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Piles or Hemorrhoids

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Homeopathic Treatment of Hemorrhoids or Piles What are Hemorrhoids or Piles Causes of Piles or Hemorrhoids Symptoms of Hemorrhoids or Piles Types of Hemorrhoids or Piles Lab Investigations in Piles or Hemorrhoids Massage in Piles or Hemorrhoids Diet and Nutrition in Hemorrhoids or Piles Home Remedies for Hemorrhoids or Piles

Homeopathic Treatment of Hemorrhoids or Piles Top

Allopathy or conventional medicine offers a range of ointments to treat piles or hemorrhoids. These contain local anesthetics, astringents or steroids which may provide short term relief from discomfort but are associated with serious side effects like eczema, sensitization of anal mucosa, rectal absorption and other systematic side effects. And most importantly these ointments do not cure the underlying cause which have lead to piles or hemorrhoids. As a result the piles or hemorrhoids are not treated permanently and the problem remains. Surgical options include infrared coagulation or cauterization, radio frequency coagulation, hemorrhoidectomy, direct current coagulation, rubber band ligation, sclerotherapy, cryosurgery, scalpel surgery, laser surgery and so on. Most of the above surgical options have side effects in the form of severe post operative pain, infection, bleeding, formation of adhesions (scar tissue), perineal abscess, development of fistula and so on. And again the underlying causes are not treated which lead to recurrence of piles or hemorrhoids. Homeopathy is an amazing alternative to above-mentioned allopathy or conventional medicinal or surgical treatments. The best part is homeopathic remedies correct the basic cause of piles or hemorrhoids i.e. hepato portal hypertension. Hepato portal circulation is the network blood vessels supplying the liver and the intestines. When there is congestion in the liver, blood pressure in hepato portal circulation rises giving rise to hepato portal hypertension. This leads to swelling of blood vessels in the region of rectum and anus called piles or hemorrhoids. The swelling occurs in this region because this is the area of anastomosis or joint and is therefore weak. When the pressure rises too much the blood vessels may break leading to bleeding or hemorrhage. Why go for surgery which is a complicated procedure disturbing physical, mental, emotional and economical planes when there is simple, gentle and permanent option in the form of homeopathy. Homeopathy is not against surgery which is an art and science in itself. Surgery is called forth in conditions where medicines have limited or no role. As piles or hemorrhoids have excellent permanent treatment in homeopathy system of medicine, surgery is not indicated at all. Homeopathy offers logical, safe and extremely effective remedies for piles or hemorrhoids. It produces permanent cure treating the piles or hemorrhoids from its roots. Once the patient starts taking the homeopathic medicines, from the very first day his symptomatology gradually starts improving, relieving the embarrasing anal itching, the intensity of pain, burning in and around anus, soiling of clothes, bleeding during stools and so on. There are 278 homoeopathy medicines which give great relief in piles or hemorrhoids. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathic doctor. The treatment is decided after thorough case taking of the patient. Thus homeopathic remedies of piles or hemorrhoids are tailor made unlike allopathy. Some of the homeopathic remedies which may be used in a case of piles or hemorrhoids under an expert homeopathy physcian are Aesculus, Aloe, Collinsonia, Hammamelis, Lachesis, Muratic acid, Nitric acid, Nux vomica and so on. For example Aesculus hippocastanum is used in cases with large, painful, protruding hemorrhoids or piles. Aloe socotrina is used in hemorrhoids or piles like bunch of grapes which get better by cold bathing. Thus homeopathic treatment resolves the problem of piles or hemorrhoids in a gentle way and save you from the annoying, embarrassing operative procedures. Homeopathy system of medicine with its ultra minute dose are non-toxic, absolutely harmless and brings about safe and sure cure. It does not treat the piles or hemorrhoids superficially by just driving away the symptoms but heals the patient from within. Undoubtedly, homeopathy is the medicine of future. The duration of treatment varies from person to person depending upon the condition of the patient, lifestyle, eating habits and so on. Usually it takes 8 to 12 months to complete the cure though the patient starts feeling better within two weeks of treatment. For online homeopathic treatment of piles or hemorrhoids, you may follow the following steps at HomeopathicTreatment4U.com.

What are Hemorrhoids or Piles? Top

Hemorrhoids or piles are one of the most common ailments affecting both men and women. But most of the people suffer in silence rather than discuss piles or hemorrhoids with their doctor. Hemorrhoids or piles are varicose veins of the rectum or anus and are often called piles. These are actually enlarged bunch of blood vessels in and around the anus or rectum. These generally develop over a period of time. Piles or hemorrhoids come on during the middle and later stages of life, and especially during pregnancy. You may suffer from them, of course, when you are young but generally they come on gradually from the age of about 30. Piles or hemorrhoids can cause long-lasting discomfort, bleeding and be excruciatingly painful.

Causes of Piles or Hemorrhoids Top

Chronic constipation. Obesity. Jobs requiring heavy lifting. Standing or sitting for long periods. Straining from constipation or diarrhea. Coughing, sneezing, vomiting, and holding one's breath while straining to do physical labor. Congestion of liver leading to increased hepato portal hypertension.

Symptoms of Hemorrhoids or Piles Top

Anal itching and discharge can cause perianal irritation and itching. Anal ache of pain. Bright red blood on toilet tissue, stool or in toilet bevel. Excessive hemorrhoidal bleeding can cause anemia. Pain or tenderness during bowel movements. Prolapse occurs with a bowel movement and is associated with an uncomfortable sensation of fullness and incomplete evacuation. Patients complain of one or more hard tender lumps near the anus. Soiling of clothes may occur in third or forth degree piles or hemorrhoids as a result of impaired continence or production of mucus discharge. Symptoms may vary with conditions such as pregnancy, repeated straining, or change in diet or work patterns. Forth degree piles or hemorrhoids may become strangulated and present with acuste severe pain. Progressive venous engorgement and incarceration of the acutely inflamed piles or hemorrhoids leads to thrombosis and infarction.

Types of Piles or Hemorrhoids Top

Internal Piles of Hemorrhoids: These you cannot see or feel and the first indication you have them is when they bleed. Any bleeding of bright red blood from the back passage must be investigated as other causes are tumors and pathology of lower bowels. Prolapsed Piles or Hemorrhoids: In these the actual varicose veins hang out and can be very painful. They may not come out until you have a bowel movement and the pain associated with them will only be relieved if they are returned inside the anus or rectum. Prolapsed piles or hemorrhoids that stay out can strangulate. This produces an acute situation which can be very dangerous and is a medical emergency. External Piles or Hemorrhoids: These lie outside the anal opening. They are masses of veins found underneath the skin at the anus. They cause itching, burning and irritation. When a blood clot form in an external pile or hemorrhoid, the skin around the anus becomes inflamed and a very painful lump develops. On rare occasions the clot will begin to bleed after a few days and leave blood on the under garments.

Lab Investigations in Piles or Hemorrhoids Top

Physical examination of the anal canal by the doctor with the help of proctoscope. Sigmoidoscopy. Colonoscopy. Barium x-ray.

Massage in Piles or Hemorrhoids Top

This technique moves matter through the intestines, helping to prevent the constipation that contibutes to piles or hemorrhoids. Lie on your back, and use your fingers or your palm to make long, sweeping strokes. Repeat each stroke three to six times. Begin on your left side. Just below your ribs, stroke towards your feet; then stroke across your abdomen from the right to left just below your rib cage. Finally, point your fingertips towards your feet, and drag your hand up your right side from pelvis to ribs.

Diet and Nutrition in Hemorrhoids or Piles Top

A diet adequate in fibre, consisting of fresh fruits, vegetables, whole-grain cereals and bran should be taken. Drinking 10 to 12 glasses of fluids daily is very important. One should avoid diet rich in refined or junk foods. A low-fibre diet or inadequate fluid intake causes constipation, which contributes to piles or hemorrhoids in two ways: It encourages straining to have a bowel movement, and it also aggravates the piles or hemorrhoids by producing hard stools that further irritate the swollen veins. Excessive salt in the diet causes fluid retention, which means swelling in all veins, including piles or hemorrhoids.

