Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibres.

Bleeding piles can be treated using several methods or forms of surgery. The Ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infra red coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

uchchh dagdha /scarce agni karma
Durdaghda/ inappropriate burning surgery
Aati dagdha /powerful or excess cauterization
Samyak dagdha / appropriate agni karma
Infra red Coagulation Therapy-

Infra red coagulation therapy or infra red photo coagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infra red light. The heat released by the infra red light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the Ayurvedic treatment, is considered to an effective medical treatment procedure of infra red coagulation therapy. This is because:

Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infra red light beam is used.
Agni karma provides treatment without failure, and success is guaranteed. 
Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately. 

Bleeding Piles Treated by Agni Karma and Infra Red Coagulation Therapy

Hemorrhoids, also known as piles, are swollen veins or blood vessels, which can be internal (located inside rectum) or external (located outside rectum). They might be managed by increasing fluid intake and a high-fiber diet. Sometimes, Hemorrhoids might get infected and irritated to an extent that they require surgical removal.

Causes of Hemorrhoids:

Hemorrhoids are caused by increased pressure in blood vessels around the anus, causing them to swell and inflame which might be caused by a number of reasons.

Prolonged constipation

Chronic diarrhoea

Obesity

Aging

Pregnancy as it increases pressure on pelvic blood vessels

Weight lifting

Family history of Hemorrhoids

Persistent cough

Vomiting repeatedly

Sitting continuously for a very long period of time.

Symptoms of Hemorrhoids:

Some of the common symptoms of Hemorrhoids are:

Internal Hemorrhoids might bleed painlessly after bowel movement, but are problematic if they bleed too heavily.

External Hemorrhoids might also bleed after bowel movement, but often become irritating and painful.

External Hemorrhoids can lead to blood clots inside the vessel, which can cause severe pain. Proper treatment for such Hemorrhoids involves  incision and drainage  procedure.

Itchy and sore bottom.

A lump hanging off the anus.

Types of Hemorrhoids:

The type of Hemorrhoids decides the course of action for treatment.

First degree Hemorrhoids are small swellings which develop on inner lining of anus, being invisible from outside.

Second degree Hemorrhoids are larger swellings which might come out of the anus during bowel movement before disappearing inside again.

Third degree Hemorrhoids are lumps hanging off the anus which can be pushed back inside.

Fourth degree Hemorrhoids are larger lumps hanging down from the anus but cannot be pushed back inside.

Surgeries without Anesthesia:

Banding or rubber band ligation involves using a tight band around the base of Hemorrhoid to cut off its blood supply. It takes two or more procedures to be performed about two months apart.

Having the best success rate for small and internal Hemorrhoids, sclerotherapy involves injecting a chemical into Hemorrhoids, causing them to shrink and stop bleeding.

Coagulation therapy or infrared photocoagulation uses infrared light (heat or extreme cold) to retract and shrink the Hemorrhoid and is usually performed along with an anoscopy.

Hemorrhoidal artery ligation (HAL) or transanal hemorrhoidal dearterialization (THD) locates blood vessels causing Hemorrhoids to close them off.

Surgeries with Anesthesia:

Hemorrhoidectomy is used for large and external Hemorrhoids which do not respond to non- surgical intervention. So, they are cut out. Anesthesia can be general, regional, or local in this procedure. It takes longer time to recover completely.

Hemorrhoidopexy or stapling requires general, regional, or local anesthesia, and is used to treat prolapsed Hemorrhoids. A surgical staple cuts off the blood supply to Hemorrhoids to make the tissue shrink and reabsorb. It takes relatively less time for a full recovery.

Post- Surgical Care:

Some of the post care instructions are as follows

Painkillers might be prescribed for rectal and anal pain.

Consumption of a high-fiber diet prevents constipation and recurrence of Hemorrhoids.

Staying hydrated helps a lot.

Avoid heavy weight lifting and pulling.

Sitz bath helps to deal with post- surgical discomfort.

Seek medical help if having painful urination, fever, or dizziness.

Non-surgical Management of Hemorrhoids:

Hemorrhoids can be managed non-surgically by reducing strain in and around the anus.

Consuming a high fiber diet including cereals, fruits, vegetables, pulses, nuts, seeds, etc.

Consuming healthy fluids like water but avoiding alcohol and caffeinated drinks.

No delaying the emptying of the bowels.

Preventing constipation.

Weight management to lose excess body weight.

Regular exercise.

