading to a permanent cure of the problem. One should not hesitate or have any kind of fear of surgical procedures and should consult a qualified expert Ayurveda doctor to get rid of the problem. Delay may sometimes lead to serious complications like severe anemia due to continual bleeding and shock and so on.
External piles if get thrombosed need immediate surgical intervention because of severe pain. Kshara sutra ligation and Agnikarma are equally beneficial in curing external piles permanently.
NOTE: Ayurvedic medicines and treatments including surgical procedures like kshara sutra and agnikarma etc. should be taken under Qualified Ayurvedic Doctor/Physician/Surgeon. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.
Author: Dr. Naveen Chauhan
Consultant Ayurveda Physician and Proctologist
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