Question

What Is Piles Or Haemorrhoid?

Dr.Sandeep Premee · Accepted Answer

Piles is the small ball-like structure that can be generally seen either in the outer or inner anus region. These reddish or yellow blackish tiny structures are nothing but an accumulation of blood. They may cause discomfort in walking, sitting, driving and, especially while passing tools. Generally, piles are found inside the anus but in the severe condition, it protrudes outside. Sometimes with constipation patients, the skin surrounding the anus region also gets stretched and straining causes severe pain during passing stool. Such pains remain continued for days. It needs care and medical advice. In some cases, the stool also passes through the piles.

Causes of piles -

Stress and anxiety
Faulty lifestyle
Sedentary life
Lesser physical activity
Intake of a lesser amount of roughage
More intake of fast and junk foods, especially non-veg., oily food products
More dependents upon carbohydrate
Unsystematic dietary pattern.

Symptoms of piles -

Symptoms -

In most cases, the symptoms of piles are not serious. They normally resolve on their own after a few days.

An individual with piles may experience the following symptoms -

A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called thrombosed external hemorrhoids.
After passing a stool, a person with piles may experience the feeling that the bowels are still full.
Bright red blood is visible after a bowel movement.
The area around the anus is itchy, red, and sore.
Pain occurs during the passing of a stool.

Piles is classified into four grades:-

Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.

Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.

Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.

Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.

External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles, or hemorrhoids that have clotted, require immediate medical treatment.

Piles can escalate into a more severe condition. This can include:-------

excessive anal bleeding, also possibly leading to anemia
infection
fecal incontinence, or an inability to control bowel movements
anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus
a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot
Homeopathic treatment of piles /haemorrhoids-

1. For External Piles -

Aloe Socotrina is a medicine used to treat for external piles that are sore and tender. Sharp or burning pain in the rectum and a constant feeling of bearing down in the rectum may be felt. Application of a cold compress may help relieve the pain or burning sensation. This medicine is also used to treat anal fistulas.

2. For Painful/Protruding Piles -

Muriatic Acid is a medicine used to treat conditions of piles that are intensely painful, sore and protrude outside the anus. The hemorrhoids are very swollen and look bluish. The pain may get worse while passing stools. Stitching pain that gets worse on touch is present, and it gets better from warm-washing. This medicine is also used to treat cases where the soreness in the hemorrhoids worsens during menses in females.

Nit acid - painfull piles generally with fissure

3. For Piles with Burning Sensation -

Ratanhia Peruviana is a medicine used to treat piles where a burning sensation after defecation is present in the rectum. The person may have to strain to pass stool. Knife-like stitching pains in the anus or the feeling of a sharp splinter of glass in the rectum may be present.

Are alb - burning in amusement generally relief by hot application

4. For Piles with Bleeding -

Hamamelis Virginiana is a medicine used to treat piles with profuse bleeding. Weakness due to bleeding, soreness at the anus, hard stool and anal-itching are other symptoms that indicate the need for this medicine.

Phosphorus 200+ hamemilis 200 three times a day specific for bleeding

5. For Piles with Constipation -

Collinsonia Canadensis is a medicine used to treat piles accompanied by constipation. The stool in such cases is lumpy, dry and is passed with a lot of strain. Other symptoms include aching and burning at the anus, a sensation of sharp sticks in the rectum, anal-itching and a constricted sensation in the anus.

Bryonia - constipation

6. For Piles with Shooting Pain -

Aesculus Hippocastanum is a medicine used to treat piles with sharp, shooting pains where the stools are knotty, dry and hard. This medicine is used to treat external, blind and bleeding piles.

7. For Blind Piles -

Nux Vomica is a medicine used to treat blind piles where there is pronounced burning and itching around the anus. A constant desire to pass stools may be there, but constipation and passing of scanty stool is the main symptom.

Pulsatilla Nigricans is a medicine used to treat blind piles with a cutting, sticking or burning pain. The pain gets worse during lying down. Itching in piles and constipation with a backache and pressure in the rectum is another symptom.

8. For Piles caused by Childbirth -

Sepia Succus is the medicine used to treat piles that develop after the delivery of a child. It is also used in cases of constipation where the stools are very hard.

Kali Carb is a medicine used to treat piles in females that develop post childbirth. The piles are extremely tender to touch. There may be stitching, smarting, pricking and tingling sensation at the anus along with sharp pain. Constipation lasting for days along with hard stool, and white mucus after bleeding from piles may also be present.