Take Away:

Hemorrhoids, if not severe, can be managed non- surgically. But if they get very painful and severe, surgical intervention through a number of techniques might be required; each one of them being safe, depending upon the severity of the situation.

Surgery For Hemorrhoids - What Should You Know?

Piles or Haemorrhoids is a disease of the anal canal. The veins in this region get affected. They swell as blood stagnates inside them. This causes discomfort while passing stool. The most obvious symptoms of piles are bleeding and pain at the time of excretion or passing of the stool. For most of the patients with piles, sitting or standing becomes a tedious task.

What causes piles?
The primary reason behind the occurrence of piles is a patient s sedentary lifestyle. Most of it also depends on upon his or her diet intake. Many of us consume a lot of carbohydrates, fats and proteins in our regular meals. But, we forget or are simply reluctant to take up physical exercises. This, in turn, leads to increase in body weight and hampers the activity of our digestive system. As a result, patients develop diseases like piles.
Diet plays a vital role in preventing piles. If we don t add an adequate amount of fibre or roughage to our diet, there is a potential threat of developing piles. Fibres help with the convenient evacuation of the stool. In fact, fibres form the bulk of the stool. Besides, insufficient intake of water may also cause this disease.

Natural ways to tackle Piles
Piles can be managed or tackled by bringing in some changes in our lifestyle. Some of the ways of managing piles have been listed below:

Add more roughage and fruits to your diet
Exercise regularly
Avoid laxatives
Sit in a tub of hot water to get relief from the pain
Drink plenty of water
Homoeopathic treatment for Piles
When it comes to the treatment of piles, Homeopathy is quite safe and an effective method to get rid of the problem. It doesn t have any side effect on the patient s health. It doesn t include any painful surgery for removal of piles. Moreover, homoeopathy is budget-friendly. Here are some effective homoeopathic medicines, useful in curing piles:

Hamamelis: This medicine is useful in stopping the bleeding in piles. It can cure any venous congestion and bleeding. It can also be taken when the patient develops a feeling of soreness.
Ratanhia: It gives relief from the pain due to piles. A patient suffering from piles feels immense pain and a burning sensation at the time of stool evacuation and even for hours after that.
Graphites: It is prescribed to a patient suffering from both constipation and piles. It is given to them who are obese, have skin eruptions and constipation.
Nux Vomica: It is given to patients who have a sedentary lifestyle, take spicy food and are active smokers and alcohol drinkers. Usually, patients who have been advised to take Nux Vomica are aggressive in nature. It cures piles as well as digestive disorders.
Things to remember: These medicines are only some of the homoeopathic remedies available in the market. It is best to consult a homoeopathic practitioner for the perfect treatment.

Piles - How Homeopathy is the Best Way to Treat it?

Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions. 

Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on how far it is from the anal canal. If it is located farther inside the anal canal, it is called internal piles.

Causes:

Chronic constipation, where the person has to strain to pass stools
Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in drops after bowel movement; the swelling happens much later. They can continue to grow and develop blood clots.

Treatment:

In the early stages, once identified, simple topical medications for symptom relief are sufficient.
Diet should be rich in fiber, with fruits and vegetables
Increased water consumption
Surgery if the disease has reached the stage of blood clots
Prevention is advised if there is a family history by consuming a fiber-rich diet and maintaining hydration
Fistula: When an infected anal gland bursts into the anal canal, it constantly discharges pus into the anal canal and becomes a fistula. Hygienic toilet habits can help in preventing fistulas.

Symptoms:

A constant wet feeling in the anal area, due to pus discharge.
This would be intermittent, and there would be periods with no discharge.
There could be a foul smell due to pus discharge.
Diagnosis and Treatment:

Identifying the exact location is important as surgery may be required.
An ultrasound scan or an MRI is usually done.
Newer techniques like Video Assisted Anal Fistula Treatment (VAAFT) are used. This locates the piles accurately and uses electric current to seal it with staples and surgical glue.
Conventional surgery is also used for economic or accessibility reasons.
Fissures: These cracks anywhere in the length of the anal canal are extremely common.
Symptoms

Very painful and the person may not want to go to the toilet
Rarely bleeding is also seen, maybe in very small amounts
Treatment:

Over 90% of the fissures do not require surgery
Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
Topical relief can be provided by medications.
When they are recurrent, a procedure known as lateral sphincterotomy is done. This is an outpatient procedure and provides immediate relief.
Though one condition can lead to another, in most people, there is a strong genetic component, and working towards prevention is highly recommended.

Piles, Fistula and Fissures - Can Ayurveda Help You?