Home Remedies for Hemorrhoids or Piles Top

It is important to get into the habit of answering the CALL OF NATURE so that stools are passed easily without much strain. Try not to sit for hours at a time. Take breaks and move around every hour for at least 5 minutes. When performing any task that requires exertion, be sure to breathe evenly. Regular exercise is also important, especially if you work a sedantary job. Exercise helps in several ways: Keeping weight in check, making constipation less likely, and enhancing muscle tone. As you grow older it is wise to have a regular examination of your rectum and anus to eliminate the possibility of cancer or malignancy appearing in association with long-standing piles or hemorrhoids.

| Disclaimer | Site map | pilestreatment.in Hemorrhoids Painless Piles Treatment Main menu Skip to primary content Skip to secondary content Home Search May 21 Causes and Symptoms of Piles Posted on May 21, 2012 Piles/hemorrhoids are described as the swelling and inflammation of veins in the rectum and anus. There are two types of piles – internal and external. When struck externally, piles cause a lot of pain, but no bleeding. However, in case of internal piles, there is no pain, but a discharge of dark blood. Sometimes the symtoms go away in few days. Piles / hemorrhoids are usually not dangerous or life threatening To know more you can see the causes and symptoms of piles / hemorrhoids. Causes Of Piles Chronic constipation Bowel disorders Prolonged periods of standing or sitting Obesity General weakness of the body tissues Mental tension Heredity factors Dysentery Hormonal changes during pregnancy Strenuous physical exercise Prostate problems in older men Straining, to empty the bowels Eating a low-fiber diet Chronic diarrhea Cancer or growths in pelvis or bowel, which puts pressure on abdomen Symptoms Of Piles Pain or irritation while passing stools Bleeding Slight bleeding, in case of internal trouble Feeling of soreness Irritation after passing a stool Itching Discomfort Pain in the rectal region Lump on the anus Pain and discomfort after you opening the bowels Slimy discharge of mucus Feeling that the bowels haven’t emptied completely Soiled undergarments Swelling protruding from the anus Frequent urge for evacuation Loss of appetite Yellowish face, due to extensive bleeding Heaviness at the opening of anus Posted in Causes, Symptoms | 1 Reply May 04 Hemorrhoids / Piles : Frequently Asked Questions Posted on May 4, 2012 1. What are hemorrhoids / piles? First, hemorrhoids / piles are similar, but not exactly the same as, Varicose veins (spider blood vessels). Hemorrhoids, generally occur in the anal area – swollen, increased circulation of the lower rear end and anal duct, to be scientifically precise. The bloodstream in this area of your body system are pretty versatile and stretchable to be suitable with the chair growing and stifling. This is why a pile can only occur in this place of the body system – no other bloodstream in your general system can stretch as much and become so large when loaded with system. To better understand hemorrhoids / piles, imagine of the piles as the most weak aspect of a watered down place of the blood vessels – such as when stressing on the bathroom. Once expanded and if not able to return to its original style, it is then known as a piles. The more bloodstream are loaded with system, the more hemorrhoids / piles you have. 2. What are exterior hemorrhoids? If the increased circulation is outside the rear end, but nearly ends in the starting, it is known as an exterior piles. Particularly, exterior hemorrhoids / piles have three main symptoms: They are noticed as small blood loss areas that occur within the epidermis close to the butt that can be felt as firm grows. They also do not present through the starting, but are established on the coating, just situated outside and, since exterior hemorrhoids / piles form in the often colored place of the epidermis near the starting, they are often plum or brown. Some doctors dispute in calling a abnormal problematic vein on the upper aspect of the leg as a hemorrhoid- but this is a different way of using the medical term. 3. What are inner hemorrhoids? If the increased circulation is within, the pile flare-ups are known as inner hemorrhoids / piles, even though they can hemorrhage, they are rarely agonizing unless annoyed or has system coagulation. Internal hemorrhoids / piles only occur in the last 5 inches of your butt. Which is why a doctor can quickly test you for inner hemorrhoids / piles. This is crucial since a lot of patients are incorrectly informed that inner hemorrhoids / piles are pretty long, huge, enormous things, that trips over in the arschfick duct. 4. What are prolapsed hemorrhoids? If the increased circulation is inner, but projects outside where you can see it, it is known as a prolapsed piles and, they are basically red in appearance. 5. What are blood loss hemorrhoids? Finally, the last type of hemorrhoids / piles you’ll probably need to be focused about are hemorrhoids / piles that are known as blood loss hemorrhoids / piles. Thrombosed piles are piles that have coagulated system within them, and they are seriously agonizing. 6. Are Hemorrhoid Tumors? No. Any type of pile is not cancer, so do not be frightened quickly until you get a proper health check. However, you should not completely neglect any type of pile as it can be a warning call of a more serious health that can be life-threatening such as intestinal tract cancer malignancy or cancer malignancy of the colon. Posted in FAQ | 2 Replies Apr 30 Painless Piles / Hemorrhoids Cure Posted on April 30, 2012 There are folks on the globe who are looking for a excellent cure for Piles. Piles, also known as hemorrhoid, are a agonizing situation and in many situations can be costly to cure. There are many far less costly solutions that are available without going to a physician, and that you can use in the relaxation of your own house. Some typical natural homemade solutions used as a hemorrhoids cure are: 1. Soak yourself in warm water {sitz bath} at least once a day for a few moments. This will carry relaxation and relaxation to the impacted areas. 2. Keep the location fresh and try not to further annoy the place. Pat the area with tissue instead of clearing off it strongly. 3. Take in a lot of liquids. Water and drinks will help to convenience the discomfort while passing stool. 4. To get short-term relaxation, you can use an ice load up in the location. Make sure to cover it in a item of towel so that your affected area can withstand the ice. 5. Another typical cure is oil jello. This will help reduce the discomfort and can also help to remove the situation. These are just a few easy techniques that if followed consistently could help to prevent medical procedures or even having to go to the physician at all. If circumstances continue after trying some of these you can go to ClinTech India Website and get a consultation. They are one of it kinds in Mumbai, India. Will write an exclusive article on ClinTech in the next update…. Posted in Cure | 1 Reply Apr 24 Diagnosis of Piles / Hemorrhoids Posted on April 24, 2012 Typically, everyone has inner Piles / Hemorrhoids, but they are not generally visible, they do not present a issue or a risk to health and they usually remain out of vision and reveals now indicators. You may not believe it, but about 15 million people from around the planet are frustrated by wearisome pile flare-ups season after season. When the Piles / Hemorrhoids do initially show symptoms, the common reaction is one of security, worry, and stress. Suddenly, a person’s good-looking base has the interior appear as if they are shredding apart out of it and the pile flare-ups you become discovered of may also present discomfort, bristles and discomfort like nothing you ever sensed before. For most sufferers, the stress of seeing system streaks all of a rapid, out of excessive incredible discomfort from a bleeding pile can be serious. Luckily, Piles / Hemorrhoids in fact are infected system blood vessels that for most sufferers are easily handled or handled. Even though, having Piles / Hemorrhoids is pretty unpleasant because it is associated with intestinal motions (a personal and unobtrusive system action) and our butt (a personal system part) you should not be completely humiliated when you need a healthcare evaluation. Physicians are experienced, especially the intestinal tract professionals, to deal with the unpleasant factors of Piles / Hemorrhoids. The