Piles/hemorrhoids; Home remedies and Ayurvedic treatment

Agnikarma: The use of Fire as a therapy
भगन्दर (फिस्टुला): कारण, निदान एवं आयुर्वेद चिकित्सा | Fistula in Hindi

Piles: Natural remedies and Ayurveda treatments

Author: Dr. Naveen Chauhan, BAMS, CCYP, ROTP, CRAV (KSHARA SUTRA)

SURGEON CUM AYURVEDA PHYSICIAN

SPECIALIST IN FISTULA in ANO, PILES, FISSURE, PILONIDAL SINUS, ANO-RECTAL ABSCESSES 

AROUND 10 YEARS OF CLINICAL EXPERIENCE IN AYURVEDA SURGICAL PROCEDURES

 

piles1

Piles, also known as ‘Haemorrhoids’, are small, bluish swellings, comprising of enlarged blood vessels situated either just inside or just outside the anus commonly called internal piles and external piles. In case of bleeding, they are termed as bleeding piles.

Causes

• Persistent constipation due to poor dietary habits

• Sitting on hard seats for prolonged periods

• Lack of exercise

Because of all these factors, straining is needed to pass the small hard stools, which causes congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge and form piles. If the constipation further continues, they become large enough to be called second or third degree piles.

Signs & Symptoms

piles

Internal piles: These are found inside the anal canal and lined by mucous membrane. Depending on the chronicity of the disease and prolapse these can be;

First-degree Piles:

Many people have these without even being aware of them. These are located just inside the anus, occasionally causing some discomfort when a motion is passed. Bleeding in the form of drops sometimes as splash in toilet pan occur during passing of stools.

Second-degree Piles:

They usually appear as pea-sized swellings outside the anus after a bowel motion has been passed. They are usually retained inside the anus spontaneously when strain of defecation is removed and may bleed as drops or as splash in pan (large amount of bleeding) and cause discomfort during passing stool with some degree of itching and mucous secretion.

Third-degree Piles:

The swollen blood vessels are so enlarged that they remain outside the anus permanently. The piles masses need to be pushed inside the anus by fingers. Soreness and persistent irritation are the common features besides occasional bleeding as drops or as splash.

External Haemorrhoid (Perianal haematoma)

This is less common than internal haemorrhoids. An external haemorrhoid is a small lump that develops on the outside edge of the anus. It is covered by skin, not by mucous membrane. Many do not cause symptoms. However, if a blood clot forms in the haemorrhoid (a thrombosed external haemorrhoid) it can suddenly become very painful and need urgent treatment. The pain due to a thrombosed external haemorrhoid usually peaks after 48-72 hours, and then gradually goes away over 7-10 days. A thrombosed external haemorrhoid may bleed a little for a few days. It then gradually shrinks to become a small skin-tag.

Some people develop internal and external haemorrhoids at the same time.

Home remedies:

1. The poultice made of sesame (til) seeds can be applied over bleeding piles as an external measure, and internally also ½ teaspoonful of sesame seeds can be taken orally with some butter.

2. A mixture can be made of: Ripe bael fruit pulp = loz, Sugar = 180gms, Powder of black peppers = 7 in number, Cardamom powder = 7gms. This can be taken twice a day as a good remedy.

3. Radish (Muli) is a useful home remedy for piles.

• The hot poultice of dry radish (Muli) is a good application in non-bleeding piles.

• The juice is also useful in piles. 60 to 100 ml of radish juice well mixed with little bit of salt, should be taken twice a day, daily for 40 days.

• Butter Milk: It is the home remedy of choice in piles. l00 ml well mixed with a little bit of black pepper powder, and salt should be taken daily for a few months at least. Ayurveda stresses upon daily intake of butter milk by the piles patients.

4. Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of harad (Terminalia chebula) is taken 1 cupful with jaggery at bed-time.

5. Rose petals, 11 in number crushed with 50 ml of water should be taken for 3 days on empty stomach. This is a very good remedy for bleeding piles. Banana fruit should not be taken along with this treatment.

Ayurvedic medicines:

1. Triphala churna: This should be taken regularly to remove the constipation. 2 teaspoonful of powder well mixed in a glass of lukewarm water should be taken orally before retiring to bed. Externally also it is widely used in different methods. One popular method is to take a plastic tub, fill it with warm water to a level where one can sit comfortably. Add 10 teaspoonfuls of Triphala churna to the water and mix well for some time. Then the patient should sit in the tub, duly immersing the anus in the lukewarm water for 30 minutes. This should be carried out daily. This practice brings in enormous benefits to the piles patient.

2. Abhayarista: As an oral liquid preparation, it is also useful in constipation. 30 ml of the medicine dissolved in equal quantity of lukewarm water should be taken before going to bed.

