How To Treat External Hemorrhoids Naturally? Ayurvedic Treatment Explained

Hemorrhoids are swollen blood vessels inside or around the anus. When they are inside the anal canal, they are called internal hemorrhoids, and when they are around the opening of the anus, they are called external hemorrhoids. Hemorrhoids can be present for a long time without causing any symptoms, but they may become noticeable when they bleed. External hemorrhoids are usually located near the anus, and sometimes a blood clot can form in them. People may also develop skin tags around the anal area due to the stretching of the skin.

What are the Symptoms of External Hemorrhoids?

Symptoms of external hemorrhoids are:

  • Painless bleeding
  • Swelling on the outer part of the anus (sometimes painful)
  • Itching in the anal area
  • Thrombosed hemorrhoids

Holistic Treatment of External Hemorrhoids

Ayurvedic approaches to treating external piles or hemorrhoids are considered holistic. If you want to use Ayurvedic medicine for treating external hemorrhoids, you can try herbal remedies, make lifestyle changes, and consider minimally invasive procedures as part of your treatment plan. An Ayurvedic practitioner will assess your overall health and determine your prevailing dosha (body type) before suggesting specific treatments. It’s important to consult with a doctor for proper diagnosis and treatment. If you want to use Ayurvedic methods for treating hemorrhoids, your options may include:

1. Lifestyle Changes

6 Lifestyle Changes for Natural Hemorrhides Treatment Infographic

Ayurvedic treatments for external hemorrhoids focus not only on medications but also on maintaining a healthy lifestyle. One important aspect is to make dietary changes. Include more fiber in your diet, as it helps soften the stools. You can add fresh fruits, green leafy vegetables, and whole-grain bread to your meals, as they are excellent sources of fiber. It is advisable to avoid low-fiber foods like ice cream, cheese, white bread, and meat. Drinking plenty of water and other fluids, aiming for around 8 glasses a day, is also beneficial for your overall health.

Regular exercise is important as well. It helps keep your body active and can improve your bowel movements. Bulk-forming laxatives may be suitable for some cases, but it’s recommended to use them sparingly and only when necessary. Don’t delay going to the toilet when you have the urge to have a bowel movement, as holding it for too long can result in drier and harder stools. Avoid spending extended periods sitting on the toilet, as it can contribute to the problem.

After each bowel movement, gently clean the rectal area with toilet paper or moistened pads. Avoid rubbing the anal area harshly, and use unscented toilet paper. You can also find relief by applying ice packs to reduce pain and using numbing creams to make passing stools easier. It’s important to avoid heavy lifting and straining during bowel movements.

Using a sitz bath, which is a warm bath for the buttocks and hips, can provide relief from pain, discomfort, and itching associated with external hemorrhoids. You can enhance its effectiveness by adding Triphala churna or Epsom salts to the water. Taking this warm sitz bath three to four times a day can yield good results.

Before going to bed at night, you can apply a mixture of aloe vera juice, neem powder, and turmeric powder to the affected area. Alternatively, you can apply papaya juice mixed with mustard oil. Aloe vera gel can also help soothe itching and reduce inflammation. Consuming Isabgul (psyllium husk) before bedtime can help relieve constipation.

Remember, it is always recommended to consult with a healthcare professional or an Ayurvedic practitioner for proper diagnosis and personalized treatment recommendations.

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2. Medications or Bhaishajya Chikitsa

Most minor external hemorrhoids can be treated with medication alone, without the need for additional procedures, unless the hemorrhoids are severe. Medications may be combined with procedures for effective treatment in more severe cases. Your Ayurvedic practitioner will consider your dosha (body type) when selecting the appropriate medicinal remedies and recommending any necessary dietary or lifestyle changes to prevent a recurrence. Medications may include:

Triphala Guggul

This Ayurvedic medicine is available in tablet form and contains Amla, Haritaki, Vibhitaki, and Shudh Guggulu as its main ingredients. It is used for treating external hemorrhoids and promoting smooth bowel movements. It also helps digestion.

Triphala Churna

This medicine is made of Amla, Haritaki, and Bibhitaki and is helpful for both types of hemorrhoids. It treats constipation, making stools softer. It helps with daily bowel movements and has antioxidant and anti-inflammatory properties.

Arshkalp Vati

Arshkalp Vati is an Ayurvedic tablet that effectively treats hemorrhoids. Its ingredients include Ghrit Kumari, Haritaki, Kaharva Pishti, Kakamachi, Karpura, Khuna Kharaba, Naga Dauna, Nimba, Pure Rasaunt, and Soap Nut. It improves digestion and provides relief from the pain associated with hemorrhoids.

Kankayan Vati

Kankayan Vati Ayurvedic tablets are mainly used for treating hemorrhoids at an early stage when there is no bleeding. It reduces the hemorrhoidal mass and relieves constipation. It also relieves itching and discomfort at an early stage of external hemorrhoids.

Abhayarishta Syrup

Abhayarishta Syrup is an Ayurvedic syrup specifically designed for treating hemorrhoids. It contains a blend of 16 Ayurvedic ingredients. It reduces pressure on the lower rectum, preventing bleeding and the protrusion of a mass from the anus. Additionally, it strengthens the intestine and cleanses the colon.

Arshkuthar Ras

This medicine is used for treating both bleeding and non-bleeding hemorrhoids and is available in tablet form. The medicine addresses the underlying causes of hemorrhoids, such as anorexia and indigestion, while balancing the Vata and Kapha Doshas.

3. Topical/Herbal Application or Kshara

Kshara is a herbal paste used to treat hemorrhoids. It is applied to the affected area using a special procedure called a Slit Proctoscope. The paste cauterizes and heals bleeding hemorrhoids. Before applying it to the rectal area, it’s important to test for any allergic reactions on a small area of the skin.

In addition to Kshara, there are other topical treatments available. Jatayadi Oil is an Ayurvedic herbal oil that reduces pain, irritation, and itching caused by hemorrhoids. It aids in smooth bowel movements and reduces swelling in the anal region. Nirgundi Oil, another option, has anti-inflammatory and pain-relieving properties. It helps with easy bowel movements, reduces pain and inflammation, shrinks hemorrhoids, and relieves itching when applied to the anal area.

4. Surgical Procedures/Sastra Chikitsa

Kshara Sutra is a therapy used in Ayurveda for treating hemorrhoids. It involves using a medicated thread to tie off the hemorrhoid at its base, cutting off its blood supply. This causes the hemorrhoid to shrink and eventually disappear within 7 to 10 days. This procedure is considered when other treatments have not been effective. Your Ayurvedic practitioner will assess your dosha and may recommend specific herbs for postoperative healing. It is important to consult with a licensed healthcare practitioner before undergoing this procedure, especially if you have allergies, bleeding tendencies, heart conditions, or are taking blood-thinning medications.

5. Cauterization or Agni Karma

External hemorrhoids can also be treated by using infrared heat to cauterize them in severe cases. Your Ayurvedic practitioner may recommend this procedure, which involves burning off the hemorrhoids. Cauterization can cause some discomfort, and you may need five to six treatments over several weeks for it to be effective. Your dosha, or body type, will be taken into consideration before the treatment. However, there is a possibility of increased pain or infection with this method. It’s important to talk to your doctor about the risks involved and explore safer Western approaches to hemorrhoid treatment as well.


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