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         Hemorrhoids are swollen veins in the lower part of the anus and rectum. When the walls of these vessels are stretched, they become irritated.Although hemorrhoids can be unpleasant and painful, they are easily treated and very preventable. As hemorrhoids generally get worse over time, so they should be treated as soon as they appear.

Approximately 50 percent of those people aged 50 years and over will require treatment. However, it is striking that only around 4 percent actually seek medical treatment.


1.Internal hemorrhoids:
             Internal hemorrhoids are deep inside the rectum and not visible from outside. They are generally painless. Often, the first sign that internal hemorrhoids are present is rectal bleeding.

Straining can sometimes push an internal hemorrhoid so that it protrudes through the anus, this is called a protruding or prolapsed hemorrhoid and can be painful. 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, occasionally causing some discomfort when a motion is passed. Bleeding in the form of drops sometimes as splash in toilet pan occur during passing of stools.

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 spontaneously when strain of defecation is removed and may bleed as drops or as splash in pan (large amount of bleeding) and cause discomfort during passing stool with some degree of itching and mucous secretion.

Third-degree Piles:
         The piles masses need to be pushed inside the anus by finger after passing stool.. Soreness and persistent irritation are the common features besides occasional bleeding as drops or as splash.

Fourth degree piles:

          The mass remains permanently outside with severe pain. 

2.External hemorrhoids
                   External hemorrhoids are under the skin around the anus and are therefore visible. Because there are more pain-sensing nerves in this part of the body, they are normally more painful. Straining when passing a stool may cause them to bleed.

Symptoms of hemorrhoids

1.Bleeding, usually painless - the patient may notice bright red on the toilet paper or in the toilet bowl
2.Itching or irritation in the anal area
3.Discomfort and pain in the anal region
4.Lumps protruding from the anal region
5.Swelling in the anal region
6.A lump near the anus, this can sometimes be sensitive.
7.Feces may leak out unintentionally

Causes and risk factors for hemorrhoids

1.Pregnancy - they occur more commonly in pregnant women because, as the uterus enlarges, it presses on the vein in the colon, causing it to bulge.
2.Aging - hemorrhoids are most common among adults aged 45-65. This does not mean, however, that young people and children do not get them.
3.Chronic diarrhea.
4.Chronic constipation - straining to move stool puts additional pressure on the blood vessels' walls.
5.Sitting for long periods (especially on the toilet).
6.Standing for long periods.
7.Anal intercourse.
9.Genetics - some people inherit a tendency to develop hemorrhoids.

Diagnosing hemorrhoids

            Anyone experiencing the symptoms outlined above should contact a doctor. Bear in mind that rectal bleeding can be caused by other things, including colorectal and anal cancers. It might be a mistake to assume that anal bleeding is simply the result of hemorrhoids and, because of this, decide not to see a doctor.

A doctor can carry out a physical examination and perform other tests to determine whether or not hemorrhoids are present. These tests may include a digital rectal exam - a manual inspection by the doctor using a gloved, lubricated finger.

Sometimes, the exam includes an anoscope (a small, rigid, tubular instrument).

If symptoms started with a significant alteration in bowel habits, if stools are very dark or even black, if there are blood clots or blood mixed in with the stools, it is important to see a doctor immediately.

If symptoms include large amounts of bleeding, dizziness, and a fainting sensation, the individual should seek emergency care immediately.

Preventing hemorrhoids

1.If an individual's stools are always soft, the chance of developing hemorrhoids is greatly reduced.

2.Nutrition - eating plenty of fruits and vegetables, as well as whole grains, means stools will nearly always be soft. Similarly, drinking plenty of fluids helps keep stools soft (this does not include alcohol). OTC fiber supplements also ease constipation.
3.Straining - when using the toilet, try not to strain, this creates pressure in the veins in the lower rectum.
4.Go when needed - people should not wait if they need to use the toilet. The longer the wait, the drier the stools will be.
5.Physical activity - sitting or standing still for long periods puts pressure on the veins.
6.Keep body weight down - being overweight significantly raise a person's risk of having hemorrhoids

Management of piles:
                 Modern medicine does offer a way to help you improve your piles symptoms and get rid of it. However, piles is a condition that often recurs. You have to address the root cause of the condition before you can effectively treat it for life. Medical treatment of piles can help you get rid of the pain intermittently. It will also be able to delay bleeding and bursting of the hemorrhoids. However, if you want to get rid of the condition completely, you will have to undergo a surgery in which these inflamed veins are surgically removed. It is not difficult to imagine that every surgery has its own side effects and problems.

Ayurvedic Treatment of Piles:
          You may also have to institute some basic lifestyle changes. A colon cleanse, once in a while, can be really helpful. Regular exercise is certainly a must. In addition to that, you must focus on having a normal and healthy sex life. Excessive or abnormal sex can also lead to aggravation of the symptoms of piles. With that, avoid sitting for long periods of time and use only soft, cushioned seats when you sit. Drink lots of water to keep your stools soft and prevent constipation.
               The biggest advantage of Ayurvedic treatment of piles is that it saves you from surgery and treats your condition as well as its symptoms naturally. With Ayurveda,  the perfect blend of herbal formulations  help you reduce the inflammation of hemorrhoids and the pain and bleeding associated with the condition. The best benefit of this condition is that it saves you from surgery. Ayurvedic Expert’s formulation can be used for 3 months for the treatment of both bleeding and non bleeding piles and chronic constipation. Use it for the recommended period and you will immediately experience long term relief from your symptoms.

Home remedies for hemorrhoids:
         Symptoms can be relieved in the following ways, however, they will not eliminate the hemorrhoids:

1.Topical creams and ointments
2.Bathing the affected area - bathe gently with warm water. Do not use soap. Dry the area gently with a hair dryer after bathing.
3.Ice packs and cold compresses - applying these to the affected area may help with the swelling.
4.Sitz bath using warm water - the sitz bath is placed over the toilet.
5.Moist towelettes - dry toilet paper may aggravate the symptoms.
6.Radish (Muli) is a useful home remedy for piles.
7.The hot poultice of dry radish (Muli) is a good application in non-bleeding piles.
8.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.
9• Butter Milk: It is the home remedy of choice in piles. Ayurveda stresses upon daily intake of butter milk by the piles patients.
10. Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of  Terminalia chebula is taken 1 cupful with jaggery at bed-time.

Ayurvedic medicines:
1. Triphala churna: This should be taken regularly to remove the constipation. 2 teaspoonful 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 Triphala churna 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. Many Ayurvedic ointments and oils are quite useful for local application.

4. Arshoghnivati tablet 1 to 2 tablets with water or butter milk can be taken thrice or four times daily.

5. Kankayan Vati is quite beneficial in piles.

Ayurvedic surgical treatments: Kshara sutra and Agnikarma
When internal piles bleed profusely and/or are 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/only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.