3. Many Ayurvedic ointments and oils are quite useful for local application.

4. Arshoghnivati tablet 1 to 2 tablets with water or butter milk can be taken thrice or four times daily.

5. Kankayan Vati is quite beneficial in piles.

Ayurvedic surgical treatments: Kshara sutra and Agnikarma

When internal piles bleed profusely and/or are in 2nd or 3rd or 4th degree, medicines do not have much benefit. In such case the piles masses have to be removed surgically. In Ayurveda Kshara sutra ligation and Agnikarma excision are the procedures which can be used to remove the piles masses (Internal as well as external) thus leading to a permanent cure of the problem. One should not hesitate or have any kind of fear of surgical procedures and should consult a qualified expert Ayurveda doctor to get rid of the problem. Delay may sometimes lead to serious complications like severe anemia due to continual bleeding and shock and so on.

External piles if get thrombosed need immediate surgical intervention because of severe pain. Kshara sutra ligation and Agnikarma are equally beneficial in curing external piles permanently.

NOTE: Ayurvedic medicines and treatments including surgical procedures like kshara sutra and agnikarma etc. should be taken under Qualified Ayurvedic Doctor/Physician/Surgeon. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and Proctologist

SHRI DHANWANTARI CLINIC, GHAZIABAD

Phone: +91-9818069989

Agnikarma: The use of Fire as a therapy
भगन्दर (फिस्टुला): कारण, निदान एवं आयुर्वेद चिकित्सा | Fistula in Hindi

147 comments

  • Very usefull. Thanks.

  • Jaswant Singh Rathore

    Thanx bahot bahot

  • these remediese should be very helpful

  • Sir,
    My mother aged 80 years lives in Kota ( Raj.) and is very weak. She is suffering from 3rd/4th Degree piles and blood flows out badly despite she taking no. of medicinal courses. She has got operation done twice but after few months it again starts. Could you pls suggest some permanent treatment as she is not able to bear the pain and blood loss at this age.

    Thanks

  • sir me fissure se paresan hu mere male tyag k samay blood aata hai aur dard hota hai please reply that meri disease bina operation k sabine ho jayegi? please reply soon

    • Without check-up it is not possible to comment upon the treatment. So, please visit our clinic to get your check-up and treatment done by Ayurveda.
      Thanks and regards,
      Dr. Naveen Chauhan
      Consultant Ayurveda Proctologist

  • hi Dr.Chauhan, I recently got haemorrhoid after my son’s birth , it was a normal delivery. I called an ayurvedic doctor in India and he sent me some ayurvedic medicine. I was going through your post on haemorrhoid but i m unable to find the names of medicine which he sent . The medicines are Pilocid tablets,Radix tablets and Pilocid tube, just wanna know whether these medicines are effective? will my problem resolve permanently?
    Regards,
    Shyni
    USA

    • I got external haemorrhoid.

    • Hello Shyni!
      There are many medicines in the market manufactured by various companies. I would like to share the principle of treatment of Piles in Ayurveda;
      1. Take measures to keep your digestion correct and avoid constipation. Ayurveda medicines (laxative and digestive) will help a lot. Besides proper diet management is also necessary.
      2. To prevent bleeding there are many medicines in Ayurveda. Most of Ayurvedic tablets or capsules have ingredients to check bleeding too.
      3. To heal the mucosal erosion (the real cause of bleeding in piles) of an internal Hemorrhoid, there are locally acting ayurvedic medicines like Kasisadi tail, Jatyadi tail etc. Most ayurvedic ointments contain these.
      4. The piles masses (Hemorrhoids) if entered into 2nd degree onwards, bleeding and causing discomfort may need surgical intervention (Kshara sutra therapy).
      So, keep your digestive system correct, avoid prolonged sitting/standing, have dietary precautions. I hope your trouble will end.
      Thanks and regards,
      Dr. Naveen Chauhan
      Consultant Ayurveda Proctologist

      • Thank you Dr. Naveen.. Is it true that Hemorrhoids develop due to normal delivery?Some people say’s that it happens in normal delivery case as we give lot of pressure.

  • Respected sir, i have a first grade external hamerriod but i dont feel any itching etc……i am myself anesthesia assistant in srinager(j&k)……niether i feel any pain etc…..but i know the root cause of my piles….i always feel gases,indigestion,constipation etc……i used english medicine for that problem but all in vein…..now i want you sir to suggest ayurvedic medicine for piles as well as indigestion problem…………and also i wnt to get rid of these piles permanently because i wwant to join defence and i dont want any physical problem with with my medical fitness could be rejected………plsssss sir ………emal me

  • Muje b bloding wali piles hai .ayurvadic dwa to le li hai ab lgta hai ki operation karana padega

  • I wish to know that in how many days external hemorrhoids (no pain) can be treated or removed completely?

    • and can u treat external hemorrhoids with medicine only?