issue of discomfort may be disappointed even more with Piles / Hemorrhoids, if we think that by some means is due to rectal sex. A individual might feel that the physician will follow a pathway of a very individual aspect, and will ask concerns with the Piles / Hemorrhoids. Physicians will not ask concerns that are too individual, and it is very illegal to give tendency to your condition. In actuality, the issue of Piles / Hemorrhoids is so commonly known in the healthcare group that doctors are effectively experienced and experienced to perform a simply rubberband ligation or shots to cure the Piles / Hemorrhoids, while you are inside a hospital or an managing room, or any kind of pile strategy to any issue. They probably see sufferers keeping with Piles / Hemorrhoids every day and are not usually humiliated by it from any physician’s experience. Thus, when a individual gets over his feelings of discomfort, watching that the physician will never likely get too happy in their queries about your Piles / Hemorrhoids, you may get a sense a comfort about viewing your physician, and looking for out info about Piles / Hemorrhoids therapy they think is the best for your case – most likely a roughage consumption to start with. Another smart idea is to jot down the pile symptoms, so that when a individual talks about the findings with the physician, it’s just a issue of examining the symptoms out. Thus, even if a individual was to get a bit disrupted, all the pile symptoms can be indicated without the feeling at the end of making the hospital with a grudge and a pallid face. A individual not-trained with Piles / Hemorrhoids may mix up Piles / Hemorrhoids with rectal fissure, or even hpv warts, and even cancer of the intestinal tract. Thus, when you want to get a medicine, you should seek advice from a physician, since a individual analysis can be both difficult and risky. Posted in Remedies | 3 Replies Apr 17 Symptoms piles Posted on April 17, 2012 Though many people have Piles/Hemorrhoids, only a few experience the symptoms. Inner hemorrhoids can neither be seen nor sensed. But when a person variations to complete chair, the delicate exterior of the hemorrhoid may get damaged and this may cause it to hemorrhage. Inner rectal walls do not have pain-sensitive sensors materials, so the hemorrhoids do not cause irritation. If an interior hemorrhoid is encouraged through the rectal starting due to stressing, it can lead to irritation and irritation. Exterior hemorrhoids are the agonizing hemorrhoids. If blood regularly in the external hemorrhoid, it is called a thrombus. This types a clog and causes serious irritation, swelling and swelling. If this hemorrhoid is disrupted, it can cause blood loss and itchiness. Piles are an unpleasant issue for many, but it is also very typical among both men and ladies. More than half the inhabitants has this issue by the time they arrive at 50. Piles/Hemorrhoids are typical among expectant mothers. Posted in Remedies | Leave a reply Apr 16 Sitz Bath For piles / Hemorrhoids Posted on April 16, 2012 Do you have Piles / Hemorrhoids, and now in ticklish pain? So, in a search for comfort you will come across one of the very best and quickest techniques to discover help. This method is also very calming and involving. Before you search further with the Sitz shower techniques that can aid you fight most agonizing areas current with Piles / Hemorrhoids, it helps to know more about how Piles / Hemorrhoids build up. Hemorrhoids are a very common health that problems at least 30 % of People in america. This situation can happen at different age groups, but they are more common in middle age. In reality, it appears that the older population is the most at risk to obtain Piles / Hemorrhoids than any age range. The data for this age group, in truth, is pretty unpromising: it is estimated that just around 50 % of individuals over 50 have or will obtain some kind of piles situation. Exactly, what are piles / hemorrhoids? They are generally large, infected system bloodstream, located in the open area of the rear end. These infected system bloodstream are generally arranged together, creating a lot of superimposing tissue and mucous coating. Most sufferers keep from exterior Piles / Hemorrhoids that generally type in the rectal mouth. Most individuals may obtain inner Piles / Hemorrhoids at first, which then progressively type into exterior Piles / Hemorrhoids. Other sufferers withstand from inner Piles / Hemorrhoids that are not as agonizing, and thus more firm for the individual to become aware of. One of the most common symptoms of Piles / Hemorrhoids is serious red system loss put on the external of the intestinal. Bleeding may also be obvious in the make-up or on the bathroom dish. The Sitz Bath Technique One of the most trouble-free techniques to get comfort if you are keeping from the symptoms of Piles / Hemorrhoids is to take pleasure in in a Sitz shower. What is then, a Sitz bath? This procedure is generally known as hydrotherapy, and sometimes called as a hip shower. This therapy is recommended for slight degree Piles / Hemorrhoids. The Sitz shower is generally heated shower water that contains engagement of the hip and legs or the waist in the water. A Sitz shower should be warm, and not too hot. Appropriate conditions for this therapy differ from 95-100 levels F, or 38 to 40 levels Celsius. A Sitz shower can be very efficient for slight levels and easy incident of Piles / Hemorrhoids where therapy is needed from regular symptoms such as prickling, sore, and itchiness. Sitz shower have long been considered for let-up all types of rectal or genital stress. If you want to encounter a Sitz shower, you can collect much equipment that makes the encounter of planning a genuine Sitz shower easy. For example, you can use an water Sitz shower that will be connected to your drain, and present a totally managed Sitz shower system. The strategy should allow you with a smudge-free, accurate constant supply of trouble. If you see that you are suffering by gentle symptoms of Piles / Hemorrhoids, you’ll discover that a Sitz shower can provide you to wash in a average, peaceful environ, which will not make serious your Piles / Hemorrhoids, on the in contrast, can pretty aid to pacify the discomfort and the discomfort that comes with Piles / Hemorrhoids. Posted in Remedies | 14 Replies Search Recent Posts Causes and Symptoms of Piles Hemorrhoids / Piles : Frequently Asked Questions Painless Piles / Hemorrhoids Cure Diagnosis of Piles / Hemorrhoids Symptoms piles Advertisements Recent Comments Kathey Germon on Sitz Bath For piles / Hemorrhoids Jerrie Jakob on Sitz Bath For piles / Hemorrhoids Muhamad on Sitz Bath For piles / Hemorrhoids Maya on Painless Piles / Hemorrhoids Cure Andy on Sitz Bath For piles / Hemorrhoids Archives May 2012 April 2012 Categories Causes Cure FAQ Remedies Symptoms © 2012 pilestreatment.in Admired Theme     Hemorrhoid From Wikipedia, the free encyclopedia Jump to: navigation, search Hemorrhoids Classification and external resources Diagram demonstrating the anal anatomy of both internal and external hemorrhoids ICD-10 I84 ICD-9 455 DiseasesDB 10036 MedlinePlus 000292 eMedicine med/2821 emerg/242 MeSH D006484 Hemorrhoids (US English) or haemorrhoids (UK  /ˈhɛmərɔɪdz/), are vascular structures in the anal canal which help with stool control.[1][2] They become pathological or piles[3] when swollen or inflamed. In their physiological state, they act as a cushion composed of arterio-venous channels and connective tissue. The symptoms of pathological hemorrhoids depend on the type present. Internal hemorrhoids usually present with painless rectal bleeding while external hemorrhoids may produce few symptoms or if thrombosed significant pain and swelling in the area of the anus. Many people incorrectly refer to any symptom occurring around the anal-rectal area as "hemorrhoids" and serious causes of the symptoms should be ruled out.[4] While the exact cause of hemorrhoids remains unknown, a number of factors which increase intra-abdominal pressure, in particular constipation, are believed to play a role in their development. Initial treatment for mild to moderate disease consists of increasing fiber intake, oral fluids to maintain hydration, NSAIDs to help with the pain, and rest. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management. Surgery is reserved for those who fail to improve following these measures. Up to half of people may experience problems with hemorrhoids at some point in their life. Outcomes are usually good. Contents 1 Signs and symptoms 1.1 External 1.2 Internal 2 Causes 3 Pathophysiology 4 Diagnosis 4.1 Internal 4.2 External 4.3 Differential 5 Prevention 6 Management 6.1 Conservative 6.2 Procedures 6.3 Surgery 7 Epidemiology 8 History 9 Notable cases 10 References 11 External links Signs and symptoms External hemorrhoid as seen around the human anus Internal and external hemorrhoids may present differently; however, many people may have a combination of the two.[2] Bleeding significant enough to cause anemia is rare,[5] and life threatening bleeding is even more uncommon.[6] Many people feel embarrassed when facing the problem[5] and frequently seek medical care only when the case is advanced.[2] External If not thrombosed, external hemorrhoids may cause few problems.[7] However, when thrombosed, hemorrhoids may be very painful.[2][3] Nevertheless this pain typically resolves in 2 - 3 days.[5] The swelling however may take a few weeks to disappear.[5] A skin tag may remain after healing.[2] If hemorrhoids are large and cause issues with hygiene, they may produce irritation of the surrounding skin and thus itchiness around the anus.[7] Internal Internal hemorrhoids usually present with painless, bright red, rectal bleeding during or following a bowel movement.[2] The blood typically covers the stool, a condition known as hematochezia, is on the toilet paper, or drips into the toilet bowl.[2] The stool itself is usually normally coloured.[2] Other symptoms may include mucous discharge, a perianal mass if they prolapse through the anus, itchiness, and fecal incontinence.[8][6] Internal hemorrhoids are usually only painful if they become thrombosed or necrotic.[2] Causes The exact cause of symptomatic hemorrhoids is unknown.[9] A number of factors are believed to play a role including: irregular bowel habits (constipation or diarrhea), a lack of exercise, nutritional factors (low-fiber diets), increased intra-abdominal pressure (prolonged straining, ascitis, an intra-abdominal mass, or pregnancy), genetics, an absence of valves within the hemorrhoidal veins, and aging.[3][5] Other factors that are believed to increase the risk include obesity, prolonged sitting,[2] a chronic cough and pelvic floor dysfunction.[4] Evidence for these associations, however, is poor.[4] During pregnancy, pressure from the fetus on the abdomen and hormonal changes cause the hemorrhoidal vessels to enlarge. Delivery also leads to increased intra-abdominal pressures.[10] Pregnant women rarely need surgical treatment, as symptoms usually resolve after delivery.[3] Pathophysiology Hemorrhoid cushions are a part of normal human anatomy and become a pathological disease only when they experience abnormal changes.[2] There are three main cushions present in the normal anal canal.[3] These are located classically at left lateral, right anterior, and right posterior positions.[5] They are composed of neither arteries nor veins but blood vessels called sinusoids, connective tissue and smooth muscle.[4] Sinusoids do not have muscle tissue in their walls, as veins do.[2] This set of blood vessels is known as the hemorrhoidal plexus.[4] Hemorrhoid cushions are important for continence. They contribute to 15–20% of anal closure pressure at rest and protect the anal sphincter muscles during the passage of stool.[2] When a person bears down, the intra-abdominal pressure grows, and hemorrhoid cushions increase in size helping to maintain the anus closed.[5] It is believed that hemorrhoid symptoms result when these vascular structures slide downwards or when venous pressure is excessively increased.[6] Increased anal sphincter pressure may also be involved in hemorrhoid symptoms.[5] Two types of hemorrhoids occur: internals from the superior hemorrhoidal plexus and externals from the inferior hemorrhoidal plexus.[5] The dentate line divides the two regions.[5] Diagnosis Internal hemorrhoid grades Grade Diagram Picture 1 2 3 4 Hemorrhoids are typically diagnosed by physical examination.[11] A visual examination of the anus and surrounding area may diagnose external or prolapsed hemorrhoids.[2] A rectal exam may be performed to detect possible rectal tumors, polyps, an enlarged prostate, or abscesses.[2] This examination may not be possible without appropriate sedation due to pain, although most internal hemorrhoids are not associated with pain.[3] Visual confirmation of internal hemorrhoids may require anoscopy, a hollow tube device with a light attached at one end.[5] There are two types of hemorrhoids: external and internal. These are differentiated by their position with respect to the dentate line.[3] Some persons may concurrently have symptomatic versions of both.[5] If pain is present the condition is more likely to be an anal fissure or an external hemorrhoid rather than an internal hemorrhoid.[5] Internal Internal hemorrhoids are those that originate above the dentate line.[7] They are covered by columnar epithelium which lacks pain receptors.[4] They were classified in 1985 into four grades based on the degree of prolapse.[4][3] Grade I: No prolapse. Just prominent blood vessels.[11] Grade II: Prolapse upon bearing down but spontaneously reduce. Grade III: Prolapse upon bearing down and requires manual reduction. Grade IV: Prolapsed and cannot be manually reduced. External A thrombosed external hemorrhoid External hemorrhoids are those that occur below the dentate or pectinate line.[7] They are covered proximately by anoderm and distally by skin, both of which are sensitive to pain and temperature.[4] Differential Many anorectal problems, including fissures, fistulae, abscesses, colorectal cancer, rectal varices and itching have similar symptoms and may be incorrectly referred to as hemorrhoids.[3] Rectal bleeding may also occur due to colorectal cancer, colitis including inflammatory bowel disease, diverticular disease, and angiodysplasia.[11] If anemia is present, other potential causes should be considered.[5] Other conditions that produce an anal mass include: skin tags, anal warts, rectal prolapse, polyps and enlarged anal papillae.[5] Anorectal varices due to increased portal hypertension (blood pressure in the portal venous system) may present similar to hemorrhoids but are a different condition.[5] Prevention A number of preventative measures are recommended including avoiding straining while attempting to defecate, avoiding constipation and diarrhea either by eating a high fiber diet and drinking plenty of fluid or taking fiber supplements, and getting sufficient exercise.[12][5] Spending less time attempting to defecate, avoiding reading while on the toilet,[3] as well as losing weight for overweight persons and avoiding heavy lifting are also recommended.[13] Management Conservative Conservative treatment typically consists of nutrition rich in dietary fiber, uptake of oral fluids to maintain hydration, non-steroidal anti-inflammatory drugs (NSAID)s, sitz baths, and rest.[3] Increased fiber intake has been shown to improve outcomes,[14] and may be achieved by dietary alterations or the consumption of fiber supplements.[3][14] Evidence for benefits from sitz baths during any point in treatment however is lacking.[15] If they are used they should be limited to 15 minutes at a time.[4] While many topical agents and suppositories are available for the treatment of hemorrhoids, there is little evidence to support their use.[3] Steroid containing agents should not be used for more than 14 days as they may cause thinning of the skin.[3] Most agents include a combination of active ingredients.[4] These may include: a barrier cream such as petroleum jelly or zinc oxide, an analgesic agent such as lidocaine, and a vasoconstrictor such as epinephrine.[4] Flavonoids are of questionable benefit with potential side effects.[16][4] Symptoms usually resolve following pregnancy; thus active treatment is often delayed until after delivery.[17] Procedures A number of office based procedures may be performed. While generally safe, rare serious side effects such as perianal sepsis may occur.[11] Rubber band ligation is typically recommended as the first line treatment in those with grade 1 to 3 disease.[11] It is a procedure in which elastic bands are applied onto an internal hemorrhoid at least 1 cm above the dentate line to cut off its blood supply. Within 5–7 days, the withered hemorrhoid falls off. If the band is placed too close to the dentate line, intense pain results immediately afterwards.[3] Cure rate has been found to be about 87%[3] with a complication rate of up to 3%.