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What is Piles?

Anorectal disorders can affect people of all ages, from young infants to seniors. Among all anorectal disorders, Piles, Fistula and Fissure are the most common. Piles, also known as haemorrhoids, are characterised by bleeding & prolapsing of the rectum during defecation. There can be times when the walls with sensitive blood vessels stretch and become irritated and inflamed, leading to discomfort. Piles can occur internally, within the rectum, or externally, around the anus. Fissures are some tears in the anal tract caused when you pass hard, constipated stool. Whereas, Fistula is a pus-filled cavity in the anal pathway. In all anorectal disorders, digestion is a major concern, along with sluggish digestion.

Ano-rectal Symptoms

Pain and discomfort

Pain and discomfort

Itching and irritation around the anus

Itching and irritation around the anus

Swelling near the anus

Swelling near the anus

Bleeding during bowel movements

Bleeding during bowel movements

A lump near the anus, which can be sensitive or painful

A lump near the anus, which can be sensitive or painful

Types of Piles

Piles are categorised into:

Internal Piles

Often go unnoticed as they are not painful due to lack of pain receptors in the rectum. However, when prolapsed, these internal structures, which are usually neglected, are visible outside the anus during defecation, and this may cause discomfort and pain. The most frequent complaint associated with a bowel movement is bright red blood that is streaked on the toilet paper after the defecation process.

External Piles

Located around the anus, these are often painful, especially if they become thrombosed. In such cases, patients may experience severe pain and swelling along with Itching and irritation due to the mucus they secrete. The swelling around the anus is common in this.

Causes of Piles

The causes of piles are multifaceted, involving both lifestyle and physiological factors:

• Increased Abdominal Pressure: Sometimes, physical pressure in hemorrhoidal veins can be caused by straining to have a bowel movement, a sedentary lifestyle, obesity, pregnancy, and heavy lifting.
• Dietary Factors: A diet low in fibre can cause constipation, leading to hard stools and straining, which increases the risk of haemorrhoids. Conversely, excessive intake of spicy and deep-fried foods can exacerbate the symptoms.
• Genetics: A family history of haemorrhoids can predispose individuals to developing piles.
• Ageing: As one age, the tissues that support the veins in your rectum and anus can weaken and stretch, increasing the risk of haemorrhoids.

In Ayurveda, piles are considered to result from the disturbance of any of the three doshas, although it is most commonly linked to the dysfunction of the digestive system and an imbalance in the Vata dosha:

• Vata Type Piles: Dryness and hardness characterise these, causing pain and discomfort.
• Pitta Type Piles: These are associated with inflammation, infections, and bleeding.
• Kapha Type Piles: Characterised by the pile mass being soft and large, with itching and secretion.

Risks & Complications

Piles is a condition that, if not treated properly, may result in several complications, including:

• Severe Anaemia - caused by long-term bleeding from the piles
• Strangulated haemorrhoid, where the blood supply to an internal haemorrhoid is cut off, causing extreme pain and possible infection
• Fistula or breakdown in the tissues around the anus leading to infection
• Ulcerated haemorrhoids that may be painful

When to See a Doctor?

You should consult a certified Ayurveda practitioner if:

• The symptoms do not go away in a week
• You bleed, or the pain is too much
• There is an outward bulging of the haemorrhoid
• When symptoms do not improve with home remedies of piles

Piles Treatment In Ayurveda

Ayurveda does not only cure the piles symptoms but emphasises the restoration of digestive health and balance in the body’s doshas. Here’s how the condition of piles is treated in Ayurveda:

Dietary Adjustments

Fibre-Rich Foods: Incorporate fibre-rich foods like whole grains, leafy greens, and fresh fruits into the diet to soften stools and reduce the straining during bowel movements.

Hydration: Adequate fluid intake is essential. Herbal teas and warm water can help promote digestion and reduce constipation.

Avoiding Trigger Foods: If you have piles, there are certain foods you should keep away from, like spicy food, caffeinated drinks and venturing alcohol because they can aggravate the condition.

Herbal Remedies

Haritaki and Triphala: These herbs are said to stimulate bowel movements and expel waste from the system, especially in postpartum constipation.

Kachnaar Guggul: A traditional remedy for reducing the size of piles and alleviating pain.

Nimba (Neem): It is also used to reduce inflammation and help in curbing infections, this is due to its antiseptic and anti-inflammatory effects.

Lifestyle Modifications

Regular Exercise: Some light exercises or physical activities such as brisk walking as well as yoga may enhance proper circulation of blood, digestion or every other dietary process and would in turn reduce the chances of constipation, which would otherwise lead to the formation of piles.

Proper Hygiene: Keeping the anal area clean can also prevent additional irritation and even infection.

Panchakarma Therapies

Basti (Medicated Enema): This technique is of great significance in piles management through purification of the lower bowel and restoring normal bowel function especially in piles of Vata type.

Jiva’s Evidence-Based Treatment Process

Nadi Pariksha

To begin with, Nadi Pariksha - a traditional pulse diagnosis technique, is used by certified Ayurvedic doctors in Jiva to find imbalances and examine organ health, which is very important in the accurate diagnosis of Piles.

Prakriti Analysis

Understanding your unique physical and psychological pattern allows us to tailor a Piles treatment plan that not only addresses symptoms but aligns with your inherent constitution for lasting health.

Samprapti Ghatak (Pathogenesis)

In our investigations, we examine the if and how Piles is progressing by the dietary, lifestyle, and psychosocial aspects, identifying individual factors for customised intervention and pinpointing specific triggers for targeted treatment.

Chikitsa Sutra - Personalised Treatment Plan

After that, we create a detailed Piles treatment plan, which consists of diet modifications, lifestyle adjustments, herbal medications, and specific therapies that aim to restore dosha balance and renew digestive health.

Continuous Monitoring & Amendments

Continuous tracking of treatment effectiveness allows us to make necessary adjustments, ensuring that you achieve the best results from your personalised Piles treatment plan with Jiva's ongoing support.

What Our Patients Say

87% of patients rate us excellent in service.

78% of patients saw significant improvement in 3 months of treatment.

92% of patients stopped allopathic medicines completely.