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Overview

Hemorrhoids - Symptom, Treatment And Causes

What is Hemorrhoids?

Swollen veins near the lower rectum or the anus are known as hemorrhoids. More than half of all adults experience hemorrhoids or its symptoms before turning 50. They may be external or internal. External hemorrhoids form outside the anus, while internal hemorrhoids form within the rectum or anus. Hemorrhoids can also be called piles. External hemorrhoids can be the most troublesome and are the commonest kind. Hemorrhoids cause severe itches, difficulty in sitting and pain. They are thankfully treatable. Experts aren’t really sure what makes hemorrhoids appear.

Possible factors are:

  • Being strained during bowel movements.
  • Complications during chronic constipation
  • Sitting for long time periods, especially on toilets
  • A familial history for hemorrhoids

What causes Hemorrhoids?

Hemorrhoids may be genetically passed from parents to children. If either of your parents have had hemorrhoids, then you have higher chances of getting them. Constant lifting of heavy objects, having continuous body strain or being overweight can put consistent strain on the body and increase the risks of hemorrhoids. Standing for prolonged periods without taking breaks can also result in hemorrhoid formation. Diarrhea and constant anal intercourse also can increase the risks for hemorrhoids. Pregnancy also increases the chances of developing hemorrhoids. The uterus when it enlarges, presses on a vein present in the colon and makes it bulge. A visual exam of the anus suffices for diagnosing hemorrhoids. For confirming the diagnosis, the doctor might do a separate exam to look for any kind of abnormalities in the anus. This is called a digitized rectal exam. The doctor puts in a lubricated and gloved finger on to the rectum in this exam. If they experience any abnormalities, they might ask you to get an extra test done, known as a sigmoidoscopy. Your doctor will use a tiny camera to look for internal hemorrhoids in a sigmoidoscopy. This tiny fiber optic camera known as a sigmoidoscope is fitted into a narrow tube and is then inserted into the rectum. Using this test, the doctor can get a clear vision of the insides of the rectum so as to examine the hemorrhoid closely. To avoid straining the hemorrhoid, you should avoid putting pressure during bowel movements. Also, try increasing the daily water intake. Drinking sufficient water can prevent the stool from becoming too hard. Regular exercise should be done to prevent constipation. Consuming foods which have a high dietary fiber content can reduce the risks of possible hemorrhoid formation later on. You would notice better bowel movements after proper treatment. Following the doctor’s advice and being regular about certain habits can also help in the overall treatment and prevention of hemorrhoids.

Treatable by medical professional Usually self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
Extreme itching around the anus. Irritation and pain around the anus. Painful bowel movements. Blood leakage after having a bowel movement.

Popular Health Tips

Suffering From Piles - Diet You Must Follow!

MBBS, MS- General Surgery
General Surgeon, Ambala
Suffering From Piles - Diet You Must Follow!

Hemorrhoids are commonly known as piles. They are swollen blood vessels or blood clots in or around the anus and rectum. The veins are located in the lowest part of the rectum and the anus and in some instances they can swell which makes the vein walls to stretch. This, in turn, can restrict or irritate the passing of the bowel movements. Piles can be broadly classified into two general categories internal and external.

While there are many treatment plans of curing piles, nothing can come near the age-old treatments in curing piles. The treatment focuses on curing the symptoms from within and concentrates on the root cause of the problem. This makes it more efficient as far as the treatment is considered and it drastically reduces the chances of haemorrhoids from occurring again. While there are some medications as a part of treatments, it is also mandatory that one must follow a strict diet regime for the treatment to be a success. The diet rule is also very much needed for the treatment to be a success.

Let us look at the diet plan that is needed for a treatment against piles/Fistula. You can consult with your doctor to get to know more about this.

