Hemorrhoids

Introduction

Hemorrhoids (Piles) are very common but not something you will want to talk to your friend. About approximately, 50% – 60% of people have problems with Hemorrhoids (piles)at some point in their lives. Males and females are both affected with about equal frequency.

How Do Hemorrhoids Occur?

The large intestine is the last part of the digestive tract responsible for absorbing water and electrolytes from digested food and forming feces. It consists of cecum, colon, rectum and anal canal. Hemorrhoids also known as piles are swollen veins in the anus and the lower rectum which can be internal (inside the rectum) or external (under the skin around the anus).

Hemorrhoids occur when the blood vessels in the anal or rectal area become swollen and inflammed due to increased pressure. This pressure can stem from various factors like straining during bowel movements, chronic constipation, pregnancy, obesity or prolonged sitting or standing.

Causes of Hemorrhoids

Several factors can contribute to the development of hemorrhoids including:-

Lifting heavy objects – this can also increase pressure in the abdominal area and potentially affect the veins.
Straining during bowel movements – this can put extra pressure on the veins in the anal area.
Chronic constipation or diarrhea – These conditions can also lead to increased pressure and irritation
Prolonged sitting on the toilet- This can also increase pressure on the veins.
Pregnancy – Hormonal changes and the pressure of the growing fetus can contribute to hemorrhoids. Aging – The tissues supporting the veins in the anal area can weaken with age, making them more susceptible to swelling.
Low fibre diet – A diet lacking in fibre can lead to constipation and straining.

Types

Hemorrhoids can be grouped into four main types:-

Internal Hemorrhoids – Internal hemorrhoids are swollen veins that develop deep within the rectum.
Prolapsed haemorrhoids – Prolapsed hemorrhoids are internal hemorrhoids that protrude or have been pushed out of the anus Prolapsed hemorrhoids can be graded according to the extent of the protrusion:-

Grade I – No prolapse.

Grade II – Prolapse occurs when there is increased pressure such as during passing stool.

Grade III – Hemorrhoids don’t retract back on their own, they will need to be pushed back

Grade IV – The prolapsed hemorrhoids protrude out of the anus and cannot be pushed back into their normal positions.

Thrombosed Hemorrhoids – The thrombosed hemorrhoid is an internal or external hemorrhoid in which a blood clot, called thrombus, is formed.
External haemorrhoids – These are visible and palpable lumps that form on the skin around the anus.

Symptoms

In many cases, hemorrhoids don’t cause symptoms and some people don’t even realize they have them. However, when symptoms do occur, they may include:-

Soreness, redness and swelling around your anus.
Bleeding after passing a stool
Itchy bottom
A lump hanging down outside of the anus.
Mucus discharge

How to Avoid Hemorrhoids?

To prevent Hemorrhoids, focus on maintaining regular soft bowel movements by increasing fibre intake, staying hydrated and avoiding straining during bowel movements. Additionally, regular exercise, limited prolonged sitting and maintaining a healthy weight can help reduce the risk.

Complications of Hemorrhoids

While Hemorrhoids, also known as piles are usually not a serious condition, they can cause complications if left untreated. Common complications include-excessive bleeding:-

Anemia
Blood clots (thrombosed hemorrhoids)
Strangulation
Infections
Anal fissures
Prolapse
Other digestive issues

Ayurvedic Concept of Hemorrhoids

Hemorrhoids are categorized as a digestive aberration and the ayurvedic term for Hemorrhoids is ‘Arsha’ which signifies ‘pain that prick’s like a thousand needles’. It usually occurs due to the accumulation of waste material or toxins in the rectum and stems due to an imbalance of the tri doshas.

According to Ayurveda, Arsha can be managed significantly by proper Ahara (food options and diet) and vihara (lifestyle modifications by incorporating herbs and natural formulations).

Ayurvedic Treatment of Hemorrhoids

Boolchand Ayurveda provides a complete ‘Piles Care Pack’ as the combination of various herbal products for the successful ayurvedic treatment of Hemorrhoids . The herbs used are 100% pure, natural and vegetarian. These are free from chemicals, additives and preservatives. These are safe to use as are free from side effects.

Piles Care Pack

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Dosage

Lexa comfort – 1 scoop of powder with luke warm water before bed time.
Arsh kuthar ras – 2 tablets twice a day with luke warm water after meals.
Triphala guggul – 2 tablets twice a day with luke warm water after meals.
Kashishadi tel – for local application on affected area.
Suran vatak – 2 tablets twice a day with Luke warm water after meals.

Product Description

1. Arshkuthar Ras

Arshkuthar ras is an ayurvedic medicine used for the treatment of hemorrhoids. It is the combination of herbs and minerals containing kajjali , lauha bhasma, shunthi, tamra bhasma, Dantimool, marica pippali, surana, vamsha, shuddha tankana, yavakshar, saindhava lavana.

Benefits – It works by improving liver functions, vein strength, easing constipation, shrinking the pile mass and reducing local swelling and inflammation.

2. Triphala guggul

Triphala guggulu is an ayurvedic formulation that provides the combined effect of Triphala and guggulu. Triphala beings detoxifying and laxative properties while guggul provides anti- inflammatory properties. The combined effect of these ingredients helps to provide relief from piles, anal fistula and constipation.

Ingredients – It is made up of amla, harad, baheda, pippali, Guggul, ghee.

Benefits – According to ayurveda , it works by stimulating the digestive fire which in turn relieves constipation, promote healthy metabolism and releases excess kapha from the system. This further prevents piles and gives relief from the pain, swelling and other discomfort associated with them.

3. Kashishadi Tel

Kashisadi tailam is an ayurvedic oil used in the treatment of Hemorrhoids. It is only meant for external application over the Hemorrhoids. This product contains herbal and mineral ingredients.

Benefits – It shrinks the pile mass and is corrosive in nature.

4. Lexa comfort

Lexa comfort is a potent ayurvedic formulation of boolchand ayurveda that contains the goodness of shunthi (Ginger), Swarni patri (Senna leaves), Saunf (fennel seeds), Saindhava lavana (rock salt) and balaharitaki (unripe fruits of terminalia chebula)

Benefits – The powerful laxative quality of this formulation can help treat persistent constipation. It also contains carminative substances which aid in evacuating gas from the stomach, reducing bloating and flatulence.

5. Suran Vatak

Suran vatak is a classical ayurvedic medicine used for the treatment of hemorrhoids. It mainly contains Surana-wild yam (Amorphophallus campanulatus) which is effective in treating the constipation, control of bleeding and reduction in number as well as size of pile masses. Other ingredients are Vridhadaru (argyrea speciosa), mushali (curculigo orchiodes), chitraka (plumbago zeylanica), shiva-haritaki, vidanga, pippali, talisa patra and twak which are also effectively used in the treatment of Hemorrhoids.