(Piles) Treatment in Ayurveda

The first and foremost thing to understand is that there is nothing embarrassing about Hemorrhoids or Piles. It is as simple a disease as fever or sinus. Most of the people create a stigma out of Piles and end up bearing both the pain as well as the suffocation of not discussing it with the right person or expert Vaidya. Ayurveda has a cure for every disease and Piles is no exception. However, you must approach the Ayurvedic practitioner or any doctor you trust for the treatment of the same. There is no point keeping a secret of a disease like Piles which would get worsen if you do not avail the right treatment.

Ayurveda names the problem of piles as Arsha which happens because of vein in the anal region of the body growing larger in size than normal. Piles or Hemorrhoids are common among people that have a busy lifestyle and little to no space for a balanced diet. It may also be very common among pregnant women. Piles, by definition, is actually a bunch of veins around the anus. These surround the external opening and may start to protrude because of over straining.

The most common reasons for that are constipation and pregnancy. This condition might become a disease called piles or Hemorrhoids. An individual is said to be suffering from piles or Hemorrhoids when the anal opening gets irritated, inflamed and swollen due to the dilated or swollen veins around the rectum.


In piles veins around the anus or lower rectum gets inflamed and swollen.

Anal canal is last part of large intestine which is about 4-5 cm long. It is situated between rectum and anus. Lower part of anal canal has opening in the outside known as anus which passes faeces. Its inner lining contains small blood vessels. Swelling may occur inside and around lower rectum and around anal opening.

Piles are also known as hemorrhoids. Hemorrhoids are masses, cushions of tissue in the anal canal – these are full of blood vessels, support tissue, muscle and elastic fibers.

These arise from several different factors like increased pressure of internal or external veins around the anal canal, improper diet, constipation, hereditary etc.




It is the most common than external hemorrhoids. It occurs above 2-4 cm from the opening of anus. These are generally painless because there are less pain sensing nerves in the rectum.

Internal hemorrhoids are categorized into different grades:-

Grade 1 or First degree:- These are common. In this, the hemorrhoid tissue bulges into lumen of anal canal and small swelling may occur on the inside of lining of anal canal. These cannot be seen or felt from outside.
Grade 2 or Second degree:- These are larger. It may be partly pushed out from the anus when you go to the toilet but quickly goes back.
Grade 3 or Third degree:- In this, pile mass hang out when you go to toilet. You may feel one or more as small soft lumps hang from anus. However, you can push them back into anus.
Grade 4 or Fourth Degree:- Pile mass permanently hangs out from anus which cannot go back to anus. It is quite large.


It occurs in the lower part of anal canal. It is painful condition because there are lots of pain nerve fibers which are responsible for pain.


In this condition both internal and external piles occur together.


Symptoms may vary from person to person. In some cases, the person suffering from piles may not realize the symptoms of piles.
Some common signs and symptoms of piles are following:-
Primary Symptoms

1. Bleeding on defecation: During or after defecation the bleeding occurs.
2. Prolapse of pile mass: It is seen in larger hemorrhoids and it usually occurs at the time of defecation. Generally it is painless.

Secondary Symptoms

1. Pain and itching in anal region.
2. Mucus discharge: Mucus is produced by secretory columnar epithelium.
3. Pruritus: Mucus discharge can cause irritation of skin which results in pruritus.
4. Constipation.


The most common causes of hemorrhoids are following:-

1.Pregnancy: It is the most common cause of piles.
2.Ageing: With the increase in age the tissues in the lining of anus become less supportive.
3.Sitting posture: People with long hours sitting job are prone to piles.
4.Improper Diet: Eating junk foods and diet lacking in fiber contributes to piles.


Piles can be diagnosed on the basis of patient’s history and rectal examination.

1. History of Patient: It includes family history of piles, bowel movement and appearance of stool.
2. Rectal examination: It includes two tests:-
01.Physical examination – In this, doctor examines patient’s rectum with gloved finger.
02.Proctoscopy (Anoscopy) – In this an instrument is used named as protoscope which is used to examine the lining of rectum.

According to Ayurveda vitiation in any of three doshas may cause piles shows different symptoms which are categorized as:-

1. Vata type of piles: Acute pain and constipation is felt. These piles are hard and dark in colour.
2. Pitta type of piles: These piles are soft and reddish in colour. Other symptoms include excessive thirst, fever and diarrhea and bleeding.
3. Kapha type of piles: These piles are large, soft and whitish in colors. There are digestive problems also.


The natural evolution of hemorrhoids is benign but hemorrhoids tend to get worse over time and it should be treated as soon as possible. There are number of ways to treat piles including medications and surgical treatment. But Ayurveda gives best treatment for piles. Ayurvedic treatment for piles is having two concerns i.e. firstly increase the impaired digestive fire and then alleviate increased vata (helping in constipation by vatanuloman).


Planet Ayurveda provides best combination of effective herbal remedies such as Piles Care Pack for ayurvedic treatment of piles (hemorrhoids). These herbal remedies are prepared from using best quality herbs and strictly follow the principles of Ayurveda. All these herbal remedies of Planet Ayurveda are 100 percent pure, natural and vegetarian. These are free from chemicals, additives and preservatives. These are safe to use as these are free from side effects.

Dosage / Usage

1. Sanjivani Vati – 2 tablets three times daily with plain water after meal.
2. Vara Churna – 1 teaspoonful twice daily with plain water after meal.
3. Pile OFF Capsules – 2 capsules twice daily with plain water after meal.
4. Kanchnaar Guggul – 2 tablets three times daily with plain water after meal.
5. Drift Ointment – Local application on the affected area.
6. Nirgundi oil – Local application on the affected area.

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