  1. Breakfast: Dalia (sweet or salty depending on individual’s choice), Milk without fat, Tea, Toast, Chapati, Mix veg., Brown bread, Sprouts, Fruits like apple etc.
  2. Lunch: Chapatis, Cooked mixed vegetables, Daal (cooked pulses), Boiled rice, Takra (Buttermilk), Salad prepared from onion, tomato, radish, turnip, carrots, papaya etc.
  3. Evening Tea/snacks: Tea or coffee, Toasts, Dry fruits, Biscuits, roasted popcorns or any other light food item can be taken.
  4. Dinner: Chapatis, cooked vegetables, Daal (cooked pulse), salad

Impartant food items you must note

  1. Avoid taking curd or buttermilk in dinner.
  2. At bedtime, lukewarm milk with a few drops of honey can be taken.
  3. Flour with Mixed grains flour like wheat, barley, gram, soybeans etc. However, wheat flour with husk (without refining) can also be used.
  4. Pulses, such as moong, masoor, gram, soybean etc. can be eaten
  5. Vegetables like bottle gourd, radish, turnip, cabbage, cauliflower, raw green papaya, carrot, fenugreek leaves, chenopodium leaves, spinach leaves, tomato, potato and other green leafy vegetables.
  6. Fruits such as papaya, coconut, apple, litchi, figs, watermelon, orange, guava etc. are good.
  7. Liquids and juices for example coconut water, bottle gourd juice, apple juice, mixed fruit juice, aloe vera juice, trifala ras, wheat grass juice etc. can be taken
  8. Dry fruits like almonds, pistachio, dried grapes etc.
  9. Spices that can be consumed turmeric, coriander powder, fenugreek, cummin seeds, ajwain, saunf etc.
  10. Ghee and cooking oils like Cow’s ghee, mustard oil, olive oil, groundnuts’ oil, soybean’s oil etc. can be used
  11. Have plenty of fluids including water.
  12. Avoid the intake of Tea and Coffee.
  13. Avoid non-veg. and junk/spicy food items.
  14. Avoid smoking and alcohol and also do not indulge in chewing of tobacco products.
  15. Always ensure to follow the instructions of your physician strictly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3230 people found this helpful

Surgery For Piles - What To Expect?

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Surgery For Piles - What To Expect?

Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. Comprised of vital tissues, blood vessels, elastic and muscle fibers, Hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small arteries that make up hemorrhoid causing them to enlarge and swell with blood.

Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors.

Surgery For Piles - What To Expect? 
Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. 

Comprised of vital tissues, blood vessels, elastic and muscle fibers, hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small veins that make up hemorrhoid causing them to enlarge and swell with blood. Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues other than severe anemia and weakness. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors. 

Sclerotherapy 
This procedure involves injecting a chemical into hemorrhoids. The chemical causes the hemorrhoids to contract and stop bleeding. Most individuals encounter little or no pain with the shot. In the case of small internal hemorrhoids, Sclerotherapy is shown to have the best benefit rates. 

Stapled Hemorrhoidopexy 
Stapled Hemorrhoidopexy, also commonly known as MIPH, is a form of surgery which requires 12 hours of hospitalization. This process necessitates general, regional, or local anesthesia. This kind of surgery is used to handle hemorrhoids that have already prolapsed. A surgical staple fixes the prolapsed hemorrhoid inside your rectum and cuts off the blood supply so that the tissue can contract. Recovery from hemorrhoidopexy is less painful and takes lesser time than the recuperation period of a hemorrhoidectomy. 

Haemorrhoidectomy 
Excision used to be prescribed for hemorrhoid sufferers. This therapy involves the surgical removal of the hemorrhoids with a cautery, laser or knife. Although these methods are slightly different, the outcomes are identical. Excision results in discomfort and pain in the perianal area that lasts from two weeks to two months. The pain during bowel elimination also lasts for approximately the same time. 

Management of the hemorrhoids with proper medication, diet and workout is by far the safest way to go. Only in the case of lifestyle changes failing to solve the condition, surgical interference should be considered.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2194 people found this helpful

Haemorrhoids - Surgical Ways To Manage Them?

M.S. General Surgery, M.Ch Gastro - Intestinal Surgery
General Surgeon, Bangalore
Haemorrhoids - Surgical Ways To Manage Them?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required
The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts of blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1986 people found this helpful

Piles - Diagnosis and Treatment

MBBS, MS
General Surgeon, Bangalore
Piles - Diagnosis and Treatment

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is a pile diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

  1. Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
  2. Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
  3. Minimally invasive procedures: 
    • Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
    • Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
  4. Surgical procedure:
    • Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
    • Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2898 people found this helpful

Laser For Treating Piles And Fistula - A New Dimension!

