14 July 2013

Ayurvedic Treatment For Piles

Ayurvedic Treatment For Piles


Piles, also known as hemorrhoids are caused due to enlargement of vein in the anal region. In Ayurvedic treatment of piles is extremely effective and known to cure the disease completely without any side effect. Piles are called 'Arsha' in Ayurvedic term often leads to anemia due to excessive bleeding.
There are many reasons for piles such as constipation, sitting for longer time on hard surface, lack of physical activity and junk foods and less fiber supplement in diet.
Types of Piles (Arsha):
Piles are classified into two types- Internal, External hemorrhoids.
Internal hemorrhoids:
Internal hemorrhoids occur inside the rectum, therefore usually painless.
External hemorrhoids:
External hemorrhoids are present outside the anal verge and are usually painful.
Causes of Piles
There are many factors which increases the risk of piles. Most common factors that leads to piles are:
·     Constipation.
·     Obesity.
·     Habitual weight lifting.
·     Pregnancy.
·     Sedentary lifestyle.
·     Bad Diet.
·     Abdominal tumors.
·     Hereditary.
·     Family history of piles.
Symptoms of Piles
·     Painful bowel movement.
·     Anal irritation.
·     Lumps around the anus.
·     Swelling around the anus.
·     If you notice Bleeding when you pass stool.
·     Slimy discharge of mucus from the piles.
·     Pain in Anal.
Prevention
·     Drink at least 8 glass of water every day.
·     Eat foods rich in fiber, such as whole grain, fresh vegetables and fruits.
·     Lose weight if overweight.
·     Keep the anal canal clean.
·     Take bath in warm water.
·     Don't sit on hard surface for long hours.
·     Daily exercise is must; exercise alone can cure most part of the disease.
·     Practice yoga regularly.
Ayurveda treatment for piles
·     Constipation should be treated with suitable diet and exercise.
·     Burn the outer covering of seeds of Reetha, and take it with honey.
·     Carrot is effective in reducing the bleeding; it can be taken raw or cooked.
·     Garlic is helpful to stop the growth of bleeding piles.
·     Main herbs that are used in the treatment of piles are Haritaki (Terminalia chebula), Jimikand (Amorphophallus campanulatus).
Diet:
Include Mango Seeds, Sesame seeds, Dry Figs, Papaya, Rice, Wheat in your diet.
Take foods rich in fiber like barley, wheat, old rice, goat's milk, brinjal etc.
Avoid potato, yellow variety of pumpkin.
Avoid fast food and spicy items, canned foods.
Avoid coffee, tea.
Ayurvedic Home Remedies for Piles
·     Drink radish juice two times a day. Preferable at morning and during night. Drink ¼ cup of radish juice on initial stage and then increase it up to ½ cup.
·     Boil one ripe banana in one cup of milk. Mash it well and take two times a day. Avoid if sugar problem.
·     Add a pinch of rock salt in a glassful of butter milk with ¼ tsp of carom seed powder (an Ayurvedic herb called Ajmoda).
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Ayurvedic treatment for piles
Piles is a disease accompanied by bleeding in the anal region due to swollen or knotted veins and blood vessels. This disease is widely found among aged people in west and is also becoming increasingly common in India.
Causes of Piles
Stomach disorders like diarrhoea and constipation trigger the symptoms of piles
Irritable Bowel Syndrome and gastritis can also lead to piles
Obesity is a common cause
Mental stress
Physical exertion
Unhealthy food consumption
Liquor and smoke make the condition worse.
Do's and Don'ts
Maintaining hygiene is very important. Keep the anal region clean.
Do not over-eat.
Do not make compromises on sleep
Avoid spicy and chilly food
Fresh fruits and green leaf vegetables are a must.
Caffeine is a strict no-no for the patient of piles.
Stay away from food containing acids and alkalines
In Ayurveda, piles is known as Arsha.
Ayurveda has certain simple and effective homemade remedies to combat piles.
A glass of Buttermilk with cinnamon seeds is a commonly used remedy for piles.
Add roasted sesame seeds to milk or water and boil the water. Consume it. it is a very effective remedy to get rid of piles.
Radish juice is one of the most important remedies for curing piles. Drink one glass of radish juice in the morning and one after dinner.
Cinnamon seeds help in regulating the digestive process. Add them to milk and consume
Piles can also be cured by Aloe vera juice.
Triphala choorna is a useful herb for curing piles. Add it to some warm water and stir it well. Drink the mixture twice in a day.
Shataavar helps in cooling down internal heat. It has a high mineral count that proves to be extremely beneficial for the body.
Turnip leaves have medicinal properties and they can help in curing the signs of piles very effectively. Make a juice of it's leaves and consume it on empty stomach.
Add powdered gud to pomegranate juice and drink this mixture twice in a day.
Onions have a healing effect on the person suffering from piles. It helps considerably in limiting the bleeding suffered during piles.

