Hemorrhoids
330 Case Studies
42 Member Stories
23 Research

Ayurvedic therapies focus on the root cause and improving your quality of life. The methods include lifestyle, diet, herbal nutritional supplements, medication, exercise, and massage treatments.

Hemorrhoids or Piles Dosha Imbalance

Hemorrhoids or Piles is a widespread problem nowadays and is a debilitating and rather embarrassing requirement for a patient.

What's Ayurvedic treatment? Ayurveda is a traditional Indian medicinal practice. Though it originated in India, now it's practiced globally. Hemorrhoids are explained in the title of Arsha. This condition is due to low digestive fire, vitiation of doshas, particularly that of Apana Vatha. "Apaana vatha" is among the five kinds of Vatha and is found in the testicles, urinary tract, phallus, umbilicus, thighs, groin, anus, and colon. It controls functions like the excretion of feces.

Its vitiation can cause an accumulation of waste products and varicosity of veins in the anus. Constant traveling at a sitting posture on a hard chair, chronic constipation, and pregnancy are predisposing factors for this vitiation.

It is essential to know for sure you have hemorrhoids, so do seek a diagnosis with your physician to rule out other issues.

Doctors may recommend over-the-counter products for this matter. Considerable hemorrhoids will require more treatment. There are a small number of Ayurvedic approaches to treating hemorrhoids you could try also. 


See: Ayurvedic Therapy to Help Heal Hemorrhoids

Types of Hemorrhoids

There are two primary types of hemorrhoids. These are categorized according to their place - external or internal. Internal hemorrhoids are those that can be found in the inner lining of the anal area. These veins, in the anus, are hidden and therefore, can't be felt. These hemorrhoids are often painless. They aren't visible but can get inflamed and result in bleeding. The hemorrhoids located on the outside side of the anus are equally painful, observable, and maybe felt as well. When they become too inflamed, they can burst or start bleeding. They're the troublemaking kind.

Classification types based on Ayurveda

- Vatha Arsha (Hemorrhoids having Vatha dominance) Piles are extremely hard, rough, and blackish. They are quite painful usually accompanied by constipation

- Pitha Arsha (Hemorrhoids having Pitha dominance) Piles are incredibly soft, reddish in color, inflamed, and bleeding. Thirst, diarrhea, fever may also be present

- Kaphaja Arsha (Hemorrhoids having Kapha dominance) Piles are whitish, big, soft and slimy with reduced digestive fire

- Tridoshaja Arsha (Hemorrhoids having Tridosha dominance) Combination of symptoms mentioned above

- Raktha Arsha (Bleeding Piles)

- Sahaja Arsha (Hereditary Piles)

See: Diet to Eliminate Hemorrhoids with Success

Ayurvedic consideration of Piles

Ayurveda approaches piles in a lot of ways. The methods include lifestyle, diet, herbal nutritional supplements, medication, exercise, and even massage. Since constipation is one of the critical causes of piles, the majority of the treatments focus on ensuring good digestive health. However, if you currently have painful piles, Ayurvedic therapies focus on the root cause and improving your quality of life. The ultimate aim in Ayurveda is to balance each dosha. This balance is accomplished via a combination of diet, lifestyle modifications, and herbal remedies.


See: Ayurvedic herbs for constipation relief

Ayurvedic treatments for hemorrhoids

Ayurvedic remedies for hemorrhoids (piles)

Ayurvedic approaches to hemorrhoid treatment are believed to be holistic. People experiencing hemorrhoids who wish to try treating them with Ayurvedic medicine should anticipate herbal remedies, lifestyle changes, and potentially minimally invasive procedures as part of the treatment program. Your Ayurvedic practitioner will evaluate your general health to ascertain your dominant dosha before making treatment tips. If you are experiencing hemorrhoids and need to take an Ayurvedic approach to treatment, your choices include:

- Ayurvedic Medicine, or Bhaishajya Chikitsa

Most minor hemorrhoids can be treated with drugs only. No other processes are required unless hemorrhoids are more severe. Often, medications may be utilized in addition to procedures. Your dosha will play a role in the remedies your Ayurvedic practitioner selects and any lifestyle or dietary changes they recommend you create to be able to prevent a recurrence. Some medications might not be acceptable for your dosha, so follow your physician's guidance.