      • Hello madam,
        NO, NOT AT ALL. IN FACT NO ONE CAN DO THAT WITH MEDICINES ONLY. A disease which is cured by surgical approach can not be treated by medicines. Medicines can give only some relief. Many quacks make people fool by claiming medicines for the diseases which in fact are not curable by medicines and people simply loss their time and money by believing them.
        Thanks and regards,
        Dr. Naveen Chauhan

        • Thanks for the info. but May I know after having Kshara sutra ligation and Agnikarma excision treatment, in how many days one can get rid from external hemorrhoids and except you, do you have any female staff to attend this issue? Please answer both the queries..

          • Hello madam,
            Normally a patient get rid from external hemorrhoids in 5-7 days and it takes a total of about 15 days to be absolutely healthy. Yes, we have female staff for attending female patients. You can visit our place without any shyness or hesitation. We respect the privacy and dignity of our clients.
            Thanks and regards,
            Dr. Naveen Chauhan
            Ghaziabad
            M. 09818069989

        • swastika bhujel

          Hi doctor
          Rectum and anal help dry bleed pain…..method medicine

  • hello sir,
    i am 34 yrs old ten days back I had some discomfort , itching and burning sensation outside my anal region.after few days I noticed a very small but hard lump just outside my anal sphincter at 12 o clock position. on self digital examination I found a small irregularity at 6 o clock position. I took some allopathic medicine plus hydrocortisone ointment and sitz bath.I am having relief with itching but slight discomfort is still there.I want to get rid of it permanently please help me out i am freaking out due to this problem.

    • Dear sir,
      Nothing can be said without proper check-up. Better you visit at our clinic or a nearby Ayurveda proctologist to get your check-up and treatment done.
      Thanks and regards,
      Dr. Naveen Chauhan
      Consultant Ayurveda Proctologist
      Ghaziabad

  • Thanq sir

  • How can I get medicine of piles in japan

  • Respected Sir,

    My father aged 83 years is suffering from piles for last 10 years. The piles is painless however, now-a-days severe bleeding occurs intermittently for 2-3 days at a gap of 3-4 months (1/4 of a cup per day). Could you pls suggest some permanent treatment for this as we fear that such huge bleeding may lead to anemia. He has not undertaken any treatment for this till date.

  • I am suffering from external haemorrhoid for a while now. Currently staying in usa.
    Do you have any arrangement to treat & send medicines to usa?
    Let me know, i can call you if needed.

    Thanks
    Surajit

  • Dear sir..I had a normal delivery 3months back n m facing gastro issues fir which m already taking ayurvedic medicine called avipattikar churna and I am relieved as well..however I still face constipation at times..I have now suddenly developed external itchy piles..I want to know if there is any medicine I can take to get rid of this or only surgery is the option?

  • Namaste sir,

    I am suffering from external piles since class 10.Fisrt i had one and then now 4 have come out.They are very big in size..size of a pea..it Hurts me a lot. Is it possible to reduce the size of external hammeroids without doing any surgery.In market,there are lots and lots of medicines to cure piles but nothing works perfectly..Can you please please help me to shrink the external hammeroids..I was not drinking water properly during chilhood days which resulted in severe hammeroids. Now i am married and want to conceive.So please help me.What medicines should i take internally to cure the hammeroids from roots so that i will not get mores hammeroids. It pains me a lot…Is there any oil or medicines in ayurveda to cure hammeroids…atleast shrink them from roots..sometimes i feel like why god is giving me such kind of punishment..I do have 3rd grade hammeroids..had checked with doctor….

  • I am very sorry Sir.I tried to mail you in the given e-mail id but your id is not working.Kindly check the given email id..

  • Dear Sir, I am 26 year old, working in bank for last 5 years, I have to remain in sitting position for 10 hrs a day. I got married in Jan 2014. During that time i was doing workout on Abs maker putting a pressure on my abdomen muscles. m slim . But in the march 2014 i faced minor bleeding while evacuation. I have no prior history of such disease. Doctor told it hoemorrhoids without any physical examination based on symptoms. He gave me some laxatives and other medicines and Pileum suppository. I could not use suppository properly because whenever i tried to put it, bowel movement starts and later also found it difficult to search it in such small place. later he advised me to apply a OSIL cream locally. While applying the cream i never found any protrusions along my sphinctor. traces of blood comes out after defecation. Initially harder Stools comes out after that its normal . Is this hoemorrhoids or any other possible disease? Does having sex affect it ? Presently after 4 months of treatment the condition is same. I avoid junk food, non-veg, spicy food n beaverages. Now i m fed up with this and want to move away from allopathy. Can you pl confirm the disease. I appraise your efforts for helping sufferers by providing such platform