Hemmorroids can be really uncomfortable and keep you in pain all through the day. One of the best and fastest way to get relief from this condition is to get them removed for good which can be easily done with the help of the surgery. The recovery period after a hemorrhoid surgery typically varies from one to two weeks depending on a host of aspects such as severity of hemorrhoids, the number of hemorrhoids as well as the type of treatment. During this span, a certain level of pain and discomfort is expected, but with some useful care tips, you can get some relief within a few days after the surgery.

Making lifestyle changes: After the surgical intervention, the patient must be on bed rest for a week or so. This is because, during this time, the surgical wounds can reopen at any time if caution is not exercised. If you have excessive body weight, it is recommended that you should lose weight after this surgery. This must be done healthily so that the stress is reduced in the rectum area while an individual squat or sits down. This could lead to the recurrence of hemorrhoids in the long run. After the first few weeks, the patient must take a 10-minute brisk walk regularly.
Take painkillers: In case the pain from hemorrhoids worsens after the surgery, you may consider taking painkillers. Many patients tend to use these medications to recover from hemorrhoids surgery, and you should take only prescription drugs only.
Keep up with a healthy diet: You should make it a habit of eating a high-fiber diet and taking adequate amounts of fluid every day. This will not just accelerate the recovery process but prevent the recurrence of hemorrhoids. For best results, this should be practiced a few weeks before and after the surgery.
Try different home remedies: In addition to the common methods of easing pain and discomfort after hemorrhoids surgery, you may also try different types of home remedies. Make sure that the wound is always clean and you can also use gels and creams for minimizing irritation.
Alleviate itchiness: During the hemorrhoid surgery recovery, you are likely to experience itchiness which is a characteristic of a recovery period. This is a common symptom of external hemorrhoids, and to reduce it, you can take a sitz bath. Your doctor may also prescribe a topical medication depending on the location and severity of the problem.
Educate yourself about the surgery and post-operative care: This is presumably the most important aspect of caring for hemorrhoids surgery. You should learn about the common complications of this surgery and how you can overcome them.
Know when you can call a doctor: During the recovery process, it is critical to follow the instructions as given by the doctor. You should maintain the follow-up treatment with your doctor so that you can report him of any health problems and discomfort to take required steps.
With care and caution, you may recover easily from hemorrhoid surgery and return to normal life soon.

Hemorrhoids Surgery - 7 Tips To Help You Recover!

How to Manage Piles at Home and with Medication

Piles or hemorrhoids can be a debilitating disorder of the rectum and anus where passing stool becomes painful. It is the swelling of the veins in the anus and the rectum, which may then be bruised by hard stool passing through it or due to excessive pressure being put on it. This can be a very painful and embarrassing condition for many people to go through.

Remedies for piles at home

There are many remedies that you can try at home to reduce the pain and swelling and even reduce the hemorrhoids themselves over time. Let's look at a few of the options.

Radish for treatment: In this treatment, a radish should be crushed and mixed with appropriate amounts of milk to form a thick paste, which is to be applied on the anus twice daily, and washed off after 15 minutes. This should relieve the symptoms in a few days.

Cumin seeds paste: You can take a tablespoon of cumin seed powder, make it into a paste after adding water and then put it on the affected area. After leaving it for 15 minutes or so, it should be washed away with water. Repeating this twice daily will help with the symptoms and reduce pain.

Diet: Lack of a balanced diet can be problematic for those with piles, and thus, it is recommended that enough roughage such as green leafy vegetables and fruits are included in the diet as well.

Figs: Dried figs are also another great weapon against piles. Soaking some dried figs in warm water overnight and then having them in the morning is known to be good for smooth bowel movements, thus, relieving pressure on the rectal veins.

Some Ayurvedic Medications that May Prove Effective with Piles:

Some of the specific ayurvedic medication that are known to be helpful in treating piles are:

Hareetaki: This is the fruit peel of Harad and if taken with 1 cupful of jaggery, it can reduce the symptoms of constipation as reported by many patients.

Castor oil: Mixing a small teaspoon of castor oil with a glass of milk can also help soften the stool and reduce the stress on the rectal walls.

Nagakesara: This is also an ayurvedic medicine, which is usually prescribed as oral medication three times daily and has proven its effectiveness many times over.

Abhayarishta: 30 ml of this ayurvedic herb is also given to patients after food with equal parts water and has been known to be very effective.

Kasiaditaila: This is an oil, which should be applied externally and it can help reduce the inflammation and itching caused by piles.

10 Best Home Remedies to Treat Piles  - Natural Treatment

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