Piles (Haemorrhoids) Management in Ayurveda

Haemorrhoids (HEM-uh-roids), also called piles,”Arshas” in ayurveda classical texts. It manifests as swollen veins in anus and lower rectum. Haemorrhoids can develop inside the rectum (internal haemorrhoids) or under the skin around the anus (external haemorrhoids).Many of old aged and  adults are having haemorrhoids ,but not informing to family members or doctors ,because of shyness and hesitation. Only approach doctor when the problem become severe and intolerable. Haemorrhoids have a number of causes, but often the cause is constipation.

piles treatmentSymptoms

External haemorrhoids

  • These are under the skin around your anus. Signs and symptoms might include:
  • Itching or irritation in your anal region, Pain or discomfort, Swelling around your anus, Bleeding.

Internal haemorrhoids

Internal haemorrhoids lie inside the rectum. Straining or irritation when passing stool can cause: Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet. A haemorrhoid to push through the anal opening (prolapsed or protruding haemorrhoid), resulting in pain and irritation.

Thrombosed haemorrhoids

If blood pools in an external haemorrhoid and forms a clot (thrombus), it can result in:

  • Severe pain
  • Swelling
  • Inflammation
  • A hard lump near your anus

When to see a doctor

If you have bleeding during bowel movements or you have haemorrhoids that don’t improve after a week of home care, talk to doctor.

Don’t assume rectal bleeding is due to haemorrhoids, especially if you have changes in bowel habits or if your stools change in color or consistency. Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer.

Seek emergency care if you have large amounts of rectal bleeding, light-headedness, dizziness or faintness.


The veins around your anus tend to stretch under pressure and may bulge or swell. Haemorrhoids can develop from increased pressure in the lower rectum due to:

  • Straining during bowel movements
  • Sitting for long periods of time on the toilet
  • Having chronic diarrhea or constipation
  • Being obese
  • Being pregnant
  • Having anal intercourse
  • Eating a low-fibre diet
  • Regular heavy lifting


Complications of haemorrhoids are,

  • Rarely, chronic blood loss from haemorrhoids may cause anaemia, in which you don’t have enough healthy red blood cells to carry oxygen to your cells.
  • Strangulated haemorrhoid.If the blood supply to an internal haemorrhoid is cut off, the haemorrhoid may be “strangulated,” which can cause extreme pain.
  • Blood clot.Occasionally, a clot can form in a haemorrhoid (thrombosed haemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.


The best way to prevent haemorrhoids is to keep your stools soft, so they pass easily. To prevent haemorrhoids and reduce symptoms of haemorrhoids, follow these tips:

  • Eat high-fibre foods.Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can cause haemorrhoids. Add fibre to your diet slowly to avoid problems with gas. Eat more vegetables and fruits. If diabetic take only lemon and tomato along with vegetables.
  • Drink plenty of fluids.Drink six to eight glasses of water and other liquids (not alcohol) each day to help keep stools soft.

If you use fibre supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, the supplements can cause or worsen constipation.

  • Don’t strain.Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
  • Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could dry out and be harder to pass. In Ayurveda, holding natural urges like defaecation etc. is called Vegadharana, cause for many diseases.
  • Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting. Exercise can also help you lose excess weight that might be contributing to your haemorrhoids. According to Ayurveda, any physical work which tires body is called as vyayama or exercise.
  • Avoid long periods of sitting.Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
  • Keep anal area clean.

Ayurveda management

If bleeding occurs,

  1. Chirabilvadi Kashaya .10-15 ml before food with equal hot water, two times daily
  2. Tab.Chandrakala rasa 1-1-1 daily with hot water
  3. Tab.Bolabaddha rasa 1-1-1, daily with hot water
  4. Take Nagakeshara with black sesame powder, with ghee or butter.
  5. Tab.Arshakutara ras 1-1-1 daily with honey. (Use honey only in non-diabetic

To relieve constipation,

  1. Isabgol.2-3 tsp at night with milk
  2. Trivrit Leha 1-2 tsp at night with milk
  3. Muktha tablet (Prasadini ayurnikethana product)
  4. Abhayarista 20-30 ml twice daily with equal hot water
  5. Kumari Asava 20-30 ml twice daily with equal hot water

For local application,

  1. kaseesadi taila
  2. jatyadi taila
  3. Half spoon of mustard powder with I tsp of honey, apply this with cotton swab
  4. half teaspoon of turmeric with 1 tablespoon of mustard oil, papaya juice and aloe vera gel, apply.
  5. Hot poultice of dry radish in non-bleeding piles
  6. For painful protruding piles, prepare ointment with turmeric, leaves of Indian hemp, onion, and hot sesame oil. Apply.

We have to note that all such measures are conservatory and may cause relief, but Kshara treatment is the ultimate, cure for the problem.

Kshara sutra ligation and Ksharakarma in Ayurveda: One of the tremendous cures in ayurveda is possible through this treatment. No recurrence.it is permanent solution. I have not seen even a single case of recurrence among hundreds of cases we did in our Prasadini ayurnikethana Ayurveda hospital of piles after this procedure. Normally, no admission required. No general anaesthesia required. Patient can go home directly after the procedure.

Medical Director and Chief Ayurveda Consultant,
Prasadini Ayurnikethana Ayurveda hospital,
Mail id: prasadinicare@gmail.com
Web: www.prasadini.com
Mob: 9740545979