[11] Sclerotherapy involves the injection of a sclerosing agent, such as phenol, into the hemorrhoid. This causes the vein walls to collapse and the hemorrhoids to shrivel up. The success rate four years after treatment is ~70%[3] which is higher than that with rubber band ligation.[11] A number of cauterization methods have been shown to be effective for hemorrhoids, but are usually only used when other methods fail. This procedure can be done using electrocautery, infrared radiation, laser surgery,[3] or cryosurgery.[18] Infrared cauterization may be an option for grade 1 or 2 disease.[11] In those with grade 3 or 4 disease re-occurrence rates are high.[11] Surgery A number of surgical techniques may be used if conservative management and simple procedures fail.[11] All surgical treatments are associated with some degree of complications including bleeding, infection, anal strictures and urinary retention, due to the close proximity to the rectum to the nerves that supply the bladder.[3] There may also be a small risk of fecal incontinence, particularly of liquid,[19][4] with rates reported between 0% and 28%.[20] Mucosal ectropion is another condition which may occur after hemorrhoidectomy (often together with anal stenosis).[21] This is where the anal mucosa becomes everted from the anus, similar to a very mild form of rectal prolapse.[21] Excisional hemorrhoidectomy is a surgical excision of the hemorrhoid used primarily only in severe cases.[3] It is associated with significant post-operative pain and usually requires 2–4 weeks for recovery.[3] However, there is greater long term benefit in those with grade 3 hemorrhoids as compared to rubber band ligation.[22] It is the recommended treatment in those with a thrombosed external hemorrhoid if carried out within 24-72 hours.[11][7] Glyceryl trinitrate ointment post procedure, helps both with pain and healing.[23] Doppler-guided, transanal hemorrhoidal dearterialization is a minimally invasive treatment using an ultrasound doppler to accurately locate the arterial blood inflow. These arteries are then "tied off" and the prolapsed tissue is sutured back to its normal position. It has a slightly higher recurrence rate, but fewer complications compared to a hemorrhoidectomy.[3] Stapled hemorrhoidectomy, also known as stapled hemorrhoidopexy, is a procedure that involves the removal of much of the abnormally enlarged hemorrhoidal tissue, followed by a repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position. It is generally less painful and is associated with faster healing compared to complete removal of hemorrhoids.[3] However, the chance of symptomatic hemorrhoids returning is greater than for conventional hemorroidectomy[24] and thus it is typically only recommended for grade 2 or 3 disease.[11] Epidemiology It is difficult to determine how common hemorrhoids are as many people with the condition do not see a healthcare provider.[9][6] However, it is believed that symptomatic hemorrhoids affect at least 50% of the US population at some time during their lives and around ~5% of the population is affected at any given time.[3] Both sexes experience approximately the same incidence of the condition[3] with rates peaking between 45 and 65 years.[5] They are more common in Caucasians[25] and those of higher socioeconomic status.[4] Long term outcomes are generally good, although some people may have recurrent symptomatic episodes.[6] Only a small proportion of persons end up needing surgery.[4] History 11th century English miniature. On the right is an operation to remove hemorrhoids. The first known mention of this affliction is from a 1700 BC Egyptian papyrus, which advises: “… Thou shouldest give a recipe, an ointment of great protection; Acacia leaves, ground, titurated and cooked together. Smear a strip of fine linen there -with and place in the anus, that he recovers immediately."[26] In 460 BC, the Hippocratic corpus discusses a treatment similar to modern rubber band ligation: “And hemorrhoids in like manner you may treat by transfixing them with a needle and tying them with very thick and woolen thread, for application, and do not forment until they drop off, and always leave one behind; and when the patient recovers, let him be put on a course of Hellebore.”[26] Descriptions of hemorrhoids also occur in the Bible.[27][5] Celsus (25 BC – AD 14) described ligation and excision procedures, and discussed the possible complications.[28] Galen advocated severing the connection of the arteries to veins, claiming that it offered reduced pain and the spread of gangrene.[28] The Susruta Samhita, (4th – 5th century AD), similar to the words of Hippocrates, but emphasizes wound cleanliness.[26] In the 13th century, European surgeons such as Lanfranc of Milan, Guy de Chauliac, Henri de Mondeville and John of Ardene made great progress and development of the surgical techniques.[28] The first use of the word "hemorrhoid" in English occurs in 1398, derived from the Old French "emorroides", from Latin "hæmorrhoida -ae",[29] in turn from the Greek "αἱμορροΐς" (haimorrhois), "liable to discharge blood", from "αἷμα" (haima), "blood"[30] + "ῥόος" (rhoos), "stream, flow, current",[31] itself from "ῥέω" (rheo), "to flow, to stream".[32] Notable cases Hall-of-Fame baseball player George Brett was removed from a game in the 1980 World Series due to hemorrhoid pain. After undergoing minor surgery, Brett returned to play in the next game, quipping "...my problems are all behind me."[33] Brett underwent further hemorrhoid surgery the following spring.[34] Conservative political commentator Glenn Beck underwent surgery for hemorrhoids, subsequently describing his unpleasant experience in a widely viewed 2008 YouTube video.[35] References ^ Chen, Herbert (2010). Illustrative Handbook of General Surgery. Berlin: Springer. p. 217. ISBN 1-84882-088-7. ^ a b c d e f g h i j k l m n o Schubert, MC; Sridhar, S; Schade, RR; Wexner, SD (July 2009). "What every gastroenterologist needs to know about common anorectal disorders". World J Gastroenterol 15 (26): 3201–9. doi:10.3748/wjg.15.3201. ISSN 1007-9327. PMC 2710774. PMID 19598294. ^ a b c d e f g h i j k l m n o p q r s t u v w x y Lorenzo-Rivero, S (August 2009). "Hemorrhoids: diagnosis and current management". Am Surg 75 (8): 635–42. PMID 19725283. ^ a b c d e f g h i j k l m n o Beck, David (2011). The ASCRS textbook of colon and rectal surgery (2nd ed. ed.). New York: Springer. pp. 174-177. ISBN 9781441915818. ^ a b c d e f g h i j k l m n o p q r s Kaidar-Person, O; Person, B; Wexner, SD (2007 Jan). "Hemorrhoidal disease: A comprehensive review". Journal of the American College of Surgeons 204 (1): 102-17. PMID 17189119. ^ a b c d e Davies, RJ (2006 Jun). "Haemorrhoids.". Clinical evidence (15): 711-24. PMID 16973032. ^ a b c d e Dayton, senior editor, Peter F. Lawrence; editors, Richard Bell, Merril T. (2006). Essentials of general surgery (4th ed. ed.). Philadelphia ;Baltimore: Williams & Wilkins. p. 329. ISBN 9780781750035. ^ Azimuddin, edited by Indru Khubchandani, Nina Paonessa, Khawaja (2009). Surgical treatment of hemorrhoids (2nd ed. ed.). New York: Springer. p. 21. ISBN 978-1-84800-313-2. ^ a b Reese, GE; von Roon, AC; Tekkis, PP (2009 Jan 29). "Haemorrhoids.". Clinical evidence 2009. PMID 19445775. ^ National Digestive Diseases Information Clearinghouse (November 2004). "Hemorrhoids". National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH. Retrieved 18 March 2010. ^ a b c d e f g h i j k l Rivadeneira, DE; Steele, SR; Ternent, C; Chalasani, S; Buie, WD; Rafferty, JL; Standards Practice Task Force of The American Society of Colon and Rectal, Surgeons (2011 Sep). "Practice parameters for the management of hemorrhoids (revised 2010)". Diseases of the colon and rectum 54 (9): 1059-64. PMID 21825884. ^ Frank J Domino (2012). The 5-Minute Clinical Consult 2013 (Griffith's 5 Minute Clinical Consult). Hagerstown, MD: Lippincott Williams & Wilkins. p. 572. ISBN 1-4511-3735-4. ^ Glass, [edited by] Jill C. Cash, Cheryl A.. Family practice guidelines (2nd ed. ed.). New York: Springer. p. 665. ISBN 9780826118127. ^ a b Alonso-Coello, P.; Guyatt, G. H.; Heels-Ansdell, D.; Johanson, J. F.; Lopez-Yarto, M.; Mills, E.; Zhuo, Q.; Alonso-Coello, Pablo (2005). Alonso-Coello, Pablo. ed. "Laxatives for the treatment of hemorrhoids". Cochrane Database Syst Rev (4): CD004649. doi:10.1002/14651858.CD004649.pub2. PMID 16235372. ^ Lang, DS; Tho, PC; Ang, EN (2011 Dec). "Effectiveness of the Sitz bath in managing adult patients with anorectal disorders". Japan journal of nursing science : JJNS 8 (2): 115-28. PMID 22117576. ^ Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, et al. (August 2006). "Meta-analysis of flavonoids for the treatment of haemorrhoids". Br J Surg 93 (8): 909–20. doi:10.1002/bjs.5378. PMID 16736537. ^ Quijano, CE; Abalos, E (2005 Jul 20). "Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium". Cochrane database of systematic reviews (Online) (3): CD004077. PMID 16034920. ^ Misra, MC; Imlitemsu, (2005). "Drug treatment of haemorrhoids". Drugs 65 (11): 1481-91. PMID 16134260. ^ Pescatori, M; Gagliardi, G (2008 Mar). "Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures". Techniques in coloproctology 12 (1): 7-19. PMID 18512007. ^ Ommer, A; Wenger, FA; Rolfs, T; Walz, MK (2008 Nov). "Continence disorders after anal surgery--a relevant problem?". International journal of colorectal disease 23 (11): 1023-31. PMID 18629515. ^ a b Lagares-Garcia, JA; Nogueras, JJ (2002 Dec). "Anal stenosis and mucosal ectropion.". The Surgical clinics of North America 82 (6): 1225-31, vii. PMID 12516850. ^ Shanmugam, V; Thaha, MA; Rabindranath, KS; Campbell, KL; Steele, RJ; Loudon, MA (2005 Jul 20). "Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids". Cochrane database of systematic reviews (Online) (3): CD005034. PMID 16034963. ^ Ratnasingham, K; Uzzaman, M; Andreani, SM; Light, D; Patel, B (2010). "Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing". International journal of surgery (London, England) 8 (8): 606-11. PMID 20691294. ^ Jayaraman, S; Colquhoun, PH; Malthaner, RA (2006 Oct 18). "Stapled versus conventional surgery for hemorrhoids". Cochrane database of systematic reviews (Online) (4): CD005393. PMID 17054255. ^ Christian Lynge, Dana; Weiss, Barry D.. 20 Common Problems: Surgical Problems And Procedures In Primary Care. McGraw-Hill Professional. p. 114. ISBN 978-0-07-136002-9. ^ a b c Ellesmore, Windsor (2002). "Surgical History of Haemorrhoids". In Charles MV. Surgical Treatment of Haemorrhoids. London: Springer. ^ King James Bible. 1 Samuel 6 4. ^ a b c Agbo, SP (1 January 2011). "Surgical management of hemorrhoids". Journal of Surgical Technique and Case Report 3 (2): 68. doi:10.4103/2006-8808.92797. ^ hæmorrhoida, Charlton T. Lewis, Charles Short, A Latin Dictionary, on Perseus Digital Library ^ αἷμα, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library ^ ῥόος, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library ^ ῥέω, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library ^ Dick Kaegel (March 5, 2009). "Memories fill Kauffman Stadium". Major League Baseball. ^ "Brett in Hospital for Surgery". The New York Times. Associated Press. March 1, 1981. ^ "Glenn Beck: Put the 'Care' Back in Health Care". ABC Good Morning America. Jan. 8, 2008. Retrieved 17 September 2012. External links Wikimedia Commons has media related to: Hemorrhoids Hemorrhoid at the Open Directory Project [show] v t e Cardiovascular disease: vascular disease · Circulatory system pathology (I70–I99, 440–456) View page ratings Rate this page What's this? Trustworthy Objective Complete Well-written I am highly knowledgeable about this topic (optional) Categories: Diseases of veins, lymphatic vessels and lymph nodes Digestive diseases Greek loanwords Medical conditions related to obesity Proctology Create account Log in Article Talk Read View source View history Main page Contents Featured content Current events Random article Donate to Wikipedia Interaction Help About Wikipedia Community portal Recent changes Contact Wikipedia Toolbox Print/export Languages አማርኛ العربية Bahasa Banjar Беларуская Беларуская (тарашкевіца)‎ Български Bosanski Català Česky Cymraeg Dansk Deutsch ދިވެހިބަސް Eesti Ελληνικά Español Esperanto Euskara فارسی Français Gàidhlig 한국어 Հայերեն हिन्दी Hrvatski Ido Bahasa Indonesia Italiano עברית Қазақша Kurdî Кыргызча Latviešu Lëtzebuergesch Lietuvių Lingála Magyar Македонски മലയാളം Bahasa Melayu Nederlands Nedersaksisch नेपाली 日本語 Norsk (bokmål)‎ Polski Português Română Runa Simi Русский Sicilianu Simple English Slovenčina Slovenščina کوردی Српски / srpski Srpskohrvatski / српскохрватски Suomi Svenska Tagalog தமிழ் ไทย Türkçe Türkmençe Українська اردو Tiếng Việt ייִדיש 粵語 中文 This page was last modified on 26 November 2012 at 02:40. Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. See Terms of Use for details. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. Contact us Privacy policy About Wikipedia Disclaimers Mobile view      Browse Topic Yoga Meditation Ayurveda Homeopathy Acupuncture Reiki Non Surgical Treatments Hydrotherapy Hypnotherapy Light Therapy Light Touch Therapy Pranic Healing Magnotherapy Massage Therapy Music Therapy Naturopathy Nutritional Therapy Osteopathy Acupressure Ayurvedic Treatment for Piles By: Dr Poonam Sachdev , Expert Content Date of Publishing:2011-06-28 00:00:00.0    65Share    Piles also known as haemorrhoids are caused due to swelling and inflammation of the veins present in the rectum and anus. Piles treatment through Ayurveda has been quite effective. The ayurveda treatment is a more holistic method with no or very few side-effects.  Now, there are two types of piles: External: These are present outside the anal verge. Internal: These occur inside the rectum. What causes Piles: There are several factors which increase your risk of developing piles. Some of the common factors that might lead to piles are: Genetic tendency (due to weak rectal veins, and walls). Poor tone of muscle in the rectal region. Constipation (hard stool). Obesity Inactive or sedentary lifestyle. Chronic or prolonged cough. Pregnancy Excessive use of laxatives or enemas. Habitual weight lifting. Read in Detail: Common Causes of Piles Signs and Symptoms of Piles: The symptoms of piles vary depending upon the site of piles, duration of symptoms and your overall health. External piles cause swelling outside the anus, irritation and itching. In some people, they can be painful sometimes but they usually do not bleed. Internal piles bleed during passage of hard stools but they are usually not painful. At times there can be slimy discharge of mucus from the piles. Based on their severity they can be classified into four grades (1 to 4). If you notice bleeding in when you pass stool consult a doctor for advice. Ayurveda Remedies for piles is used to: Reduce the constipation (the commonest predisposing factor for piles). Relieve pain associated with piles and reduce the piles. Ayurveda medicines or herbs useful for reducing constipation are asafoetida, fennel and cumin. Ghee, buttermilk and green leafy vegetables in diet can also reduce constipation. Several ayurvedic remedies for treatment of piles are available. Some of the commonly used and effective ayurvedic herbs are: Carrot (Daucus carota): It is effective in reducing the bleeding from piles (can be taken raw or cooked). Garlic (Allium sativum): It is effective in reducing the bleeding from piles and is helpful to stop the growth of bleeding piles. Insert the garlic high up in the rectum so that it remains inside the rectum overnight. Other herbs prescribed for treatment of piles are trikatu, cassia fistula, mimosa pudica, ailanthus excels, blumea balsamifera,and  semicarpus anacardium. Read in Detail: Ayurvedic Home Remedies for Piles Remedies in Ayurveda treatment can relieve pain or discomfort associated with piles. However, in case you have already undergone delf medication for piles and have also tried home remedies and have failed, consult an ayurvedic practitioner or allopathic physician. Read more articles on Ayurveda Email Article Source Post your comment Tags:Treat Piles with Ayurveda,Relieve Pain from Piles through Ayurveda,Ayurvedic Cure for Piles Disclaimer: Please be informed that we are not responsible for advice/tips given by any third party in form of comments on article pages . If you have or suspect having any medical condition, kindly contact your professional health care provider. User Comments dinesh ( 06 Nov 2012 ) hello friends smile remedies company launched piles Ayurvedic medicine its 100% natural and very effective, website address is :http://www.smileremedies.com sujatha ( 05 Nov 2012 ) Sir i have piles now it is severe i do not need surgery give some home remedy jay ( 04 Nov 2012 ) I am suffering from piles please advice aman thakur ( 30 Oct 2012 ) Sir, my Khuni piles but some times are pain please advice me ayurvedic medicine for piles David ( 29 Oct 2012 ) I am suffering from piles. 