Piles, also known as hemorrhoids, is a very common problem nowadays. Piles are dilated and swollen veins around the rectum and around the anal opening. Pile mass is a collection of small veins which can be compared with the cushions of tissue within the anal canal containing blood vessels.
Two types of piles seen in people are:-
- Bleeding Piles – The piles that usually bleed are known as bleeding piles. Regular blood loss leads to anemia and weakness.
- Non Bleeding Piles – When there is no bleeding in the piles but still the pile mass can be felt and causes pain and discomfort is called non bleeding piles or dry piles.
According to the location, piles can be:-
- External Piles – The hemorrhoids present on the external surface are both painful and visible. They get burst or begin bleeding if they get inflamed.
- Internal Piles – These are located in the inner lining of the anal region. These are not visible externally and are generally painless.
The most common and persistent cause of piles is constipation. The straining action during constipation for the evacuation of bowels is the biggest cause for this condition.
Some of the other causes for piles are:-
- Sedentary lifestyle
- Genetic constitution
- Untreated gastric condition
- Lack of fibre intake in your food
- Sitting on hard seats for prolonged periods of time
- Lack of exercise
- Varicose veins
- Conditions which cause increased pressure on veins around the anus
- Bleeding from the anal region
- Itching and irritation in the anal region
- Pain and discomfort at the time of bowel movement
- Tender lumps
- Feeling of unclear bowel even after passing the stool
- Frothy mucus discharge with the stool
AYURVEDIC VIEW AND TREATMENT ACCORDING TO CHANDIGARH AYURVED CENTRE
Ayurveda believes that Apana Vayu is responsible for the defecation process. Vitiation of apana vayu results in the formation of pile mass. The vitiation of apana vayu leads to Agnimandya which further causes the malformation of the stool and hence results in the constipation.
Piles can be compared with Arsh in Ayurveda. Pravahini, visarjini and samvarini the three major veins present in the anal region swell up and protrude out leading to the formation of pile mass.
Ayurvedic formulations useful in Arsh are:-
- Arsh Kuthar Rasa
- Pranda Gutika
- Panchaskar Churna
- Trivrit Avaleh
- Lasuna Rasayan
- Hingvadi Vati
- Chitrakadi Vati
Kshara Sutra ligation and Agnikarma excision are done to remove the pile masses.
DIET AND LIFESTYLE
- Drink a lot of water and other fluids
- Avoid irregular eating pattern and have meals at regular timings
- Avoid eating heavy, oily and fried foods
- Avoid sitting at one place for longer time. Take a break from your long sitting job
- Keep the sitting surface soft so that it does not restrict the flow of the blood around the anal region
- Never hold the urge to pass the stool. Avoid over straining.
- Prefer taking vegetables and fruits in your diet. Avoid taking non vegetarian food.
- Make minimum use of oils and spices.
- Avoid taking in bakery food items.
- Take one radish and crush it. Add some milk to make a thick paste of it. Mix well and apply around the anal opening. Wash off after 15 minutes. Do this two times a day.
- Take one tablespoon of cumin seed powder and add water to make a thick paste of it. Mix well and apply this on the affected area. Leave for 15 minutes. Wash off with the water and do this two times a day.
- Crush one inch piece of ginger and make a paste of it. Also take a handful of mint leaves and prepare its paste. Mix both the pastes well and extract the juice out of it. Now add two teaspoons of lemon juice to it and one teaspoon of honey to it. Mix well and consume this two times a day.
- Combine the mixture of buttermilk and bitter gourd leaves. Take this 2-3 times a day. This is again highly beneficial in the case of piles.
- Take the decoction of the fruit peel of harad or Haritaki with one cupful of jaggery at bedtime.
- Crush 11 rose petals and add 50 ml of water to it. Consume this empty stomach in early morning. This is beneficial in preventing bleeding piles.