- Herbal Program, or Kshara

Kshara is a caustic, alkaline adhesive used to handle hemorrhoids. The paste is made from a natural blend and has a cauterizing action. Kshara is put on hemorrhoids with a specialized device called a slit proctoscope. The paste then chemically cauterizes hemorrhoids, which might have been open and bleeding. In Ayurvedic medicine, this Kshara karma way is thought of as the best approach for treating psoriasis. Based upon your dosha, you will be advised to take certain drugs to balance your body as you recuperate. You might also need to make a lifestyle or dietary adjustments to support recovery. It is likely to be allergic to herbal medicines. Do test the lotion on your arm, and if no response occurs in 24 hours, consider applying to the rectal region.

- Surgical intervention, or Sastra Chikitsa

Your Ayurvedic practitioner may suggest a treatment called Kshara sutra. Kshara sutra employs a special medicated ribbon to tie hemorrhoids off in the base. This procedure also chokes the blood supply to the vein, allowing hemorrhoids to shrink over the next 7 to 10 days. It will wither and detach by itself. This more invasive strategy is considered only when other therapies aren't effective. Although this process is considered minimally invasive, it does have risks. Surgical intervention could be harmful to folks that are vulnerable to disease, have a bleeding illness, or are on drugs for heart conditions or blood-thinning. Consult with a licensed healthcare practitioner for information.

- Cauterization, or Agni karma: External hemorrhoids can be treated by a cauterized process using infrared heating. Cauterization may create some pain.

This sort of treatment might require five to six treatments over precisely the same number of weeks until it makes a difference. Once more, your dosha will be taken into consideration before treatment. There's potential for more significant pain or infection with this process. Consult your doctor about ways to lower your risks and make sure this is suitable for you. 


See: Ayurvedic Diet

Scientific studies in Ayurveda for hemorrhoids

Do Ayurvedic treatments work?

Kshara treatment seems to be secure, but there's potential for risk. More research is necessary to understand how they work and how they work. One study assessed 30 people experiencing hemorrhoids. The topical application of Kshara paste for seven days led to the shrinkage of the piles. There were no adverse effects shown in this therapy. Researchers concluded this treatment could be useful for initial - and second-degree hemorrhoids.

Kshara Sutra, the surgical procedures, have been shown to be minimally invasive and low-cost, with a small risk of adverse side effects. These treatments have a few advantages: They require less time to execute, and people may be able to return to work the following day. The retrieval is less painful compared to a hemorrhoidectomy. One research study recommends a mixture of contemporary surgical intervention and Ayurvedic treatments. Its findings indicate that modern and Ayurvedic philosophy toward hemorrhoid therapy are similar but maybe most effective if practiced together.


See: Ayurvedic Approach to Gut Health & Constipation

Precautions & side effects

Ayurvedic hemorrhoid treatments like the program of Kshara paste and Kshara Sutra ligation have been proven to be safe and effective. If your practitioner or physician has recommended herbal supplements or drugs, make sure you ask about possible side effects.

Cauterization processes and surgical procedures have a higher risk. Possible side effects include infection, pain, damage to tissue, leakage of feces, or recurrence of hemorrhoids. It may be risky for a person experiencing hemorrhoids to select the wrong treatment. That means it's crucial to work closely with a knowledgeable practitioner before picking.

