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The swollen veins in the lowest part of the rectum and anus are called hemorrhoids. These swollen hemorrhoids are also called piles. Though the hemorrhoids are rarely dangerous, they can cause a lot of irritation and discomfort to the patients. So, a consultation to the specialist is required to see if it can be managed conservatively or through surgery. The two types of hemorrhoids are internal hemorrhoids and external hemorrhoids. Internal hemorrhoids cannot be seen or felt and less pain causing, bleeding may be the only sign for them to be noticed. The external hemorrhoids are beneath the skin around the anal area and this area has more pain-sensing nerves. So, the external hemorrhoids hurt more and bleed also. If bleeding stays for a longer period of time in piles, it can cause anemia.

Ayurvedic Description Of Piles:

Piles are known as ‘Arsh or Arsha’ in Ayurvedic literatures. The literal meaning of Arsh is ‘enemy’. The disease is truly an enemy of the individual who suffers from it. There are 3 major veins surrounding the anal canal as per Ayurvedic texts. These are known as ‘ Samvarni, Visarjani and Pravahani.’ After these major veins there is an external anal opening. These veins/arterial meshwork surrounding the anal canal swells up and protrude out if there is too much strain inside the anal canal. They can be dry (non-bleeding) or bleeding whenever there is injury during the defecation.


Signs & Symptoms


  • Pain and difficulty while defecating particularly after passing hard stools
  • Bleeding from anus with or without pain
  • Difficulty in passing stools
  • Pain and swelling at anal area
  • Itching around anus

Causes and Risk Factors


Frequent constipation can cause hemorrhoids; people with chronic constipation stay more at the risk of developing hemorrhoids.


Sedentary lifestyle that lacks any kind of physical workout especially if one is in the habit of sitting for more than 10 hours a day increases the risk.


Alcohol puts direct pressure on the veins of anal area and can worsen the condition of a person affected from piles.

Low roughage

Diets that lack fruits, vegetables, and low fibrous content can put more pressure in the elimination process and is a cause of piles.


Regular heavy diets like consuming excessive protein in the night’s meal, deep-fried, fast and junk food items put a person on risk.


In many cases, stress is directly linked to developing hemorrhoids.

Pushing while defecating

Applying too much pressure while evacuation leads to put more pressure on anal veins and causes swelling of hemorrhoids.

Self Care Tips

  • Constipation is a major cause of hemorrhoids; get it treated before it becomes chronic.
  • Consume lots of citrus fruits like oranges and lemon.
  • Avoid fruits like banana, guava, and those foods that contain seeds as they hamper the digestion process.
  • Avoid heavy food items like chole, saag, brinjal and cheese etc.
  • Strictly avoid tea, coffee, alcoholic beverages and aerated water drinks.
  • Watch your water intake, dehydration or less water intake makes the condition bad.
  • Sit in sitz bath as it relaxes the pelvic floor muscles.
  • Eat more fibrous rich diet.

Ayurvedic treatment involves a lot of healthy changes in the diet and lifestyle to cure this condition. The dietary recommendations can simply prevent the diseases or its reoccurrence. AAS Ayurveda has time tested and successful results in treating the condition of hemorrhoids.