MBBS, MS - General Surgery, FIAGES
General Surgeon, Gurgaon
Laser For Treating Piles And Fistula - A New Dimension!

Proctology refers to the study of the structure and diseases of the anus, rectum, and sigmoid colon. Laser surgery in proctology field enables excellent cutting, limiting thermal damage to the surrounding tissues reducing the post-operative pains. Piles are also called hemorrhoids. They are swellings in blood vessels found in or around the rectum and anus. Piles manifest symptoms like bleeding after passing stool, itchy bottom, hemorrhoid mass hangs out of the anus that pushes back in after passing of stool (prolapse), a mucus discharge, soreness, redness and swelling around the anus. Proctology conditions like piles might not be life-threatening, but they’re associated with poor quality of life and embarrassment.

Laser Treatment for Piles
Piles are classified into grades based on their severity.

  • Grade one is the initial stage where a person has bleeding or itching but no prolapse. At this stage conservative measures are recommended.
  • In grade two, the mass of hemorrhoids begins prolapse during defecation but goes back in, on completion of the act. 
  • In Grade three, the prolapsed haemorrhoidal mass does not go back on its own, and manually pushed back. LHP is recommended for early stages of Grade 3; however, stapler surgery is recommended for advanced stages.

The LHP process
A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

Benefits

  • Reduced pain, faster healing, higher outcome, and shorter procedures.
  • Optimal treatment and outcomes.
  • Presets enabling ease of use improved surgical control and accurate dosage.
  • Requires no incisions and suturing.
  • The procedure leaves no foreign material in the body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3 people found this helpful

Popular Questions & Answers

I've been experiencing pain while bowel movement followed by bleeding. But today bleeding has stopped but the pain hasn't. And I feel like I am having fever as well. Is it piles or any other disease?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Barpeta
Painful bleeding while passing stool is suggestive of anal fissure. Use an ointment before going to toilet, stool softner at bed time, and hot sitz bath.

I am suffering from Piles by last 25 years some pain due to constipation and etching in internal and external part is feeling continuously please guide.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Kindly consult a general surgeon and get per rectal examination done. You may be have fissure or may be having any secondary infection also. Until then maintain high fibre diet and plenty of fluids. Take laxatives like duphalac 25 ml at bedtime for a week but consult your nearby general surgeon.

I am having piles problems. Whenever I use to have constipation a sink comes out n it goes back. But know the sink comes out after an hour and stays outside I am taking homeopathic medicine calcarea fluorica, silicea, aesculus, dolichos, and nux at night. What to do else. And know I am facing a problem of constipation regularly. Please help.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
You probably have grade 3 piles. You should get examined by a surgeon and may need to have surgery. Meanwhile avoid constipation by takin isabgol 2tsp at bedtime.

How can cure my piles problem. My butthole is swollen and it cause itching nearby doctor say it is an internal hemorrhoid and give me anovate cream but the cream do the opposite thing it more swallow that area pls help what should I do?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Barpeta
Try to avoid constipation and straining. Take water, fruits and fibres. Hot sitz bath is quite helpful. Ointment is good, but to be applied before going to toilet. Banding is an easy procedure for internal haemorrhoid.

I'm a 49 year old female, I have piles ,with an external protrusion and a hard clot which is painful if I stand too long. Can it be cured with medication.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. External hemorrhoid or internal hemorrhoid protruding outside can not be cured with medicines Yes with medicines and general measures they will be under symptomatic control as sitz bath, bulk forming laxatives, analgesic, high fiber diet, plenty of liquids as must have been told to you since long time by many doctors the ultimate cure is surgery only Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.

Table of Content

What is Hemorrhoids?

Possible factors are:

What causes Hemorrhoids?

Play video
Briefing On Piles
Hi everyone,

I am doctor Vaibhav Kapoor. I am a consultant laparoscopic and laser surgeon at Max hospital, Gurgaon.

