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Ayurvedic Management of Hemorrhoids


Hemorrhoids, also known as piles, are swollen and inflamed blood vessels in the rectum and anus. They can cause discomfort, pain, itching, and bleeding during bowel movements. Ayurveda, the ancient Indian system of medicine, offers a comprehensive approach to managing hemorrhoids by addressing the underlying imbalances, reducing inflammation, promoting healthy digestion, and providing relief from symptoms.

What are Hemorrhoids?

Hemorrhoids are swollen and inflamed blood vessels in the rectum and anus. They can be classified into two types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop around the anus. Hemorrhoids can range from small, internal bulges to larger, external lumps that can be painful and cause bleeding.

Ayurvedic View of Hemorrhoids:

In Ayurveda, hemorrhoids are primarily viewed as an imbalance in the Pitta and Vata doshas. Pitta represents the fire element and is associated with inflammation and heat. Imbalanced Pitta can contribute to the inflammation and swelling of hemorrhoids. Vata represents the air and ether elements and is responsible for dryness and poor circulation. Imbalanced Vata can lead to dryness and constipation, which can contribute to the development of hemorrhoids.

Causes of Hemorrhoids:

  1. Chronic constipation and straining during bowel movements.
  2. Prolonged sitting or standing, which can increase pressure on the rectal veins.
  3. Pregnancy and childbirth, which can cause increased pressure on the pelvic area.
  4. Obesity and sedentary lifestyle.
  5. Low-fiber diet and inadequate fluid intake, leading to hard stools and constipation.
  6. Chronic diarrhea or frequent bowel movements.
  7. Age, as the tissues supporting the veins in the rectum and anus may weaken over time.

Symptoms of Hemorrhoids:

  1. Itching, burning, or discomfort in the anal area.
  2. Swelling or a lump around the anus.
  3. Pain or discomfort during bowel movements.
  4. Bright red blood on the toilet paper or in the toilet bowl.
  5. Anal leakage or a feeling of incomplete bowel movement.
  6. Mucus discharge from the anus.

Ayurvedic Treatment Approach for Hemorrhoids:

Panchakarma Therapy:

  • Virechana (Therapeutic purgation): Helps eliminate toxins, balances doshas, and promotes healthy bowel movements.
  • Basti (Enema therapy): Administered with medicated oils or decoctions to lubricate the rectum, reduce inflammation, and promote healing.

Herbal Remedies:

  • Triphala (Three fruits formula): Supports healthy digestion, promotes regular bowel movements, and reduces constipation.
  • Arsha Harivati: A classical Ayurvedic formulation that helps reduce inflammation, relieves pain, and shrinks hemorrhoids.
  • Nagakesara (Mesua ferrea): Possesses astringent properties, helps control bleeding, and reduces swelling.

Lifestyle and Dietary Recommendations:

  1. Follow a high-fiber diet that includes fruits, vegetables, whole grains, and legumes to promote regular bowel movements and prevent constipation.
  2. Stay hydrated by drinking an adequate amount of water and herbal teas to soften the stools.
  3. Avoid straining during bowel movements and use the bathroom when the urge arises.
  4. Engage in regular physical activity to improve circulation and prevent stagnation.
  5. Practice stress management techniques like yoga, meditation, and deep breathing exercises.
  6. Avoid prolonged sitting or standing and take breaks to move around.

Home Remedies for Hemorrhoids:

  1. Apply aloe vera gel or coconut oil to the affected area to soothe inflammation and promote healing.
  2. Soak a cotton ball in witch hazel and apply it to the hemorrhoids to reduce swelling and alleviate itching.

Note: It is advisable to consult with a qualified Ayurvedic practitioner for a proper diagnosis and personalized treatment plan for hemorrhoids based on your specific condition.

Disclaimer: The information provided here is for informational purposes only and should not be considered as medical advice.

Dr. Ram Mani Bhandari
Dr. Ram Mani Bhandari


Registered Member of AAA

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