2 times i had gone for surgery. latest was last year Dec'11. again the same problem as started know with external piles with lot of pain and inconvinence whole day. can anyone suggest suitable medicine for immediate effect. Lord Dhanwantari ( 29 Oct 2012 ) Living life in Ayurveda way is the only permanent cure for piles/hemorrhoids. Piles can be cured completely with a combination of strict food precautions and herbal medicines. The precautions can be for minimum 7-10 days before medications and couple of week after medications. Share your symptoms with us on: ayur(dot)dhanwantari(at)gmail(dot)com Initial stage piles can gets cures by the precautions only. Regards Lord Dhanwantari charitable trust akshay ( 27 Oct 2012 ) i am suffering from piles Lord Dhanwantari ( 27 Oct 2012 ) Hi All Free samples stock for the year is over. For medicines, precautions for curing piles, and other details please follow us on our blog http://ayurdhanwantari.wordpress.com. Lord Dhanwantari Charitable Trust Vinod Kumar ( 04 Oct 2012 ) I Had severe pain, bleeding, and constipation and internal piles masses. Adopted "Piles cure" formula from Lord Dhanwantari Charitable trust and got relieved. They make me understand how to prevent this disease, and what is the right food diet for curing. Thank a lot to the Dhanwantari team. Vinod Kumar (Sikkim) Rudra ( 26 Sep 2012 ) Ayurveda has forever been known for its virtues. yogendra soni ( 19 Sep 2012 ) i am suffering from external piles since 15 days. plz help me... Lord Dhanwantari Charitable Trust ( 16 Sep 2012 ) Precautions Continued.... 6. No Drinking, and chewing of tobacco 7. Avoid Late night working 8. Avoid heavy pulses as Urad, Rajmah, Lobia etc. Supportive food: 1. Use Radishes in your food, try to take radish juice 50 -100ml thrice a day 2. Drink Lot of water 3. Eat fiber rich fruits i.e. Papya, Watermelon, fig etc. no fruit with sour taste ( Oranges, citrus etc. 4. Include Green grams (Moong), Arhar Dal (Yellow Dal), etc Compulsory in you food. Lord Dhanwantari Charitable Trust ( 16 Sep 2012 ) Ayurvedic Texts says " ILAZ SE PARHEJ ACCHA" " Prevention is better Than Cure" . This is the formula what you should adopt for "Piles Cure" before taking any medicine. Few Precautions for piles patients 1. Stop Consumption of Tea, Coffee and other market beverages. 2. Stop consumption of any Non Vegetarian food 3. Stop Consumption of Chillies in any form (Red, Green, Powder, Raw) 4. Stop Consumption of Spicy and Oily food 5. Stop all Sour Items in your food Amit ( 15 Sep 2012 ) We have on Our record treated more than 20000 patient of piles with our herbal medicine. Medicine Name Pilesafe Capsules, Nirog Gas powder, Total cost of medicine comes around Rs 2500-2800.for further details u can write me at amitgandhi01@rediffmail.com.. Avilability Indore, ratlam, mandsaur(madhya pradesh). Mumbai, Nasik, Akola (maharashtra). Hubli(karnatka), Angul(orrisa). For other places medicine could be send through courier or VPP.. viddy ( 12 Sep 2012 ) Please i need your help. viddy ( 12 Sep 2012 ) Hi! I'm a piles patient (external). The flesh comes out with a tag sticking out. I push it back in, but it burns & there is always a pain & tighness. I took some allopathy medicine, but not much use. Please,please , please help me. niranjan ( 10 Sep 2012 ) sir,i was suffering from piles since one year. i tried a lot of medicines but the result was null. plz suggest the necessary medicines Lord Dhanwantari Charitable Trust ( 04 Sep 2012 ) We are sorry to inform every body that our first lot of Piles cure samples has been stopped for time being because of overwhelming response from the customers, Those who have received our mail for precautions will receive piles cure medicines. Further re-distribution of next lot will be informed in the BLOG. Thanks and Best Wishes Lord Dhanwantari team vijay ( 03 Sep 2012 ) I was suffering from piles with severe Pain.I tried many medicines and ointments but no results. one day i Read a blog about Lord Dhanwantari's free "piles cure" samples and i explained about my prob... they sent medicines in free of cost Not even a single paisa paid. now i am very comfortable and don't see any sign of it. Thanks to Lord Dhanwantari and specially Dr. Yogesh Thakur ji. mahendra  ( 03 Sep 2012 ) Last week, I have suddenly developed bleeding, pain while passing stools, There is external growth near the anal which causes irritation, and problems while sitting, walking & bending. Kindly help me to get rid of this ailment. Lord Dhanwantari Charitable Trust ( 02 Sep 2012 ) Dear Mr. Ramesh and Rajwant our medicines are not available in retails, or sold by any means. We have records of all our patients to whom free medicines have been given. Please do not upload false details, we are very much reachable on the numbers given. Patients references can be provided. More over we have never ever supplied this medicine to any body with above names. Upload your full contact details and addresses. "Not been cured with it how some one can ask for donation" rajwant ( 02 Sep 2012 ) yes ramesh you are true i also took their treatment but i dont get any releif, istead they ask me for donation. dont know what these peoples want? i think they are holy shit Ramesh  ( 02 Sep 2012 ) i have a negative experience with dhanvantri trust the give few mwdicine for free for 8 days than which do not provide much relief, And afterward they told me to buy more medicine which are really expesive. i find myself fooled Abhaya Sinha ( 02 Sep 2012 ) all should try piles go medicine it provide me 100% releif. it is very good medicine. Shila Mahalakshmi ( 01 Sep 2012 ) I was suffering from piles with severe Pain, Constipation Problem and Tiredness. We tried many medicines, ointments and fiber diet powders but no results. Read about Lord Dhanwantari's free "piles cure" samples on this blog. I was asked to follow some simple precautions strictely for 8 -10 days and then start the "Piles Cure" course which i did and now " I am 100% satisfied, it was an excellent one. Still I felt it is a dream" and that is to be absolutely free . Not even a single paisa paid. Lord Dhanwantari Charitable Trust ( 01 Sep 2012 ) We know in this world of money making, causes a doubts in people mind and think of hidden charges. People are asking us again and again about our free distribution of piles treatment samples. We just want to say that all our samples are free of cost and it is a "magic" formula for piles. We run our whole operations on donations. The postal charges are also paid by us initially. Send us your detailed disease symptoms and your medicine shall reach in 8 - 10 working days. Regards M. Patil ( 31 Aug 2012 ) Dear All, I would like to share my experience. Since last two months I was suffering from this problem of Piles. I have taken some Ayurvedic as well as Homeopathic medicines for this, however, I was not getting relief. One day I came to know about Lord Dhanwantari's medicine and made a request to Dr Yogesh Thakur. I am very much thankful of his timely help and "magic" medicine on Piles. Today i am very comfortable and don't see any sign of it. Thanks to Lord Dhanwantari and Dr. Yogesh Thakur. vijyalaxmi ( 26 Aug 2012 ) lord dhanvantri trust are you sure you provide free medicine or there is some other hidden cost? Can u give detail of total cost of medicine including courier charges if i want medicine in chennai. Jay ( 26 Aug 2012 ) I am suffering from piles please help Lord Dhanwantari ( 24 Aug 2012 ) We at Lord Dhanwantari Request all of those who have received and used our free piles cure medicine and have been benefited out of it, to post their feedback on the blog, so that more people can be benefited out of it. There have been many responses from the blog and medicines has been sent to them. This would be a motivation to all who are working for this, and have been coordinating with you for your pain relief. We have a very few free samples left over Lord Dhanwantari Charitable Trust Dr.Rahul Kaushik ( 14 Aug 2012 ) Piles treatment constipation should be removed and take fiber rich diet .Secondary restricted spicy and fatty diet.Patient is advised to take Pranda Gutika with abhyaristh.This is the best treament for piles kuldeep ( 10 Aug 2012 ) I'm 27 year old person living in delhi I'm suffering for piles past 2 month I'll use to some himelya pile x tablets which is give me relief for some time. suffering for internal bleeding at that time please suggest the permanent treatment of this kind problem. I'll b highly obliged 2 u!! Post your comment vijay ( 08 Aug 2012 ) I'm 27 year old person living in Hyderabad I'm suffering for piles past 2 years I'll use to some tablets which is give me relief