Today I will be discussing about new modalities in the treatment of various Anorectal conditions like piles, fissure, fistula these are one of the most common problems and with the large population you know suffering from these conditions. People generally who suffer from these conditions of Piles and fissures fistula complain of either bleeding in the rectal area which is generally fresh before or after they pass stool or they have severe pain while they pass stools and the pain generally lasts for few hours after they pass stools or they complain of some pus discharge in that region and also swelling in the anal region. So we mainly discussing the new modalities in the treatment of Piles but before that, I just give u small note on what actually these conditions are. Anorectal conditions can be classified as piles, fissure, fistula these are one of the most common things, so, what are piles? Piles are basically inflamed veins or tissues in the lower rectum and anal canal, there are various causes but the most common cause of it is chronic constipation, why does it happen lack of fibers in the food, eating junk food you know not taking a lot of water they are one of the primary causes. Then in women especially during pregnancy they can have piles, symptoms are like I told earlier are mixed these condition either patient can have fresh bleeding when they pass stools or they can have pain or some sort of the swelling in the anal region. So diagnosis is very simple the surgeon just needs to examine your lower rectum and he can come on to the diagnose it. So how do we treat it, the conventional treatment as everybody knows was open surgery for piles so it led to heavy wounds, dressing for at least a month, people not used to go out fearing that wounds will discharge. Now with the help of new technologies and with the help of laser what we are doing is the laser ablation of ambroid and fissures, it s the diode laser and there are great advantages up over conventional surgery. It's a simple 15 to 20 minutes surgery almost painless and there were no dressings to be done in the postoperative period and patients are generally discharge on daycare. So I will be now discussing about how with the help of lasers we treat piles, so laser energy is basically delivered to the pile base marks and you know it causes instant shrinkage of the piles and then over the period of 10 to 15 days the entire pile marks should end. The advantages of using laser is it's a simple 10 to 15 minute surgery, done under either general anaesthesia or initial anaesthesia, patients are generally discharged during a daycare or they kept for maximum 24 hours, post surgery you will just your antibiotic and pain Killers that s it, it's relatively painless surgery as compared to open, there are no wounds in the area, there no dressing to be required and even start as early as you know from next day your all routine work. Post surgery you generally gave some sort of diet chart which will help you by constipation and some pelvic floor exercises will be taught to you which will help you prevent constipation in long run. Another question which happens is that after the surgery piles generally reoccur, later with conventional surgery the chances of reoccurrence was there with the advent of laser surgery and the minimal tissue damage the chances of reoccurrence have gone down, that is one of the most advantageous things if you are with a laser.

And secondly post-surgery care which we generally don't do so that will be given to you which will help you in avoiding constipation in long run and hence these things don t reoccur and to get any further information you can contact me through Lybrate. You will be having entire details about how the laser surgery works and you can read about piles and fissures on that.
Play video
Piles or Hemorrhoids
Here are cause,symptoms and treatment of Piles or Hemorrhoids

"Hi friends! Nice to be with you through this wonderful medium called Lybrate . Today I am here to discuss with you one of the most common, irritating and nagging problem which we in common language call as Piles or in medical terminology we call them as Hemorrhoids .

Bleeding Piles or Hemorrhoids is one of the most common problem in our society. It has evolved, the presentation has changed and the number of patients getting effected by this problem continues to be very high. It effects males as well as females in equal number. Early age group and late age group, both are included in this irritating problem. The main issue with this particular disease is that a lot of people in our country still feel a little bit inhabited and ashamed to discuss this problem.

Now what are basically Hemorrhoids or Piles? They are basically nothing but Venus or small veins which are there in our rectum and anal canal, which over a period of time for some reasons, known and unknown, become prominent, dilated thin walled and then with every episode of passage of stools there is bleeding. One of the most important symptom, bleeding, whenever it occurs more than once or twice is never to be ignored because we could be dealing with what we call as Hemorrhoids. Classically, Hemorrhoids never cause pain, it will be a painless bleeding and if it is associated with pain then we must keep an option of fissure in association with Hemorrhoids.

Fissure is nothing but a cut onto the tracheal wall or the anal canal wall, which at every time of passage of motion will produce pain, bleeding and after that some variable amount of burning sensation. This problem does not need high funda stuffs like CT scans and MRI, we can do away with a diagnosis of Hemorrhoids and fissure with a good clinical examination. In some patients with extreme age groups we do recommend Sigmoidoscopy or a Colonoscopy which are basically an outpatient endoscopic tests. No higher level of investigations are required in these particular patients.