    • Dear Mr. Ankit,
      As far as diagnosis of your disease is concerned I would like to tell you that it is not possible to reach a definite diagnosis without physical examination of the patient. However in your case based on the symptoms and history you told, I feel that you may have first degree Internal Hemorrhoids. As far as treatment is concerned, this problem is curable by Ayurveda medicines, some of Ayurvedic medicines you have already taken.
      Having sex generally doesn’t affect hemorrhoids but this condition sometimes may affect sex life of patient due to mental stress posed by it.
      Anyways don’t worry, you will be allright soon. Feel free to write me in my inbox; consult@ayurvedapilescure.com or call me directly at +919818069989 if still you have any query in your mind.
      Regards,
      Dr. Naveen Chauhan
      Director and Consultant Ayurveda Physician cum Proctologist
      Shri Dhanwantari Clinic, Ghaziabad

  • Sir i have suffred from piles,
    mujhe 2 yae pehle piles k symptoms dikhe the, maine ayurvedic medi li thi bt mujhe fer se 1 year bad bleeding hone lagi,
    maine fer se medi li bt kuch jyada asar nahi huya, so plz reply me best treatment of piles,
    sir i want to free from this problem,

  • Sir,
    I have hemorroids since two year. Now i contact a doctor for permanent solution. He says for operation without surgery. Only with medicine. The medicine will be pushed in my anal. And the root of piles will be came out. Is this possible?plz reply.

  • Sir, I have got external hemorrhoid ,I don’t know what to do bout it, I don’t like surgery bout it, please tell me bout,

    • Dear Sir,
      External pile mass sometimes may get shrink spontaneously by Sitz bath and with some anti-inflammatory medicines. In that case you may not need surgery. But it’s a matter of proper check-up. Nothing can be told without check-up.
      Thanks and regards,
      Dr. Naveen Chauhan
      Director SDC, Ghaziabad

  • sir mujhe 4 yrs se fissure ki problem h bhut ilaj kiya par koi khas fayda nhi hua ‘dr ne operation k liye kaha h.kya bina operation k nhi ho sakta h plz reply

    • Dear Mr. Meraj,
      फ़िशर का इलाज़ आयुर्वेद दवाइयों व क्षार सूत्र विधि द्वारा ऑपरेशन से किया जा सकता है. यह रोग की स्थिति पर निर्भर करता है कि रोग दवा से ठीक होगा या ऑपरेशन की जरुरत पड़ेगी. रोगी का चेक अप करने के बाद ही यह बताया जा सकता है. अच्छा होगा कि आप चेक अप के लिए हमारे क्लिनिक आ जायें
      धन्यवाद!
      डॉ० नवीन चौहान
      श्री धन्वन्तरी क्लिनिक गाज़ियाबाद

  • dear Naveen ji,
    m 31 yrs old female..mujhe delivery k waqt piles hua.. n aaj 13 years se hai…but usme koi problem nai hai.. n me bhut weak hu…please aap btaye ki me piles ki wajah se weak hu.? mera weight 43 kg hai..mene arshkalp, ayurvedic medcine and p-6 tab bhi li kafi waqt tak.. but koi asar nai hua…now m scared ki aage jakar isme koi problem hui to…coz mene mostly dekha hai age badhte hi pile problem krti hai…please aap btaye me kya kru.. and m from delhi . please aap btaye meri pile ki stage kya hai…n agar me aao toh koi female staff hai?? n treatment kab tk chalega?…surgery hoga ya nai???

    kiran

    • किरण जी,
      आपके प्रश्न बहुत सारे हैं. अगर आपको कोई समस्या नहीं है जैसे ब्लीडिंग या दर्द तो मस्सो को लेकर परेशान होने की कोई जरुरत नहीं है. रही बात इलाज़ की तो अगर परेशानी नहीं है तो इलाज़ कैसा? यदि आपको मस्सों की वजह से कोई ब्लीडिंग या दर्द है तो आप ग़ाज़ियाबाद आकर चेक अप करवा सकती हैं. आने से पहले 9818069989 पर कॉल जरुर करें.

  • Sir.
    My name is Deepak Chetry.I am 21 years old running.I am suffering from internal piles since June 2014. Its paining too much after toileting. mucus like watery comming out from my buttock hole..Can u tell me any ayurvedic medicine Name? please Help me sir.

    • Dear Mr. Deepakji,
      I would like to suggest you to visit some qualified Ayurveda doctor nearby you, preferably one who has expertise in Ano-rectal diseases. For mucous you can take Bel murabba 20 gms. twice a day.

  • Hi sir, recently I had hammerodectomy surgery for my second degree piles. After seven months it reoccurred.I was shocked as I am only 28yrs old male. I used to have plenty of water, fruits but i eat non veg and spicy more. Does it affected me sir. Can you please tell me a permanent solution.

    • Dear NandKishore ji,
      Try to balance your food stuffs intake. If one day you have eaten spicy or non-veg., eat more fruits and salads on next day to keep balance.