for some time. suffering for internal swelling, pain, stool is very hard when it's pass it's more painful & bleeding at that time please suggest the permanent treatment of this kind problem. I'll b highly obliged 2 u!! Post your comment Amit ( 05 Aug 2012 ) dear loveleen you take pilesafe capsules 2 cap thrice a day Nirog gas powder 2 tea spoon twice a day &nirog kabj powder 1 tea spoon at night The medicine is available at following places Indore, ratlam, mandsaur, neemuch (madhya pradesh). Mumbai, Nasik (maharashtra). Hubli(karnatka), Angul(orrisa) . For other Places Medicine could be sent through courier or VPP. raju ( 26 Jul 2012 ) i am facing 3rd stage piles ,i want safe and without surgical treatment in same stage.is it possible by your treatment,please suggest me with details Nirmohi ( 26 Jul 2012 ) My dad is facing the problem of piles and everyday he losses 800ml of blood while emptying his bowels. Please tell me the curing treatment.................... kittumani ( 26 Jul 2012 ) I am inner piles pasent, I want cure, do not coming back, how mach days with in cure, please send dedails by kittumani loveleen ( 17 Jul 2012 ) hi amit loveleen here, i m facing the problem of piles from last 1yr, with bleeding problem, kindly sugest me the cure or treatment loveleen ( 17 Jul 2012 ) hi amit loveleen here, i m facing the problem of piles from last 1yr, with bleeding problem, kindly sugest me the cure or treatment jay ( 05 Jul 2012 ) hello sir i have suffring from piles since last 8 year plz some time bleeding but its dry piles so suggastion me which medicne i take my age is 30 year and iqam nonvegtable majoj ( 01 Jul 2012 ) hai sir i have piles problems give me suggestion what i do please , Shakti ( 01 Jul 2012 ) i am facing 3rd stage piles ,i want safe and without surgical treatment in same stage.is it possible by your treatment,please suggest me with details kamal ( 26 Jun 2012 ) brijesh there could be no piles on face, Piles is situation where anal region get swallon and in severe cases bleeding come while passing stool. . kamal ( 26 Jun 2012 ) brijesh there could be no piles on face, Piles is situation where anal region get swallon and in severe cases bleeding come while passing stool. . brijesh ( 26 Jun 2012 ) mere face par piles ho rahe unko hatane ke liya koi upay bataye makeshwar ( 25 Jun 2012 ) i am suffering from piles prodlem pls give the good solution. vijay ( 23 Jun 2012 ) is ayurvedic more effecyive than allopathic? vijay ( 23 Jun 2012 ) is ayurvedic more effecyive than allopathic? Jayant ( 22 Jun 2012 ) i am suffering frpm piles please sugest good treatment Jayant ( 22 Jun 2012 ) i am suffering frpm piles please sugest good treatment Jayant ( 22 Jun 2012 ) i am suffering frpm piles please sugest good treatment Amit ( 22 Jun 2012 ) NIshad, i mailed you details for medicine, check it and mail me for any further assistance. Amit ( 22 Jun 2012 ) NIshad, i mailed you details for medicine, check it and mail me for any further assistance. Amit ( 22 Jun 2012 ) Nishad i mailed you the details for medicine please check it. Amit ( 19 Jun 2012 ) rahul , U can take pilesafe capsules. These are 100% herbal.For any further inquiry you can write me at amitgandhi01@redifmail.com. Rahul ( 18 Jun 2012 ) Sir! I m 18 yrs old studnt plz suggst me good medicine for piles. It is the begning of this problem.So plz mail me best home medicine or home remedies. I'll b highly obliged 2 u!! Chitra ( 11 Jun 2012 ) Hello, From past 1 week i am having problem in doing motion .Motion will get concentrated in the lower portion but i feel it has no space to come out.very difficult for me every day.Once i start trying harder to put it out blood starts coming and there is lots of pain .Everyday i have to try harder for half an hour for motion to come out..Im in germany.This problem has started only after i came to germany..pls help. Neha ( 11 Jun 2012 ) Thanku amit i got immense relief by your suggested pilesafe capsules. You have solved my 3 years painfull problem in just 5 days. again thanks a lot for your coperation Dinu ( 06 Jun 2012 ) Even if one does not want to undergo surgery, get clonoscoppy done by surgen's advice,this test will make you aware the stage 1, 2 or 3 of piles This test will guide ayurvedic or any type of medication . prolonged piles over long period,without changing root cause,can even cause colon cancer.Be causcious in doing self treatment.Even after surgery piles can reappear, best is diet control and fiber food softening of stool.Kept anal area clean with soft soap wash with luke warm water. Raj ( 05 Jun 2012 ) I'm 38 year old person living in delhi I'm suffering for piles past 8 year I'll use to some dasi treatment which is give me relief for some time. suffering for internal swelling, pain, stool is very hard when it's pass it's more painful at that time please suggest the treatment of this kind problem is Ayurvedic AARSH KALP is effective for this kind of problem. MAHENDRA ( 04 Jun 2012 ) Sir, my external piles but some times are pain please advice me ayurvedic medicine for piles anant ( 14 May 2012 ) Hello, I have been facing since long the evil of the PILES which is external and non-bleeding type. sometime bleeding do take place when the external piles do get rubbed due to walking etc. This pile has been tormenting and I have been loosing quite time to see it reduces as time gone by. These piles are very old once been eliminated by treatment some 20 years back. Almost 10 years there were no sign of pile but it reappear and since then I am suffering on quite occasions. Most of the time it swati ( 10 May 2012 ) plz give us forever medicine. naina singh ( 08 May 2012 ) i was suffering internale pils which medicine sutaible it. sheshadhri ( 07 May 2012 ) hi due to heavy travelling am facing this externel piles.. please refer me something to get rid off this........ pls pls am inside home for past 3 days cant go outside.. help me bindiya  ( 06 May 2012 ) i m suffering from the same plz recommend me the best ayurvedic medicine to get rid of it permanently pooja sinha ( 01 May 2012 ) to every one plz use carrot,garlic,food made up in masturd oil,vegetable of suran........u will see a gud effect......its for piles patient avoid spice food..... ashwin ( 30 Apr 2012 ) from last three days i am suffering form external piles please recommend me a best medicine for that...in allophathic or ayurvedic .. shibu ( 27 Apr 2012 ) Sir, which is the best medicne for extrnal piels afjal ( 26 Apr 2012 ) which is the best medicne for extrnal piels pawan ( 19 Apr 2012 ) sir, my external piles but some times are pain please advice me ayurvedic medicine for piles raj  ( 15 Apr 2012 ) sir my mother is suffering om internal piles she have much pain please tell me what is the best Madison of piles. she have use also arsh kalp but its result is more bad.. pari ( 05 Apr 2012 ) mujhe khuni piles hai aur massa bhi hai 6 months pehle maine illaz karva aurvedic mujhe aaram aa gaya. par abhi bhi kabi kabi khun aa jata hai aur thoda bahut pain hota hai. masa bhi hai. mujhe kio illaz bataye jo ki mai hamesha ke liye piles se mukt ho jau ankur ( 23 Mar 2012 ) i m suffering from piles external but stool pain is low but in standing position pain high plz tell me solution Name ( 16 Mar 2012 ) my back bone problem what to do ..2side right side mohit ( 12 Mar 2012 ) i ws also suffering from piles, but after using PILES GO capsules, m much better now, jst 10 days course of this capsul makr u relife soon. subharanjan santra ( 12 Mar 2012 ) I am suffering from internal piles for the last 15 years. It is a bleeding piles and the rectum is coming out after passing stools Patel Bhavin  ( 19 Feb 2012 ) What is the best medicine of piles Abhaya Sinha ( 27 Oct 2011 ) I am suffering from piles. External Swelling is also noticed. I was under treatment under Dr. Batras but after three months I feel cheated as Dr. Batras has stopped responding to my treatments. Due to discontinuance of the treatmnent severe bleeding has started without pain. Can any one suggest suitable medicine for immediate effect. suresh ( 19 Oct 2011 ) whiich is the best medicine available in market for piles(Ayurvedic) Haridra, Dravanthi.................... Want to say something? Post your comment. More About Ayurveda Ayurvedic Care for Acne Ayurveda for Acne - It is important to find out the cause of acne, so it can be properly treated. Ayurveda Treatment for Malaria Ayurvedic treatment for malaria - There are several herbal remedies which are effective in malaria treatment. 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