Piles, which are also called hemorrhoids, refer to the swelling of the veins near the anus and rectum, which get irritated during bowel movements, causing pain and bleeding during stool motions. The veins near the rectum or the anus may rupture during strained bowel movements and thus, cause the blood to come out with the stool. This can be very painful for the patient and has a very disruptive effect on their lives.
Causes of Piles
There may be many causes for piles or hemorrhoids and the cause may vary from patient to patient. Let’s have a look at a few of them.
Straining when passing a stool – This is by far the most common reason for piles and this is what causes the irritation on the veins or causes them to rupture
Chronic Constipation: People suffering from chronic constipation due to gastrointestinal problems may also suffer from piles due to putting pressure constantly to relieve themselves.
Lifting heavy weight or doing strenuous work: This can also put physical stress on the anus or rectum and cause swollen veins, which may then rupture during passage of stool.
Pregnancy – Pregnancy causes many hormonal changes in the body and the strain may also result in piles.
Symptoms of Piles
Some of the symptoms of piles or hemorrhoids are:
– Painful bowel movements, which hurt the rectum or the anus, accompanied by general tenderness within the region
– Bleeding or seeping of a bright red color blood onto the stool on the toilet or even on toilet paper
– Itching in the anal areas, which may be continuous or intermittent
– A swelling or lump near the anus, which is painful
– A mucus like discharge from the anus
There may be one or more factors present in particular cases and if there is pain in the rectal area, it is best to get it checked out by a doctor as soon as possible.
Ayurveda Perspective on Piles
According to Sushruta, Piles also called as Arsha in sanskrit is a diseases in which vitiated Doshas along with Rakta (Blood) collects in the major vessels in body (Pradhan Dhamanis) and goes towards anal canal and create a swelling (Ankur). Ayurvedic treatment mainly focuses on symptomatic relief and correction of anatomical deformity of the anal canal. Kashar sutra ligation is highly recommended to piles patients in which medicated herbal coated thread are applied onto internal and external piles mass within 5-7 days withered piles mass falls off with cure rate of 97%.
Ksharkarma is yet another technique which involves the applying of a sclerosing agent like apamarg kshar snuhi kshar into the haemorrhoid which results in permanent endofibrosis and clinical obliteration of the vessel causing vein walls to collapse and the hemorrhoids to shrivel up with success rate of 70%. Another treatment of piles include Pathadi yog which is a group of five drugs namely Cissampelos pareira(Patha), Fagonia Arabica (Dhamasa), Aegle marmelos (Bilva), Apium graveolens (Yavani) and Zinziber officinalis(Shunthi).
The warm sit bath of sesame oil is the hydrotherapy recommended for the conditions associated with increased pelvic congestion which is non-invasive in nature for uncomplicated haemorrhoids and varicose veins, but requires a high degree of patient’s compliance.
Few medicinal plants which are beneficial for Hemorrhoids treatments are:
- Centella asiatica,
- Aesculus Hippocastanum,
- Ruscus Aculeatus,
- Gingko biloba,
- Rosa canina,
- Silybum marianum,
- Commiphora mukul,
- Azadirachta indica,
- Emblica officinalis,
- Terminalia chebula,
- Cassia fistula,
- Calendula officinalis,
- Mimosa pudica,
- Vitex negundo.
Ayurveda finally focuses on consumption of Pathya Cow milk, Butter, Buttermilk, Wheat, Ghee, Rice, Green vegetable, Regular sleep, Exercise, Regular diet, Non suppression of natural urges etc. for complete relief from piles.