  • Hi Sir, I m 31 yrs old female suffering from external piles, which may bleed if I pushed hard. I daily passed stool but only first part is sticky sometime or required strain to pass out. Pls suggest some home remedy so it can be cure permanantly. If used Harad then it can be cure. Pls suggest

    • Dear Madam,
      You can take Trikatu churna 2gms with lukewarm water for sticky stools. Besides a proper diet management is also necessary. The pile mass can not be dissolved by medicines. There may be need of surgery or Kshara sutra procedure. Anything can be told only after proper check-up.

  • Dear Sir,

    I had piles. I had a surgery for it. Everything was good after surgery till 15 to 20 days. But suddenly bleeding starts during the toilet and etching and too much pain in anus and it is still happening. Only difference is pain & etching are feeling lower than earlier. But bleeding is still as it is. i consulted doctor so many times. He has given so many tablets, tubes, Isabgull powder, stamina powder to get recovery & to stop bleeding. But it’s all hopeless. I am very tired & nervous. What will happen with me that I don’t know. Now, you are only hope for me after reading the above posts. Please let me know get me out of this trouble.

  • I have been suffering piles with bleeding for two years. Last year it automatically stopped but again it started now. I eat more chicken and travel a lot. Does it really a cause to stir up the piles again? or do I really need a surgery? Is any Ayurveda treat for this issue permanently?I am in Chennai. Pls help me

    • Dear Mr. Bakkiaraj,
      Yes irregular routine and spicy food-stuffs can provoke bleeding in piles. Whether you need surgery or not, is a matter of check-up. Better you visit an Ayurveda Proctologist nearby you.
      Thanks,

  • I am 27 years old. I have itching and pain in the anal opening for 2-3 months. Please suggest remedies.

    Regards
    Ajit

    • Dear Mr. Ajitji,
      You can have Sitz bath for pain and for itching you can use mustard oil for local application at anal opening. If you still have problem, you should consult a specialist doctor nearby you.
      Thanks

  • sir, i was sufferering from internal and external piles since 6 years. and since 5/6 years bleeding from inside but not regularly 2 or 3 days in years. after treatment my external piles is cure but now my internal piles started paining regularly but it is not bleeding. lightly pain inside anus after i come out from toilet.
    please do reply and i just want to know whether you have any brach located in bengal or near by to siliguri. thank you

    • Dear Mr. Bhutiaji,
      You can be benefited from self manual anal dilation (Ganesh Kriya). We don’t have any branch in Bengal. We are available only in Ghaziabad, Near Delhi.
      Thanks

  • Hello sir last one year se mujhe pain or blooding hota h me p6 or amroed teblet Le rha hu kuch din tk to thik rhta hu or fir ye problems start ho jati h. To plz kuch esi treatment btao sir jis se ye thik ho jaye. Jb jyada boold aata h to me bodro bass ka ingestion lgwa leta hu. Jis se blood ruk jata h. To app kuch meri help kro sir

    • Dear Mr. Kapil,
      You need to visit our clinic in Ghaziabad for proper diagnosis and treatment of your disease. Please give a call at +91-9818069989 before coming.

  • I HAVE SEAFARING EXTERNAL PILES AND itching and pain in the anal opening.Please suggest remedies.

  • Sir from two three days i am noticing a small pea sige lump around my anus i am worried about i.

  • hello sir..my name is bheem sharma i am 20 years old and my problem is piles bleeding.mujhe two years se ye problem hai maine bahut si dawayi khayi jinse kuch month relief hota tha phir continue ye problem start ho jaati thi mai aapse puchna chahta ho kya iss marj ka koi success or safal iilaj nahi aur kya surgery is illaj ke liye best rahega ki nahi please answer me..

    • Dear Mr. Sharmaji,
      Agar aap Ghaziabad check-up ke liye aa sakte hain to ek baar jarur aayiye. Aapki problem ki achhi chikitsa ayurved me hai.

  • Sir, I have external piles when bowel the massel will come out and sometimes bleeding very badly .. so how can I cure my piles without surgery ..

  • sanjeev kulkarni

    Sir I am suffering from perianal hematoma 2cm in size doctor is suggesting for surgery plz advice me weather is it curable by ayurvedic treatment without surgery

  • Dear mr. Naveen, since 2011 i suffering from cronic fissure cum piles, i took treatment from 2011 to till but that time we face fissure problem wen we take medicine i get relief but after leave medicine i got agsin vronic fissure problem, now please suggest me permanent treatment .if v get immidiate telief and not turned back this problem me again.

    With stool movement lot of pain we face nd with stool blood ….i cant tolerate this.
    plz suggest immidiate medicines.

    I am from kota (rajasthan).

  • Sir, I had surgery of IschI。

  • Dear Doctor,

    I have had two external hemorrhoids in the past due to constipation. Even though the hemorrhoids shrunk, I am left with two skin tags. Is it possible to eliminate the skin tags completely by applying some sort of ayurvedic ointment? I have bought the kasisadi oil. Can you give your opinion on the usage of this oil and for how long ?

