Ayurvedic treatment for Hemorrhoids or piles

Hemorrhoids or piles

Know More on Gastro Intestinal diseases

  • Definition
  • Causes
  • Symptoms
  • Diagnosis
  • Management
  • FAQS
  • References

Definition

Hemorrhoids or piles Ayurvedic treatment

Hemorrhoids are also called as Piles. This is a term for the swelling of veins around the anus and the lower part of the rectum.1 Generally, these hemorrhoids are found of the following 2 types1:

Internal hemorrhoids/piles : These are initially found inside the rectum. They are generally painless and may cause bleeding. As they advance, they may be pushed out during motions and retract inside again by themselves.

External hemorrhoids/piles : These develop under the skin around the anus on the outside. They are usually painful and often bleed regularly.1

Hemorrhoids are called Arsha in the Ayurveda. According to Ayurveda, Arsha is a lifelong disease which is difficult to treat in nature. This condition is a result of an imbalance of all three doshas.2

Causes

Hemorrhoids or piles

Hemorrhoids are caused because of a swelling in the anal or rectal veins Causes of this swelling includes the following1 -

  • Long term constipation or diarrhea
  • Excessive straining during motions
  • Sitting jobs (driving long hours, table work, etc)
  • Low fiber in the diet
  • Increasing age - causing weakening of tissues around the anus.

Apart from these causes, Pregnancy can also be a cause of hemorrhoids. This happens because of increased pressure in the abdomen that may enlarge the veins in the lower rectum and anus. Usually, hemorrhoids caused by pregnancy subside after childbirth.

Symptoms

Hemorrhoids or piles

Some common symptoms include:

  • Pain in anus
  • Blood in stools
  • Irritation around anal area
  • Feel something protruding out after motions

Generally hemorrhoids are not dangerous or life threatening. The symptoms usually go away within a few days, and some people with hemorrhoids may never have symptoms.

Diagnosis

Hemorrhoids or piles

Apart from a person’s complaints on the above mentioned symptoms, doctors will examine the anus and rectum to check for hemorrhoids.  A digital rectal exam helps in finding out internal hemorrhoids while these that are deeper inside may be checked with a proctoscope—a hollow, lighted tube.1

Additional examinations may be done to rule out other causes of bleeding, especially in people age 40 and above. These include1:

  • Colonoscopy: An instrument called a colonoscope is used to see inside of the rectum and the entire colon.
  • Sigmoidoscopy: This procedure is similar to colonoscopy, but it uses a different instrument called a sigmoidoscope. It is used to see the only the rectum and colon.
  • Barium enema X-ray: An X ray of the colon is taken after inserting a contrast material called barium into the colon.

Management

Hemorrhoids or piles

Diet Recommendations (Aahar)

  • Include cow milk, butter, buttermilk, wheat, ghee, rice and green vegetables in your diet
  • Avoid chilies, fried foods, maida products, non-vegetarian foods, paneer and foods that cause constipation

Lifestyle changes (Vihar)

  • Avoid fast paced life and spend time in peaceful surroundings

· Avoid suppressing your urges, indulging in excessive sexual activity, constant sitting, squatting, and riding

  • Avoid excessive pressure while defecating
  • Follow a regular sleep pattern
  • Indulge in regular exercises and yogasanas. Some beneficial yoga postures include:

Talasana Sarvangasana Ustrasana

FAQS

Hemorrhoids or piles
  1. What is GERD?

Acid reflux disease - also commonly known as Gastro-esophageal reflux disease (GERD) is condition in which acid from the stomach regurgitates or moves up into the esophagus (gullet).

  1. How are fissures caused?

An anal fissure may occur when due to passing of hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. One may experience spasms in the ring of muscle at the end of the anus (anal sphincter).

  1. Can a fissure heal completely?

With appropriate treatment and following of pathya apathya, a fissure can heal completely. Although care should be taken not to be constipated and have high amount of fiber in food.

  1. What is a kshar karma? How is it different from other surgery

Kshar karma is a specialized Ayurvedic surgical procedure that involves minimal blood loss and provides excellent relief in hemorrhoids and fistulas. It involves the applying of a sclerosing agent, such as apamarg kshar snuhi kshar etc.

It differs from conventional surgery as in it does not require anaesthesia, shows minimal blood loss and need not require inpatient admissions.