Home Remedies for Piles
People suffering from piles or hemorrhoids often resort to home remedies for piles to get some relief from this disease. Piles are enlarged and swollen veins in rectum. The problem is caused due to pressure on external and internal veins in rectum and anus. If it becomes severe it becomes painful and puts us in embarrassing conditions.
Causes of Plies:
Inadequate intake of fibres
Silting for long times on toilet
Putting pressure for bowel
Constipation
Pregnancy
Tumor in the pelvis
Hard stool
Symptoms of Piles
Bright red blood on stool
Pain
Discomfort
Anal itching
Painful swelling
Hard lump around the anus
Home remedies for Piles:
Piles or hemorrhoids may have very effective medicines in allopathy but wisdom and cures inherited from the forefathers and grandma remedies are no less. One can find a large number of home remedies to set the things right. And most of the times these home remedies work wonders for the treatment of this disease that causes a lot of discomfort to individuals and puts them in embarrassing conditions. The most significant aspect of these remedies is that they don’t put extra pressure on your purse strings. You can treat your ailment by locally available herbs and bringing some changes in your lifestyle. Let us have a look on how to manage this problem.
• One can take over the counter drugs like Aspirin, ibuprofen and acetaminophen to reduce the pain that is often caused due to piles. But this remedy only provides a provisional relief and one should think that the problem has passed away. So one should resort to permanent cure of this disease.
• Wiping anal area with dry toilet paper may aggravate the irritation and itchiness. So the patient is advised use moist, toilet paper. Here is a word of caution: one shouldn’t use paper that is perfumed or contains alcohol as this make the problem worse.
• Taking warm bath is also an effective home remedy for piles.

•Applying an ice pack or a cold compress is also an effective home remedy for piles.












What Are Piles? What Causes Piles?







Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers.

Although 
hemorrhoids are thought of as unpleasant inflammations, we all have them. It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids.

Put simply, "piles" are the swollen ones that are painful and cause problems, hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or simply the normal structure. However, in most cases these days, the words piles and hemorrhoids are nearly always used interchangeably.

Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.

According to the National Institutes of Health (NIH), USA, symptomatic hemorrhoids affect at least half the US population at some time in their lives, and approximately 5% of all adults have piles at any given time.

According to the National Health Service (NHS, UK), piles affect between 4% to 25% of the UK adult population. They are more common among adults aged between 45 and 65 years, as well as pregnant mothers. 

Males and females are equally susceptible to developing troublesome hemorrhoids.

In the vast majority of cases, piles are effectively treated with OTC medications, a good fluid intake, and by following a diet high in fiber. In severe cases the piles may have to be surgically removed. Approximately 10% of patients who go and see their doctor about piles eventually require surgical intervention.

According to Medilexicon's 
medical dictionary:


Hemorrhoids are "A varicose condition of the external hemorrhoidal veins causing painful swellings at the anus."

Internal Hemorrhoids are "Dilated veins beneath the mucous membrane within the sphincter."

External Hemorrhoids are "dilated veins forming tumors at the outer side of the external sphincter."




Schematic demonstrating the anatomy of hemorrhoids


What are the signs and symptoms of piles?

A symptom is something the patient feels and describes, such as a pain, while a sign is something everybody can see, such as a rash.

In most cases piles are not serious and go away on their own after a few days. In fact, a considerable number of people with hemorrhoids do not experience any symptoms and do not even know they have them.