    FYI one of them is of size of a pea and the other one is of size of a dime.

    Regards
    Anu

  • Dear sir
    Mere pitaji almost 2 year se piles se pareshan gai. An take 3 serjical operations karwa liye h. Share aurvedic and alopathic treatment le chuke h.
    Bhayanak dard jalan hoti h 24 hours.
    Neend bhi nahi ati h sir.
    Koi permanent treatment batao sir

  • Dr.sir
    Me last 5 month se piles ka sikar bana hu toilet jane baad 5-6ghante tak dard raheta he to plz koi jaldi aaram de vesi koi dava suggest karo
    Me gujarat me raheta hu

  • Dear sir
    i have internal piles grade 2…i have already sigmoidscopy….
    I am getting weight loss because of piles…..after taking some medicines i don,t have bleeding…but i my weight is decreasing continuously……and sir my hips also becoming weak….so i have back pain also…..sir please suggest me and tell me what it is cancer or not….please help me..my age is 22 yrs

  • Dear sir
    In sigmoidscopy, it is clearly shown internal piles grade 2…….and during toilet one small haemrhoid comes out…….but i have neither pain nor bleeding now……
    now my problem is itching and weight loss continuously…..and my hips have become weak by it……….please suggest me……sir thank you for your last reply…….i am from dausa rajasthan…..my age is 22….i am waiting ur reply

  • Sir please help and suggest me ……..

  • Dear Doc,
    First of all i would like to appreciate your work in providing such detailed information on your website. I have first grade piles and have re ocurrent fissures despite of not having constipation and hard stools. My diet consists of high fiber and i consume ayurvedic laxative too daily. i I have observed that there is a constriction in the lower anus which doesnt allow to stool to pass easily despite of being loose, this causes fissure when strained even slightly. My proctologist is suggesting laser surgery for the piles as the my fissures have become recurrent and chronic.
    I am apprehensive about the surgery as i have already done it few years ago.
    I will be grateful if you give me your valuable suggestion.
    Thanks

  • Sir i have 1/ 2degree piles .there is no blood loss but pain is in the anus.what can i do .i does not want surgery. Please healp me

    • If there is no bleeding, what problem are you facing exactly? Kindly explain in detail.

      • Sir kuch week phle jab mai toilet gya to thoda sa blood stool par lag kar aaya tha and i feel like burning on rectam or kuch dino se mai niyamat toliet nahi ja pa rha hu what can i do and if is it piles then which treatment is best for me please help me .
        Thanks

  • Hello, I read through your write up on pile. I have 3 and 4th degree and it has lasted for more than a year now though i have been using different medication with no tangible result. Pls, i need recommendation on where to get your product and how to administer the drugs. I am in Nigeria, do have a sale outlet here in Nigeria or how can I get your product? Thanks

  • Sir, my mother have 3rd or 4th degree piles problem & now days she is suffering from severe pain and bleeding during stool. our main problem is that she has also sugar disease, that is why we are not going for operation. please suggest some remedy.

  • Sir, my mother is of 60 years old and she is diabetic patient also. She has 3rd or 4th degree piles. She suffer too much pain & blood during stool pass. Please suggest what to do. Operation is safe for her as she have sugar.

  • dear sir
    i have internal piles grade 2+
    during toilet they come out….
    and small bleeding also…
    but i have no pain….
    sir…
    my hips become very very weak…..my waist becomes 31 to 28 by piles……..

    please tell me whether it is piles or toumer …..
    what there is any possibility of cancer…
    i am male and my age is 23

  • Hello sir,
    My husband is facing problem of non bleeding piles from few months.I am very worried for his health.plz help me.iz operation only the option to cure it…plz reply..

  • Sir, you have no suggestion for my question.

  • I m suffering from piles I want meet you which time sweetable meeting for us. …

  • sir i have non bleeding external piles . the pile mass has comes out permantelly around anus.
    deos it can be curred wihout operation. and painless treatment
    and what type of treatment is to done and please tell me also cure period…

    i want an urgent treatment

  • Sir,I am having a piles for past two years, for me I am having third degree of inner piles..wat I have to do…. Ayurveda tablet is enough or I have to do any surgery… Now I am taking ayurveda tablet for two weeks….. Wat I have to do sir…. Give a good solution for me….

  • sir
    i m 25 yr old
    i have 1 pile is now external some part of pile..last 3 days..
    nd now that pile part not gone inside..
    bt there is not bleeding..

    bt its really bad painfull nd i m not setting well nd walking well..
    plzz help me..
    how to permenatly treatment without surgry..i m not want to surgery
    plzz sir

  • sir muje external piles hai or muje sirf bethne me problem hota hai or kuch nai ( no bleeding) muje kuch aryuvedic dava bataie jisse me ek dam piles free ho jau.