See: Yoga For Digestion & Gut Health

Ayurvedic lifestyle remedies

Ayurvedic lifestyle recommendations:

Diet: Ayurvedic texts imply moderating your diet indefinitely for the successful treatment of piles. This would mean you may need to avoid really starchy foods like potato, yellow pumpkin, and colocasia. Instead, you should add some more fiber to your diet. Sesame and mango seeds can be added to a diet in order to add mass to it and avoid constipation. You can eat fruits like jambul, dried figs, Amalaki, and papaya since these are natural stool softeners. Vegetables that have a good deal of roughage, such as radish, turnip, onions, bitter gourd (karela), and ginger, are fabulous additions to the diet also. Consumption of dietary staples like wheat and rice can be continued.

Lifestyle: You might also need to incorporate some simple lifestyle changes. Regular exercise is essential. Along with that, you must concentrate on having a consistent and healthy sex life. Avoid sitting for long intervals and use only soft, cushioned chairs when you sit. Drink a lot of water to keep your stools soft and prevent constipation. An occasional colon cleansing can be useful.

Herbs for Piles: Haritaki (Terminalia Chebula) and Suran are two of the herbs used for treating piles. Suran is a vegetable broadly found in India, also called Yam, Elephant foot yam (since it resembles elephant foot), Jimikand, Whitespot giant arum. These two herbs help you improve your digestive tract.

Ayurvedic Medicines for Piles: Ayurveda has supported ayurvedic medicine for heaps. These medications include Arshohar Vati, Abhayarishta, Arshhar Gutika, Arshoghni Vati, Kankayan Vati, etc.. Arshoghni Vati is usually used for bleeding piles, and Kankayan Vati is employed for non-bleeding piles. These are just two primary ayurvedic medicines for hemorrhoid treatment in Ayurveda.

Diet and lifestyle suggestions:

- Take psyllium seed husks in 2 tablespoons in water.

- Eat healthy foods with water-soluble, easy-to-digest fiber such as whole, delicious fruits, white pumpkin, carrots, and pineapple.

- Avoid hard fibers, such as tough, mature spinach, which may scratch the rectal region.

- Insert yellow mung dhal into the diet (available at Indian grocery stores).

- Prevent spicy-hot and citrus foods.

- Cook with coriander, cumin, and turmeric.

- A morning walk is crucial.

- Avoid constant sitting. Take breaks and stretch.

- Do not hold bowel movements or pee.

- Don't strain too much when defecating. Do not ignore the urge to defecate.

- Eat fried, heavy, oily, gassy, and hard to digest food.

- Eat quite hot, hot, and dry food, eggs, poultry, and hefty meat. Eggs and poultry have been found to aggravate the symptoms.

- Excessive heat, biking, horse riding, and travel can exacerbate the symptoms.

See: Probiotics benefits for digestive health

Summary

While the Ayurvedic method of hemorrhoid treatments seem to be safe and effective, it is important to weigh your choices. Prior to deciding on a treatment strategy, carefully consider the risks and benefits of the process. Talk to your physician and practitioner before choosing which path to take. Ayurvedic medicine & treatment is frequently an effective strategy, and you might realize that this works best for you. For some individuals, Ayurveda alone may do the trick, while others may prefer traditional medical intervention.

See: Magnesium for constipation relief

References

1. Dudhamal TS et al. (2010). The role of Apamarga Kshara in the treatment of Arsha. DOI: 10.4103/0974-8520.72406

2. George S. (2018). Hemorrhoids treatments with Ayurveda. ayurclinic.com.au/hemorrhoids-treatment-ayurveda-melbourne/

3. Gupta ML et al. (2011). Comparative clinical evaluation of Kshara sutra litigation and hemorrhoidectomy in Arsha (hemorrhoids). DOI: 10.4103/0974-8520.92591

4. Mahapatra A, et al. (2012). Management of internal hemorrhoids by Kshara karma: An educational case report. DOI:

10.4103/0975-9476.100169

5. Narkhede YD. (2015). Different treatment modalities in anorectal disease: A review on Ayurvedic and modern aspects.

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See: Foods to avoid when constipated

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