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Haemorrhoids (piles)

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Haemorrhoids (piles)
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Haemorrhoids arise from congestion of the internal and/or external venous plexuses around the anal canal They are extremely common in adults. The aetiology is unknown, although they are associated with constipation and straining and may develop for the first time during pregnancy. First-degree piles bleed, while second-degree piles prolapse but retract spontaneously. Third-degree piles are those which require manual replacement after prolapsing. Bright red rectal bleeding occurs after defecation.
They can also be classified into internal and external haemorrhoids.
There is dentate line in the anal canal, which separates two types of anal skin. While the skin above the dentate line is not sensitive to pain, the skin below this line is quite sensitive to pain. Internal haemorrhoids occur above the dentate line and are, therefore, usually painless. They can cause bleeding or they may push out of (prolapsed) the anal opening when they become quite large. External haemorrhoids occur below the dentate line and are generally painful. External haemorrhoids can become very distressing when the blood in the haemorrhoid clots and inflammation irritates the nearby pain sensitive skin.

Symptoms
rectal bleeding, pain or itching, painful bowel movements especially with straining, a lump that can be felt in the anus, and sometimes-mucous discharge after a bowel movement. Piles are common and most people have some bleeding from them once in a while.
Though disturbing and discomforting, haemorrhoids are never a serious health problem. Still the reasons to seek medical treatment for haemorrhoids include; the presence of a painful blood clot in the haemorrhoids, excessive blood loss, infection and the need to rule cancer of the rectum or colon.

SELF-HELP APPROACH AND AYURVEDIC REMEDIES
- Drink plenty of water and other fluids- at least 10 glasses a day. Eat foods, which are good sources of fiber, such as whole grain or bran, cereals and breads, fresh vegetables and fruits, and, if necessary add bran to your foods (about three to four tablespoonful per day). This will make the passing of stools easy.
- Pass the bowel as soon as you feel the urge. Don't strain yourself to have a bowel movement.
- Lose weight if you are over weight.
- Exercise regularly.
- Keep the anal area clean. Use a sitz bath with water.
- Don't sit too much on a hard surface because it can restrict blood flow around the anal area.
- Take warm baths.
- With a cotton swab apply on your anus, any one of the following preparations before going to bed:
I. Half a teaspoonful mustard powder with a tablespoonful of honey.
II. Half a teaspoonful of turmeric with a tablespoonful of mustard oil, papaya juice, aloe vera gel or juice.
- Kaaseesaadi taila, when applied externally, shrinks the piles and cures itching in the anal region.
- Peel a clove of garlic and insert it in the rectum. Put in a fresh clove at bedtime, pushing it up high, to make sure it stays in overnight.
- For painful and protruding piles, you can use the ointment prepared out of turmeric , the leaves of Indian hemp and onion with hot sesame oil.
- An oral mixture containing 10 grams of pulp of ripe bael fruit, 3 grams of sugar, powder of 7 black peppers and 3 cardamoms is very efficacious in checking bleeding from piles.
- Abhayaarishta, a liquid preparation should be taken in the dose of 30 ml in equal quantity of lukewarm water before going to bed to control constipation and piles. Nityodit Ras 250 mg and Arsha kuthaar ras 250 mg along with honey thrice daily are also effective
.
Other drugs are
-
Arshakuthar ras
Triphala Churna
- Avipattikara Churna
- Chitrakadi Vati
- Punarnavadi Mandura
- Shatavari Churna
- Kamadudha Rasa

Patent ayurvedic drug for Piles:
PILARIN TABLET (Gorkha Ayurved Company)
Doses & administration: Adult: 2 tablets three times a day.  Children: Half of the adult dose.  To be taken orally or as directed by the physician.