  • hello sir..
    kuch dil pehle he meri delivery hue hai.Though its a normal delivery,i am suffering from rectal prolaps along with fissure.Its very painful while sitting for motion or while passing gas.Though i am having a proper diet .why am i having problem with gas and stool.
    plz sir iske liye koi remedy bataye and plz also suggest what to do for rectal prolaps.

  • Sir,
    Namaste…. Mere papa ki age 50 approx .h unko piles ki problem kafi purani h .bt es bar unhe kafi pain hua h aur motion k time kafi bleeding bhi hua h..sir pls kuch upay bataye…

  • Sir mere papa ko babaseer hai aur saath masse bhi hai. Jis karan unhe takhleef hoti hai. Pls masso ko theek karne ki koi medicine batayen.

  • I am 43 years old in Gulf , Faced , blood symptoms in stool two months twice . after than , it was ok , but since last week , paining and one or two drop blood coming out . consulted doctor , he checked and told may be Piles – internal and refer to surgeon . Now last few days , feeling burning , paining and irritation . I am afraid of opertion . I am an occasional Non -vegy . Keeping good health . no other drinking smoking habbits pls suggest

  • Sir Muzhe bhi pails hogya khun bhut niklata hai abhi to Kate jaisi chubhan hoti hai bthne me liyetri ke bad Kim bhi nikalti hai kafi presan huu last istez hai iske ilaj bataresan kaa

  • Dear Sir
    I suffering from external piles since 5 years. It’s spread around anus.
    Dr. Checked and said surgery required .

    Is it possible to treatment by injection or stappling or some othersmethod instead of surgery.

    Since I have to go for medical exam in airforce by 2-July-16. Result required quickly. Please suggest

  • sir my age is 19 from 3 days i suffering from blood and i feel weakness blood quantity is high or regularly in latrin time or i don’t know what is this i not tell family about it or not consult from doctor please help me sir

  • . I am suffering from this problem for last 2 months. Please share some natural treatments for hemorrhoids with us. Thnx for sharing this information.

  • Hiee sir.i had piles nd gt treat with sharasutra.i m ok now bt some time I gt constipation nd it’s bleed some time.from yesterday it’s bleeding no pain no buring.can u tell me wats the problem..nd can u tell permanent medicine for constipation.pls help me thank u..

  • Hello sir. I am from Hyderabad. I am suffering from external hemmarroids since 6 years. I have no any bleeding. Just iching and light pain after motions.
    I was used homeopathic medicines but no cure. From last 1 week I suffering from constipation also. Please suggest any medicines.

  • Sir
    I Am suffering from piles for 2 years and please suggest me appropriate remedie

  • I am suffering from piles since last 8 years. Last year a doctor has done my kshar sutra but there is a problem of inflammation still now. So what should I do. In piles area there is a cut also.

  • hiii dr chauhan mujhe na aftr heart surgry k bad se piles ki prblm hui h.external piles prblm h mujhe .maine medical check up karawaya h bahat se b maine medecine prefer ki h par kuch result nhi hua h .ap mujhe ki aise ayurvedic dawai batayae jisse mujhe result mile .

  • sir mujhe use dawai se baithne aur chalne me aur bleeding ki prblm kam ho gayi h bas wo piles kam nhi ho rhi h aur ap mujhe pls ki kaun kaunsi chize khana h khane me .

  • SIR mujhe anal k outside ek chota sa mass ban gya tha jo 6 month s stable tha na usme pain tha or na hi koi bleding hoti thi ek bar mere ek friend ne mujhe btaya k same problem mere sath thi or mene ek injection lgwaya tha jisse m ab ekdm sahi hu to mene b usi quack s injection lgwa liya.THE WORST DECISION of my life ek mahine s m bed par hu wo massa to gal hi gya sath hi anal m andar tak jkham ho gya h na chal pa rha hu or na bath pa rha hu jindgi s bhut preshan ho chuka hu wha pr pus or aa rha h ek mahine tk to us quak n pagal bnaya ab mene ek mbbs doctor s discuss kiya to usne kha tumhari skin gal chuki h surgory krani pdegi mene surgury kra li bt abhi b ten m hu sir m sportman hu iski wjah s practice b ni kar paa rha hu sir bhut jyada prehan hu kya iski wjah s mujhe apna game chodna pdega sir please suggest me

  • Sir My husband is having anal pain from past 3 months. There is no bleeding and also I dont see any hemmarroids.The pain is reduced to some extent now, but not completely. He is presently doing sitz bath, and also using the PILEX ointment for external application. Can you suggest any other medication for this pain.

    thankyou,
    regards,
    sandhya

  • Hai sir,
    Im just 22 yrs, some symptoms shows that i have piles, etching and blood comes, but even i cnt tell my mother to, i am pure veg. Pls suggest some Diet

  • Hello sir,
    Recently I came to know that I have a little pea shaped swelling externally.. But it doesn’t bleed…. What should I do in the early stage sir….so as to prevent from any surgery…plz suggest sir…

    • It can be an external hemorrhoid (pile mass). If it’s not giving any pain to you, no need to worry. You just avoid straining during passing of stool and keep your diet management properly to avoid constipation.