Well, the treatment of Hemorrhoids varies. It comprises of some medical treatment in terms of medication tablets, syrups, other things, and surgery. Small Hemorrhoids what we medically call them as Grade-1 Hemorrhoids, rarely require treatment. Grade-1 and Grade-2 Hemorrhoids, they may settle down with medical treatment in terms of some syrups which reduce constipation, antibiotics and some analgesics. The remaining patients of Grade-3 and Grade-4 definitely need operation.

Surgery can be done in various methods. There are newer techniques, one of the popular newer technique is what we call as a stapled Hemorrodectomy and then there are conventional techniques. In our mammoth experience of last ten to fifteen years, irrespective of technique if the surgery is performed safely in experienced hands, it rarely produces symptoms again, recurrences are less and complications are fewer. I recommend all the patients who are in regular working hassles not to delay these symptoms. Try and see at which level your hemorrhoids are and choose an appropriate treatment from a good competent doctor. As I have said earlier and in many instances, simple diseases become complicated when they are ignored or they are wrongly treated.

My sincere request to all of you is, do not ignore bleeding per rectum, have a quick correct diagnosis through a good doctor and don t get unnecessary jitters by listening to the word surgery. Hemorrhoid surgery has become safe and is very very complication free in safe and experienced hands. Thank you. "
Play video
Know More About Piles
Piles - Causes and symptoms
Play video
Know More About Piles
Causes, symptoms and prevention of Piles
Play video
Living with Piles
Causes and home remedies for Piles

Good morning. Mera naam hai Dr. Amol Bamane aur ami Ras Yog Ayurveda ka founder hum. Aaj mai aapko piles k baare mein information dene wala hun.

Piles is nothing but an inflammation of veins around the rectum. To rectum k jo bahari skin hai ya andruni skin hai to waha k veins jo hai usme inflammation hota hai. Iss mein 2 type k inflammation hote hai. Ek mein andruni side se inflammation hota hai aur ek mein bahar k side se rectum mein inflammation hota hai. Agar andruni side se inflammation hota hai to waha pe discomfort rehta hai aur bahar k side se agar inflammation hota hai rectum mein to waha pe bleeding dikhta hai, pain rehta hai aur patients jo hai wo complain karte hai burning sensation ka waha pe.

To patients isse bohot pareshaan bhi rehte hai aur severe pain rehta hai. Iss k causes hai chronic constipation, diarrhoea aur jo garvavati stree jo hai unme pressure padhne k wajah se bhi piles generate ho jaata hai aur heavy weight lifters jo hai unka bhi history dekha jai to unme bhi piles ka percentage zyada dikhta hai. To ye saare piles k causes hai. Iss k liye ek home remedy ye hai k aap radish lijiye, usko acche se crush kare, usme thoda milk milaiye aur paste banaiye. Usse aap apply kijiye local jagah pe, jis jagah pe affect hua hai aur 15-20min baad use dho le. Isse aap ko piles k liye accha relief milega.

Iss k liye dusra home remedy ye hai k aap cumin seeds lijiye ek chammach aur use acche se crush kijiye, usme thoda sa paani milaiye aur uska paste banaiye. Paste banane k baad wo local area pe, affected area pe aap wo paste laga lijiye aur 15-20min baad use wash kar lijiye. Isse bhi aap ko aaram mil jayega. Iss k liye teesra home remedy jo mai aap ko batane wala hun jo accha kargar hai wo hai aap ek chammach ginger paste lijiye, usme 2 chammach aap mint leaves lijiye. Dono ko acche se crush kijiye uska thoda sa extract aap nikaliye paani daal k aur uske baad aap usme lemon juice lijiye do chammach aur ek chammach honey lijiye. Ye sab mix kijiye acche se aur din mein 2 baar ye lijiye, ye bohot hi labh dayak hoga aur isse waha jo pain hai, constipation hai wo kaam hone mein madad hogi.

Iss wishai mein adhiktam jankaari k liye aap librate.com pe jaa k mujhe consult bhi kar skate hai.
Having issues? Consult a doctor for medical advice