Piles (Hemorrhoids)

Hemorrhoids (Piles)

Piles also known as ‘Hemorrhoids’, are Small, Bluish, Swellings, Comprising of Enlarged Blood Vessels situated either just inside or just outside the anus, commonly called internal piles and external piles. In case of bleeding, they are termed as bleeding piles.


• Persistent constipation due to poor dietary habits.

• Sitting on hard seats for prolonged periods.

• Lack of exercise.

Because of all these factors straining is needed to pass the small hard stools, which causes congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge and form piles. If the constipation further continues, they become large enough to be called second or third degree piles.

Signs & Symptoms

Internal Piles: These are found inside the anal canal and lined by mucous membrane. Depending on the chronicity of the disease and prolapse these can be;

First-degree Piles:

Many people have these without even being aware of them. These are located just inside the anus, occasionally causing some discomfort when a motion is passed. Rarely, slight bleeding in the form of drops may also occur during evacuation.

Second-degree Piles:

They usually appear as pea-sized swellings outside the anus after a bowel motion has been passed. They are usually retained inside the anus spontaneously when strain of defecation is removed and may bleed and cause discomfort during passing stool with some degree of itching.

Third-degree Piles:

The swollen blood vessels are so enlarged that they remain outside the anus permanently. The piles masses need to be pushed inside the anus by fingers. Soreness and persistent irritation are the common features besides occasional bleeding.

External Haemorrhoid Or Fourth-degree Piles

This is less common than internal haemorrhoids. An external haemorrhoid is a small lump that develops on the outside edge of the anus. It is covered by skin, not by mucous membrane. Many do not cause symptoms. However, if a blood clot forms in the haemorrhoid (a thrombosed external haemorrhoid) it can suddenly become very painful and need urgent treatment. The pain due to a thrombosed external haemorrhoid usually peaks after 48-72 hours, and then gradually goes away over 7-10 days. A thrombosed external haemorrhoid may bleed a little for a few days. It then gradually shrinks to become a small skin-tag.

Some people develop internal and external haemorrhoids at the same time.

Ayurvedic Surgical Treatments: (Kshara-sutra and Agnikarma)

When internal piles bleed profusely or they are in 2nd or 3rd or 4th degree, medicines do not have much benefit. In such case the piles masses have to be removed surgically. In Ayurveda Ksharasutra ligation and Agnikarma excision are the procedures which can be used to remove the piles masses (Internal as well as external) thus leading to a permanent cure of the problem. One should not hesitate or have any kind of fear of surgical procedures and should consult a qualified expert Ayurveda doctor to get rid of the problem. Delay may sometimes lead to serious complications like severe anemia due to continual bleeding and shock and so on.

External piles if get Thrombosed need immediate surgical intervention because of severe pain. Kshara sutra ligation and Agnikarma are equally beneficial in curing external piles permanently.

NOTE: Ayurvedic medicines and treatments including surgical procedures like Ksharasutra and Agnikarma etc. should be taken under Qualified Ayurvedic Doctor/Physician/Surgeon. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda Doctor/Physician.