  • Hello sir,im suffering frm xternal piles .which strted around 15yrs bk whn i ws in college…that time i dont knew it ws piles …i didnt even told my mother…gradually as time passes the pain used to cm n go sometimes bleeding ,sometimes withoutbleeding nw m 40yrs recently i observed another mass of pile appered around anus which is paining while passond tool …idont u derstand when i take my diet properly why its paini ng,once r twice a year my piles strt hurting me ..pls do suggest me home remedies…actually 2″yrs bk i cn frm indirapuram….i was always hesistant to see doctor fr this..

    • It will not cure by home remedy. Don’t feel shyness or hesitation. Our lady doctor Dr. Sandhya will see you and plan treatment for permanent cure. Kindly call our helpline 7861888100 for more details and to book appointment with our lady doctor at Vaishali for your piles problem.

  • Extremely helpful post to know about hemorrhoids. This condition sometimes become very painful if not treated on time. You have suggested great ways to get complete relief. Thanks for sharing!!

  • Sir
    My mother facing internal hemorrhoids.please suggest medicine for the disease

    • kindly follow a diet pattern to avoid constipation. If there is bleeding medicines may be advised after a face to face consultation with ayurveda doctor. Kshara sutra treatment may be needed if disease is old and hemorrhoids are larger in size.

  • Sachin Vaishampayan

    Hello Doc,

    I have been just now diagnosed with 2nd degree internal piles and the doctor told me its imperative that we do a Stapler Surgery, i am right now on Protexa-D (once daily before breakfast) Pause (once Daily before breakfast), Fourtts (twice daily morning and night) Hilo Tablets (twice daily morning and night), DAflon Tablets (which the doctor has asked to take if there is bleeding) and i am also taking daily one Nebi-5 (blood pressure medicine) and Glyciphage G1 (diabetes medicine). The doctor is pretty good and i dont think he is saying anything wrong, but just wanted your opinion about this. Today we did my proctoscopy and then the doc told me about surgery. I am 37 years Old, I walk about 3 to 4 Kilometers everyday, and i have a habit of getting up from my seat every 45 minutes or so when i am in office.

    How safe is surgery and how quickly i would be able to get on feet?

    Sincerely,

    • Generally NO surgery is required in 2nd degree hemorrhoids if there is no bleeding. Surgery is only required when bleeding is not controlled by medicines or diet management.

  • Nice blog!!! .Such an informatic blog giving the information about what are the causes, signs and symptoms of piles.The blog also includes information like ayurvedic medicine as well as an ayurvedic surgical treatment which are almost painless.This information will be useful to those who are looking for ayurvedic treatments.

  • Hello Sir,

    Good Evening

    I have had two external hemorrhoids in the past due to constipation. Even though the hemorrhoids shrunk, I am left with two skin tags. Could you please suggest me the medicines or process to shrink these skin tags without surgery.

    Thank you.

    • Avoid straining during defecation. Have sitz bath. They will shrink upto some extent but will not go permanently without surgery if they are of large size.

  • Sir mujhe external haemorrhoids hai or 7 se 10 din k baad Dard or jalan Hoti hai sir koi permanent ilaaj btayen please

    • External hemorrhoids can be safely removed permanently by kshar sutra ligation or Agnikarma procedure under local anesthesia. You may call our number 9818069989 if you wish to get treatment at our center. Thanks.

  • Hai sir I am 29 year old male I am suffering from anal fissure for the past 3 yeare and was on allopathic medicine . For the past two weeks I am taking ayurvedic medicine for the same but I had a perinal hematoma which itsself broken and blood came and after some days pus started to ozz out from the same .theb after couple of days a fissurr got infected and pus was coming now pus is stoped . Now at 3 o’clock position a small painless sweling aperead and I have a pain similiar to a thrombing pain while siting .the pain not on the anus but its on the tip of the buttok . I am now taking pilok cap gulgulu panchapalam tab pileact tab and chiruvilwadi kashayam or liquid

  • Thanks for the information. i found it really helpful.
    It should be shared so that someone in need can be helped out.

  • Sir, I am suffering from Piles since last many years.Aroud 4 years ago , I visited to your Clinic , wherein you suggested for Kshar Sutra therapy treatment.
    Now , I want to get the treatment but I don’t want to stay at night in clinic/nursing home.
    I got blood report also .
    Please advise,
    Regards
    Pramod Kumar

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