Caulophylum - piles after delivery

9. For Piles and Anal Fistula -

Silicea is a medicine used to treat piles and anal fistula. The piles tend to protrude during the passage of stool. The stool is hard and tends to recede into rectum several times during defecation. Burning in anus after passing hard stools, and a foul-smelling discharge of pus or serum from the anal fistula may also be present.

Cal sulph-fistula with yellow pus

10. For piles with Chronic Diarrhea -

Merc Sol is a medicine used to treat piles in people suffering from diarrhea. There is an urge to pass stool, more frequently during the night. The stools in most cases smell sour and are undigested bits of food. Burning at the anus while passing stools, protrusion of piles during defecation, exhaustion, and chilliness with shivering and a feeling of nausea is also present.

11. For Piles Protruding during Urination -

Baryta Carb is a medicine used to treat piles which protrude during urination. Other symptoms that indicate the need for this medicine include an urgent need to pass stools, and an itching, burning, soreness and shooting pain in piles.

12. For Piles Protruding during Cough/Sneeze -

Lachesis Muta is a medicine used to treat piles that protrude during a cough or sneeze. In most cases, a stitching pain and a throbbing sensation in the piles is present. Piles in females during menopause are also treated with this medicine.

13. For Piles during Pregnancy -

Sepia Succus is a medicine used to treat piles that develop during pregnancy in females. The piles may be bleeding or non-bleeding, and a protrusion of piles during stool occurs. Itching at the anus and rectum, constipation and the presence of hard and large stools also indicate the need for this medicine.

14. For Piles during Menses -

Ammonium Carb is a medicine used to treat piles that get worse during the menses in a female. The piles tend to bleed during menses, and the affected person feels better upon lying down

15. For Piles with Rectal Prolapse -

Lycopodium Clavatum is a medicine used to treat piles in cases where there is a rectal prolapse. The piles may be swollen and painful, and the pain gets worse upon touching and sitting. Chronic constipation with a scanty stool, painful constriction at the anus and excessive flatulence and bloating in the abdomen may also be present.

Podophyllum- aggravation during stool due to straining

16. For Internal Piles -

Phosphorus is a medicine used to treat internal piles where there is bleeding during stool. Excessive exhaustion, an urgent need to empty bowels and rectal tenesmus (desire to evacuate the bowels) are some other symptoms.

17. For Large, Swollen Piles -

Causticum is a medicine used to treat large, swollen piles that hinder the passage of stool from the anus. The person needs to pass stool by straining hard in a standing position. The piles are hard, painful and constant and get worse upon sitting, standing and walking. There may be a pressing and sticking pain in the anus along with a burning, stinging sensation.

18. For Piles and Anal Fissure -

Nitricum Acidum is a medicine used to treat piles and anal fissure when there are tearing pains in the anus while passing stools. The stool can be hard or soft but is passed with difficulty and may also bleed. There may be splinter-like pains in the anus.

19. For Itching Piles -

Sulphur is a medicine used to treat piles when there is a soreness and tenderness at the anus along with a hard, knotty stool. Weakness after passing stool, excessive rectal pain, and a biting sensation at the anus that gets better upon lying down are some other symptoms that indicate the need for this medicine.

20. For Piles with Pain after Stool -

Sedum Acre is a medicine used to treat painful piles that feel worse after a few hours of passing stool. In a majority of cases, the pain is constricting. Sedum Acre is also useful for treatment of anal fissure with pain that worsens a few hours after passing stool.

21. For Piles that get Worse during Sitting -

Graphites Naturalis is a medicine used to treat painful piles that get worse during sitting. Cutting pains and swelling with cracks at the anus are present. The stool tends to be hard, knotty and scanty.

Best tips to manage piles or control hemorrhoids -

Take adequate amount of fiber and roughage.
Give more weightage to physical workouts like brisk walk, jogging, running or any other intense physical activity.
Non-vegetarian foods and spicy food products should be curtailed.
Drink more and more water as it helps to hydrate the digestion process thereby good for passing of stools.
Cold or freezer water should be avoided. It is better to take lukewarm water for healthy digestion.
Don t sit for a particular posture for a longer period of time.
Do yoga, especially digestion related yoga such as Boat pose, Pavanmuktasana, Bhujangasana, Dhanurasana, Kapalbhati, Agnisar, etc.
In naturopathy or nature cure, one can take hydrotherapy, Jacuzi, etc.
Cold massage is also beneficial.
Try to de-stress yourself doing pranayama and meditation.
Develop a habit of early to bed and early to rise.
Try to take dinner by eight in the evening.
Don t watch TV or converse while taking your foods. Chew it properly.
Restrict beverages such as tea, coffee, alcohol, etc.

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