  1. What are the risk factors of developing bowel incontinence?

A number of factors can increase the risk of developing fecal incontinence. These include:

  • Age: It is more common in middle-aged and older adults.
  • Female gender: Fecal incontinence is slightly more common in women. One reason may be that fecal incontinence can be a complication of childbirth.
  • Nerve damage: People who have long-standing diabetes or multiple sclerosis — conditions that can damage nerves that help control defecation — may be at risk of fecal incontinence.
  • Dementia: Fecal incontinence is often present in late-stage Alzheimer's disease and dementia.
  • Physical disability: Being physically disabled may make it difficult to reach a toilet in time. An injury that caused a physical disability also may cause rectal nerve damage, leading to fecal incontinence. Also, inactivity can lead to constipation, resulting in fecal incontinence.
  1. What exercises can be done to have better control on the motions?

Certain asanas that help strengthen the pelvic floor (muscles around the anal opening) are recommended for better control over the anorectal area. These are -

Utkatasana                   Virabhadrasana                 Ananda Balasana             Shlabhasana

 

  1. Can celiac disease lead to anything serious?

Untreated, celiac disease can cause the following complications:

  • Malnutrition: The damage to your small intestine means it can't absorb enough nutrients. Malnutrition can lead to anemia and weight loss. In children, malnutrition can cause slow growth and short stature.
  • Calcium loss of calcium and low bone density: Malabsorption of calcium and vitamin D may lead to a softening of the bone (osteomalacia or rickets) in children and a loss of bone density (osteoporosis) in adults.
  • Infertility and miscarriage: Malabsorption of calcium and vitamin D can contribute to reproductive issues.
  • Lactose intolerance: Damage to your small intestine may cause you to experience abdominal pain and diarrhea after eating lactose-containing dairy products, even though they don't contain gluten. Once your intestine has healed, you may be able to tolerate dairy products again. However, some people continue to experience lactose intolerance despite successful management of celiac disease.
  • Cancer: People with celiac disease who don't maintain a gluten-free diet have a greater risk of developing several forms of cancer, including intestinal lymphoma and small bowel cancer.
  • Neurological problems: Some people with celiac disease may develop neurological problems such as seizures or peripheral neuropathy (disease of the nerves that lead to the hands and feet).

In children, celiac disease can also lead to failure to thrive, delayed puberty, weight loss, irritability and dental enamel defects, anemia, arthritis, and epilepsy.

  1. Who gets affected by pancreatitis?

Acute pancreatitis is more common in middle-aged and elderly people, but it can affect people of any age. Men are more likely to develop alcohol-related pancreatitis, while women are more likely to develop it as a result of gallstones.

  1. What are the common causes of developing ulcers in stomach?

Common causes of peptic ulcers include -

  • Long-term use of non steroidal anti-inflammatory drugs (NSAIDs)
  • An infection with the bacteria Helicobacter pylori (H. pylori)
  • Rare cancerous and/or noncancerous tumors in the stomach, duodenum, or pancreas

Addtionally, intake of alcohol and smoking also increase the chances of having a gastric ulcer.

  1. What causes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Several factors may cause this swelling, including -

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting on the toilet for long periods of time
  • A lack of fiber in the diet

Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age.

Pregnancy can cause hemorrhoids by increasing pressure in the abdomen, which may enlarge the veins in the lower rectum and anus. For most women, hemorrhoids caused by pregnancy disappear after childbirth.

 

References

Hemorrhoids or piles
  1. National Institute of Diabetes and Digestive diseases. Hemorrhoids. US Dept of Health & Human Services. Available at https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/hemorrhoids/Pages/facts.aspxaccessed on Aug 23rd
  2. Singh S, Kedar NM et al. Role of Jaloukavacharan in Thrombosed Hemorrhoids- a Case Study. Int. J. Ayur. Pharm Res. 2014;2(3):100-103.
  3. Mishra N, Sharma HP. Hemorrhoids–(Arsha): a Comprehensive Review on Its Causes And Treatment. UJAHM 2013, 01 (03): Page 31-33
  4. Agnivesha, Charak Samhita With Vidyotini hindi Commentary of Pt. Kasinatha Sastri and Dr. Gorakha Natha Chaturvedi Ji, Chaukhambha Bharati Academy, Varanasi. Reprint year: 2005,

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