An individual with piles may experience the following symptoms:
·         A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be extremely painful
·         After going to the toilet, a feeling that the bowels are still full
·         Bright red blood when doing a bowel movement
·         Itchiness in the anus area
·         Mucus discharge when emptying the bowels
·         Pain while defecating
·         The anus area may be red and sore
·         When passing a stool the person may strain excessively
Internal hemorrhoids - they are classified into four grades:
·         Grade 1 - there are small inflammations, usually inside the lining of the anus. They are not visible.
·         Grade 2 - larger than Grade 1 hemorrhoids, and also inside the anus. When passing a stool they may get pushed out, but soon return.
·         Grade 3 - often called 'prolapsed hemorrhoids'; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with his/her finger.
·         Grade 4 - these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time.
External hemorrhoids - called perianal hematoma. These are small lumps that are located on the outside edge of the anus. They are extremely itchy and can be painful if a blood clot forms inside (thrombosed external hemorrhoid). Thrombosed external hemorrhoid requires medical treatment straight away.

Why do piles occur?

The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum. This may be due to:
·         Anal intercourse
·         Chronic constipation
·         Chronic diarrhea
·         Lifting heavy weights regularly
·         Obesity/overweight
·         Pregnancy
·         Sitting on the toilet for too long
·         Straining when passing a stool
The tendency to develop hemorrhoids may also be inherited.

The risk of developing piles also grows with age.

Diagnosing piles

A qualified doctor can usually diagnose piles fairly rapidly after carrying out a physical examination. He/she will examine the patient's anus for swollen veins.

The doctor may ask the following questions:
·         Do any close relatives (parents, siblings) have piles?
·         Has there been any blood on the stools?
·         Has there been any mucus on the stools?
·         Has there been any recent weight loss?
·         Have bowel movements changed recently?
·         What color are the stools?
Internal hemorrhoids - the doctor may perform a DRE (digital rectal exam). The doctor may use a proctoscope - a hollow tube fitted with a light. The proctoscope allows the doctor to see the anal canal and take a small tissue sample from inside the rectum, which can be sent to the lab for analysis.

If the physician is presented with signs and symptoms which may suggest another digestive system disease, risk factors for 
colorectal cancer, and some other factors, he/she may recommend ordering an examination of the colon using colonoscopy.

What are the treatment options for piles?

In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience.

A good doctor will initially recommend some lifestyle changes.

Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or even switching your cereal breakfast to bran.

Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good.

Body weight - if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids.

Simple things you can do yourself:
·         Try not to strain when you go to the toilet
·         Use moist toilet paper instead of dry
·         Rather than rubbing the anus area when cleaning after going to the toilet, pat instead to avoid irritation if you already have piles
Ointments, creams, pads and other OTC medications - there are some over-the-counter (OTC) medications which help soothe the redness and swelling around the anus area. Some of them contain witch hazel, hydrocortisone, or some other active ingredient which can relieve symptoms of itching and pain.

It is important to remember that they do not cure piles, they only treat the symptoms. Do not use them for more than seven consecutive days - longer periods may irritate the anus area and cause skin thinning. Unless advised to by your doctor, do not use two or more medications simultaneously.

Corticosteroids - these can reduce 
inflammation. However, usage must not exceed about six to seven days.

Painkillers - ask your pharmacist for suitable painkilling medications, such as acetaminophen (Tylenol, paracetamol).

Laxatives - the doctor may prescribe one if the patient suffers from constipation.

Banding - the doctor places an elastic band around the base of the pile inside the anus, cutting its blood supply. After a few days the hemorrhoids fall off. This can work for Grades 2 and 3 hemorrhoids.

Sclerotherapy - a medicine is injected into the vein to make the hemorrhoid shrink - the hemorrhoid eventually shrivels up. This is effective for Grades 2 and 3 hemorrhoids, and is a useful alternative to banding.

Infrared coagulation - also referred to as infrared light coagulation. Used for Grades 1 or 2 hemorrhoids. A device burns the hemorrhoid tissue.

Surgery - used for particularly large piles, or Grades 3 or 4 hemorrhoids. Generally, surgery is used if other procedures were not effective. Sometimes surgery is done on an outpatient basis - the patient goes home after the procedure, or he/she may have to spend the night in hospital.
·         Hemorrhoidectomy - the excess tissue that is causing the bleeding is surgically removed. This can be done in various ways. It may involve a combination of a local anesthetic and sedation, a spinal anesthetic, or a general anesthetic. This type of surgery is the most effective in completely removing piles, but there is a risk of complications, which can include difficulties passing stools, as well as urinary tract infections.
·         Hemorrhoid stapling - blood flow is blocked to the tissue of the hemorrhoid. This procedure is usually less painful than hemorrhoidectomy. However, there is a greater risk of hemorrhoid recurrence and rectal prolapse (part of the rectum sticks out of the anus).







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