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Piles- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama


Piles is the common term for the ano rectal disease called haemorrhoids. It dates back to early history of humans when we started walking on erect posture. Piles in simple terms denotes the swollen veins in the anus and rectum. It can affect anyone but people with continuous sitting habit & chronic constipation are more prone to developing it. In most of the cases, it is a long-term disease with flare up periods and normal conditions in between. Piles causes pain, bleeding, itching and many other discomforts along with constipation or diarrhoea. Most of the people with piles also suffer from digestive disturbances and compromised immunity. There are many medications and treatments available for piles now. But regular follow up and a healthy lifestyle are compulsory to avoid recurrence and complications.

Signs & symptoms

Frequent constipation altering with loose stools

Dry or oily stools

Pain during and after defaecation and feeling of incomplete voiding of stools

Bleeding through anus; fresh blood just after passing faeces.

Itching around the anus

Lumps or masses in and around anus

Bloating heartburn and indigestion

Gas trouble and distension of abdomen



  • Straining during bowel movements.
  • Sitting for long periods of time on the toilet.
  • Having chronic diarrhoea or constipation.
  • Being obese.
  • Being pregnant.
  • Having anal intercourse.
  • Eating a low-fibre diet.
  • Regular heavy lifting.
  • Sedentary lifestyle
  • Continuous sitting job or bike riding


Constipation and prolonged straining are widely believed to cause haemorrhoids because hard stool and increased intra-abdominal pressure could cause obstruction of venous return, resulting in engorgement of the hemorrhoidal plexus. Defecation of hard faecal material increases shearing force on the anal cushions.


External haemorrhoids can be seen during a physical examination.

Diagnosing internal haemorrhoids might include examination of anal canal and rectum.

  • Digital examination of anus and rectum with fingers
  • Visual inspection with proctoscope or other instruments


In haemorrhoids with mild or negligible discomfort, creams, ointments, suppositories or pads are recommended. These products contain ingredients such as witch hazel, or hydrocortisone and lidocaine, which can temporarily relieve pain and itching.

External haemorrhoid thrombectomy

If a painful blood clot (thrombosis) has formed within an external haemorrhoid, the haemorrhoid should be removed surgically, which can provide prompt relief. This procedure is done under local anaesthesia.

Minimally invasive procedures

For persistent bleeding or painful haemorrhoids, other minimally invasive procedures are available that don’t usually require anaesthesia.

Rubber band ligation – one or two tiny rubber bands are placed around the base of an internal haemorrhoid to cut off its circulation. The haemorrhoid withers and falls off within a week.

Haemorrhoid banding can be uncomfortable and cause bleeding, which might begin two to four days after the procedure but is rarely severe. Occasionally, more-serious complications can occur.

Injection (sclerotherapy) – A chemical solution is injected into the haemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation.

Coagulation (infrared, laser or bipolar). Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal haemorrhoids to harden and shrivel. Coagulation has few side effects and usually causes little discomfort.

Surgical procedures

If other procedures haven’t been successful or in large hemorrhoids, any one of the following surgical procedures are recommended:

Haemorrhoid removal (haemorrhoidectomy)

Hemorrhoid stapling (stapled hemorrhoidopexy)


Piles tend to have a long-term course if not treated on time. But most of piles resolve spontaneously or with conservative medical therapy.



Secondary infection

Abscess formation



Anaemia in bleeding piles

Disease & Ayurveda



Indigestion and faeces collected in the rectum without expulsion are the root cause of Arsas. Following factors along with these can lead to the samprapti:

  • Excess sexual intercourse
  • Continuous and shaking type of travelling
  • Seat which is not levelled up & comfortable
  • Squatting
  • Friction with cloth, soil, stone/rock, vastiyantra etc.
  • Touch with excessively cold water
  • Continuous habit of straining
  • Holding or forcefully expelling out natural urges like flatulence, urine, faeces etc.
  • Diseases like jwara, gulma, atisaaram, grahani, paandu, sopham etc.
  • Emaciation
  • Uncomfortable postures and movements of body
  • Pregnancy



Weakness of legs

Cramps of calf muscles



Oedema around the eyes


Distension of abdomen

Irregular movement of Vaayu below naabhi, and expulsion of air with pain & difficulty

Abnormal sounds in the abdomen

Excess belching & lethargy

Excessive urine output

Less quantity of stools

Lack of concentration


Pain in head, back and chest


Discolouration of skin

Weak sense organs


Grief in everything

Doubt of getting diagnosed as grahani, paandu, gulmam, udaram etc.


        Due to the causative factors, the vitiated doshas cause the vitiation of dhaatus like twak, mamsa and medas in excess and develops arsas of many sizes and shapes in anus & rectum.


        Due to apaanavayurodha which in turn affects all the Vaayus and other doshas in the whole body, lakshanas of arsas develop in all sites & systems of the body.  Main signs and symptoms include:



Lack of enthusiasm



Bad taste in mouth

Breathing problems

Running nose







Loss of libido & sexual drive



Urinary calculi

Weakness of voice


Excess salivation & spitting

Lack of taste sensation

Pain in all joints, bones, chest, navel, anus and inguinal areas

Mucous secretion from anus

Discoloured, dry/loose stools with undigested food particles


  • Sahaja
  • Jaataja
  • Vaatika
  • Paittika
  • Kaphaja
  • Samsargaja
  • Sannipaataja
  • Raktaja
    • Aardram
    • Sushkam




Treatment of Arsas needs utmost care and patience. Main therapy for arsas is explained as surgical removal or cautersiation with alkali/heat. Many medicines and procedures are recommended in arsas treatment.









Most of the sodhana panchakarma therapies are contraindicated for arsas patient due to agnimaandya (less digestive fire).

Therapy advised for young & strong patient is Chedana(cutting), Agnikarma/kshaarakarma and then treatment of wound should be done

Commonly used medicines

        Chiruvilwadi kashayam

Dusparsakadi kashayam




Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies

There is no permanent home cure for piles but the pain, swelling and inflammation of haemorrhoids can be relieved with home treatments.

  • Eat high-fibre foods
  • Use topical treatments such as a cream or suppository
  • Soak regularly in a warm bath or sitz bath
  • Take oral pain relievers if necessary


  • To be avoided

Hot, spicy and pungent food items

Red meat, especially fried non veg items

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases



  • To be added

Light meals and easily digestible foods

Green gram, soups, fresh fruits and vegetables

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Buttermilk processed with curry leaves, turmeric, ginger etc.



Protect yourself from extreme climate changes.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid sedentary lifestyle. Be active

Avoid continuous sitting and squatting

Use stool softeners in case of constipation. Avoid straining


Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.


Nadisudhi pranayama


Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.

Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-

Whatsapp – +91 9446918019, +91 8075810816


To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics.

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Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

Dr. Rajesh Nair

Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

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