Piles

PILES/HEMORRHOIDS OR ARSHAS

Definition of Piles (Arshas)

Hemorrhoids are dilated or swollen veins (low pressure blood vessels that return

blood to the heart) under the rectum around the anal opening

Causes of Piles (Arsha)

• Common cause is straining during defecation when constipated.

• Family history of piles.

• In pregnancy, due to increased blood flow, weight of baby.

• People having varicose veins.

• Like pregnancy, any growth or cancer in the bowel or pelvis.

• People having chronic diarrhea.

Classified into two types, (1) Internal, (2) External hemorrhoids.

There is a dentate line in the anal canal, which separates two types of anal skin. While

the skin above the dentate line is not sensitive to pain, the skin below this line is quite

sensitive to pain.

Internal hemorrhoids occur above the dentate line and are, therefore, usually painless.

They can cause bleeding or they may push out of (prolapsed) the anal canal opening

when they become quite large.

Internal hemorrhoids are again divided into 4 degrees or grades. Those are,

Grade 1 or First degree

Cannot be seen or felt from the outside. Small swelling is on the inner lining of anus.

Grade 2 or Second degree

Can say prolapse, mean it is, seen outside the anus, whenever you go to toilet. But

afterwards, it returns back. These are larger in size.

Grade 3 or Third degree

These are similar to third degree one, but do not returns, has to push inside with

finger.

Grade 4 or Fourth degree

These cannot be pushed back inside, are permanently hanged out from the anus.

External hemorrhoids occur below the dentate line and are generally painful. External

hemorrhoids can become very distressing when the blood in the hemorrhoid clots and

the inflammation irritates the nearby pain sensitive skin. These are less common than

the internal one.

RECIPES

ingredients

Soap nuts : 100 gm (after seeds are removed .

method of preparation

Grind these soap nuts with sufficient water till they attain the consistency to

prepare paste. Make pea nut size balls from the above paste and dry them in

shade. Can store in a bottle.

Usage: 1 tablet half an hour before food 3 times a day along with water for

those suffering from Bleeding piles.

 To be taken with diluted butter milk in case of those suffering from ‘Dry piles’

Dry piles

ingredients

castor oil : 100 gm

Bees wax : 50 gm

Camphor lumps: 10 gm

method of preparation

Boil castor oil and bees wax on mild flame. Remove from flame and sieve the

waste. Add camphor powder to the liquid and stir gently. The liquid will turn paste

after cooling. This is a very good ointment for ‘Arsa molalu’. This will not spoil

even if kept months together. Store in a bottle.

Usage:Apply ointment to the piles with cotton. Apply the ointment internally

also.

ingredients

ginger powder : 30 gm (Fry and make powder)

haritaki powder : 30 gm ,

Pippali powder : 30 gm (Fry and powder)

jaggery: 90gm

method of preparation

take all the above powders, mix them properly, add 90 gm jaggery to the

above and grind in a mortar to become paste. Prepare 10 gm tablets and store in

a bottle.

Usage: Chew (Suck the juice) one tablet two times a day half an hour before

food.

4. Kasisadi taila, when applied externally, shrinks the pikes and cures itching in the

anal region.

5. Abhayarishta, a liquid preparation, should b taken in the dose of 30 ml in equal

quantity of lukewarm water before going to bed to control constipation and piles

6. An oral mixture containing 10 grams of pulp of ripe Bael fruit, 3 grams of sugar,

powder of 7 black peppers and 13 cardamoms is very efficacious in checking bleeding

from piles.

7. To stop bleeding from piles, you can take Nagakesara and black sesame seeds,

powdered and mixed with fresh ghee or butter

8. The hot poultice of dry radish is very good in non-bleeding piles

DIET

The diet should be low in fat, it should not contain more than 50 grams of fat.

Foods which contain less fat are skimmed milk, butter-milk, curd and cottage

cheese made from skimmed milk; all vegetables except cabbage, onions, dried

beans and peas; cooked and dried cereals, whole wheat chapati and fruits and

fruit juices.

The ideal diet for the patient with piles should consist of fruits like papaya,

musk melon, apple and pear;• green vegetables particularly spinach, cabbage

and radish; wheat, porridge, whole meal cereals and milk. Lentils and daals

should be avoided, as they constipate the bowels. The patient should also abstain

from meat, fish, eggs, cheese, white sugar, sweets, rice, all fried foods and all

white flour products, Tea and coffee should be avoided. Dry fruits such as figs

and raisins and coconuts should form part of the diet which could be on the

following lines:

Breakfast: Papaya, figs or prunes and milk.

Lunch: Raw vegetable salad, whole meal bread with a small quantity of butter

and butter-milk.

Dinner: Two or three non-starchy steamed vegetables, nuts, curd, raisins and

a fresh fruit.

Foods rich in vitamin C, bioflavonoids and vitamin E are essential in the

treatment of haemorrhoids. Such foods include fresh raw vegetables and fruits,

especially cabbage, citrus fruits, whole grains, seeds and nuts.

The patient should drink at least six to eight glasses of water a day. He should

avoid straining to pass stool. Cold-water treatment helps the veins to shrink and

tones up their walls. The treatment is done by sitting in a tub filled with cold water

for two minutes with knees drawn up to your chin. The water level should cover

the hips. This should be done twice a day. Cold compress applied to the rectal

area for an hour before bedtime is also very helpful. . Don’t sit too much on a

hard surface; it can restrict blood flow around the anal area

The patient with piles must make an all-out effort to tone up the entire system.

Exercise plays an important corrective role in this condition. Movements which

exercise the abdominal muscles will improve circulation in the rectal region and

relieve congestion.