In Ayurveda, Piles is called as ‘Arshaand sometimes ‘Bawaseer’ i.e. which causes severe physical and psychological distress on the person (just like an enemy tortures his victim to achieve or attain something). Although it is told that mandagni‘  or low metabolism is the prime cause of every disease in Ayurveda but three disease are specifically mentioned to be due to low digestive fire (agni) and ‘Arsha’  is one of them, so apart from treating the patient symptoms one has to specifically take into account the ‘AGNI’ of the affected person so that medicine(s) which are prescribed to the patient also acts in balancing his digestion (AGNI) and thereby correction of liver dysfunction and normalizing the aggravated Doshas with pathogenesis.

In Medicine language – a mass of enlarged, complex veins in the anorectal area involving the blood vessels of that region, which gets swollen inside or around the lower part of anus or rectum, due to causative factors (prolonged sitting, chronic constipation, excess alcohol intake) is called as piles/hemorrhoid and is a very common cause of rectal bleeding, anal discomfort and embarrassment and can either be bleeding or non bleeding.  It is a very common, habitual, typical anorectal condition which affects millions of people around the world [not only in developing countries but developed countries are also affected by the same due to faulty lifestyle and dietary habits], thus constitute an important and significant medical, therapeutic, preventive and social class problem.

Causes:

Prolonged straining and constipation. Suppression of natural urge to defecate. Prolonged sitting on hard surface. Faulty dietary and lifestyle habits. Suffering from chronic diarrhea and/or bowel dysfunction. Complications related to pregnancy. Falsifiable use of Panchkarma procedures.

Prodromal Symptoms:

Piles-Symptoms-Home-Remedies
  • Constipation.
  • Anorexia with difficulty in digestion of food.
  • Anal pain.
  • Suspect or suspicion of having any stomach and/or intestinal problem. [very common]
  • Weight loss.
  • Anemia.
  • A weakness of sensory/motor organs.
  • Insomnia, somnolence or deep sleep.

General Features:

  • Presence of blood in stool.
  • Pain during and after act of defecation.
  • Constipation.
  • Area of redness around anal region.
  • Exhausted/emaciated/pale looking body.

DIETARY REGIMEN:

Piles-Dietary-Regimen

PATHYA [Wholesome DIET]:  legumes, whole grain, brown bread,  oatmeal, old brown rice, barley, horse gram, green gram, green peas,  bottle gourd, turnip, green vegetables, tomatoes, papaya, apple, cucumber, grapes, mango, amla, ghee, rock salt, buttermilk, sugar candy, goat’s milk, elephant yam, pistachio, almonds, pears, raw radish, celery, watermelon, figs, apricots, dates, sitz bath.

APATHYA: [ Unwholesome diet]: black gram, chickpea, pickle, daytime sleeping, suppression of natural urges, excess and untimely food, haste/irregular eating, sweet/heavy food which are difficult to digest and cause indigestion, take less of strong spices, oily-fried-fatty and flatus producing foods (peas ,beans ,dals ), tea/coffee, dry food, spicy and fried stuff, garlic, onion, fish, meat, black pepper,  utkatasan [chair pose], halwa-poori, taro root, white bread, cheese, processed food, iron supplements, too much salt.

HOME REMEDIES:

Butttermilk-With-Ginger

Remedy I

Drink 1 glass lukewarm water every early morning and before retiring to bed at night.

Remedy II

Beat trifla( a mixture of the three fruits, Bhibitaki, Haritaki, and Amlaki ) [but do not make powder], and soak in water, next morning after properly mashing and sieving, drink the mixture. [empty stomach]

Remedy III

Whenever one goes to the washroom, make sure to take your urine in your hands and wash your hemorrhoids.

Remedy IV

3 pinch dried ginger plus 2 cup butter milk: take for 1 month [after lunch and dinner].

Remedy V

4 tablespoon sugar plus 4 tablespoon bitter gourd juice for 1 month.

Coconut Water-Home Remedies

Remedy VI

In cases of chronic piles: eat 2 tablespoon makhan [butter] with 1 tablespoon sesame powder: before lunch and dinner and drink 2 cup butter milk with 3-4 pinch of black salt: after lunch and dinner.

Remedy VII

In cases of bleeding piles: drink coconut water with 2 tablespoon sugar.

Remedy VIII

For any kind of piles: drink 1 cup potato juice daily.

Remedy IX

Take 4-6 bulbs of radish, remove leaves and fibers from it and extract juice from the rest, to this add 6 gm ghee and consume every morning. [for bleeding and dry piles].

Remedy X

Ask for pili ral [gond katira] from local grocery store, take 50 gm and make fine powder, consume 6 gm powder everyday with 125 gm curd. [For bleeding piles].

MANAGEMENT

Potato-Juice

Ayurveda management of Arsha is grouped under four subsection depending upon the type, stage and prognosis of hemorrhoid(s), and accordingly the Ayurveda Physician can decide and consider the risks and benefits of the medicine and/or procedure, but make sure that it is an individual choice whether they want medical intervention or conventional treatment.

  1. Medicine.
  2. Application of Alkali.
  3. Use of heat cauterization.
  4. Operative.

SUMMARY:

If your Profession/ Job is such that you require sitting for long hours, then make sure to get up every half hourly to relax for 5 minutes and then continue. Or on best interest, one can make a sponge cushion for your chair. Piles and constipation has a vicious cycle: i.e. when piles develop one is afraid of passing stool with fear of pain ayogand bleeding  resulting in constipation and because of constipation next time he has to strain hard to pass stool resulting in piles and cycle continues, and if at the same time patient is suffering from an abdominal problem with constipation and diarrhea as main symptom [like IBS], this further aggravates the problem, thus as told earlier in Ayurveda we hold that Arsha (piles) – atisaar (diarrhea) – grahani (IBS) are interrelated with each other and if one soften other starts to recede itself. Make sure to exclude any endocrine cause of low metabolisms like thyroid, blood sugar or any other hormonal problem, or medications (use of steroids, anti-depressants). Make a habit not to strain while passing stool, and use Indian seat instead of western, avoid cold tap/jet water instead use warm water to clean your anus after each motion. (One can also use wet toilet paper). Some of the result oriented medicines which are prepared by our team of dedicated Professionals and are available as per request.

Lastly, you can do some Yoga Exercise for Healing Piles and for good digestion.

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Dr Munish Sood

Dr Munish Sood

B.A.M.S, MD (Ayu) Kayachikitsa
He is an Ayurveda Specialist with working experience of almost 18 years as: Sr. Consultant cum Physician (M.D.) & Sr. R.M.O, JNANI Hospital: (An Undertaking of Tibetan Craft Community, Tashijong, Kangra), Paprola. Consulting (M.D.) & Sr. R.M.O, DTIL Hospital, Chimbalhaar, Palampur. Sr. Medical Officer, Simla Sanitarium & Hospital, Himachal Pradesh. Assistant Professor & Medical Officer, SUDAC & Hospital, Hoshiarpur.