Hemorrhoids (Piles) And Its Management

Introduction:

• A varicose condition of the hemorrhoidal veins causing painful swellings at the anus.
• It can be inflamed and even clot can be formed.
• Hemorrhoid that are above the boundry betwwen rectum and ano-rectal junction are called internal hemorrhoids.
• Those found below the anorectal junction are called external hemorrhoids.
• Both may stay inside or protrude.

Causes:

• Commonly seen after pregnancy and in constipation.
• If there is pressure in portal vein, then hemorrhoids may occur.

Symptoms:

• Bleeding after bowel evacuation is common, sometimes, patient has to push back the hemorrhoid into the anus.
• If cleaning is improper, there may be itching in the anal region.

Management:

• Sitz bath is useful.
• Clot disappears in 4 to 6 weeks
• Kutajadi kwatha 40 ml BD (bleeding piles)
• Setubandhana gutika 1BD (bleeding piles)
• Panchasakara churna 3-5gm BD with warm water.
• Abhayaristam 20ml BD with equal amount of water after meal.

Do's:

• Drinking at least 2 liters of water a day is desirable.
• Prefer to eat fibrous foods.

Don't :

• Smoking and drinking alcohol.
• Chewing tobacco.
• Non-veg.