PILES & AYURVEDIC MANAGEMENT

Piles also known as haemorrhoids are varicosity occurring to the haemorrhoidal veins, presenting as bleeding , pain and discomfort while passing stools or straining. In ayurveda this condition comes under the category of Arsas with different types of presentations.

Unlike the contemporary methods of piles treatments like surgery and chemical based treatments ayurveda complies on a holistic, safe and long- term approach in piles management through Internal medications, para surgical management and diet and lifestyle changes.

Understanding piles in Ayurveda:

Arsas/ Piles is caused predominantly due to the imbalance of Agni (Digestive fire) leading to poor digestion, constipation leading to the Vata, Pitta, and Kapha Dosha accumulation in the rectal region.

Piles are classified into:

1. Internal Piles: located inside the rectum. Bleeding may be the only symptom.
2. External Piles: Around the anal opening seen outside. Bleeding, mass oer rectum and occasional pain may be the symptoms

In all the types of piles constipation or discomfort related to passing stools may be seen.

Common symptoms:

1. Bleeding
2. Mass per rectum
3. Occasional pain 
4. Constipation
5. Feeling of incomplete defecation

Ayurvedic management for piles

1. Internal medications:
   1. Chiravilwadi Kashaya: To reduce the bleeding, internal piles and improves digestion
   2. Kankayana Vati: Reduces the bleeding and improves digestion
   3. Guggulu panchapala churna: reduces inflammation and pain reduction
   4. Triphala Guggulu : reduces paina and inflammation
2. Diet and Lifestyle changes:

Inclusion of Fibre rich diet, plenty of water intake, buttermilk etc

Avoiding spicy, dry, fried , packed foods etc

Avoiding long term sitting posture etc.