How Piles is Treated Without Surgery

Lifestyle diseases are our creation and they are becoming the major cause of anorectal conditions like piles, fissures etc. Piles or hemorrhoids is a very common problem in the modern lifestyle. It is a very common ailment of the rectum affecting as much as half of the population by the age of 50 years. Hemorrhoids are swollen, sprouted veins and vessels around the rectal area. Nowadays numerous individuals need to realize how to oversee piles normally, effectively and quickly as well.

Piles in a Nutshell: Causes, Diagnosis & Symptoms

According to the Ayurvedic concept, the causative factors of piles are mainly interconnected with weak digestive fire. A few important causes are a sedentary lifestyle, irregular bowel habits, low fiber diet, prolonged straining etc.  Weak digestive fire hampering with proper absorption and metabolism of food is a prime factor in the diseases like constipation, piles, fissure, ulcerative colitis etc where each condition again plays as an aetiological factor for the manifestation of having piles due to mild to severe form of digestive fire imbalance.  Besides this, the ill-advised fad diet and irregular bowel movements meddle with stomach related digestive power, prompting poor gastric to intestinal assimilation and retention of supplements prompting obstruction with stressing propensity of straining activity during defaecation which further plays as a risk factor for visibility of piles mass in case of external piles. 

The primary factors concerning piles other than weak digestion strength are mainly described as congenital, straining during defecation, diarrhea, dysentery and faulty habits of defecation while the secondary causes are due to portal obstruction, pregnancy and abdominal tumors that gives gradual and steadily increased pressure of the frequent womb over the veins ultimately result into increased pressure within all their venous supply.

With the aggravation of the above-mentioned factors, the signs exhibited depend upon the type of piles. Internal piles or hemorrhoids are usually present with painless rectal bleeding while external hemorrhoids may produce few symptoms such as significant pain and swelling around the anus.

The exact diagnosis of haemorrhoidal grading is necessary to decide the course of management without surgical intervention. The diagnosis of piles is confirmed when the blood which drips into the toilet bowl is bright red in nature and is free, separated from stool due to frequent association with the mucous discharge with bleeding and swelling around the anal area,  from internal hemorrhoids. 

Non-Surgical Management of Piles

The management of hemorrhoids without surgery is only possible with the Ayurvedic approach as it focuses on the appropriate general treatment approach that results in remarkable efficacy without having any side effects. The main aim is to correct the functioning of digestive fire, thus helping in reducing hard stool formation and constipation issues. Further, apart from the toxins accumulated in the body, certain hematinic herbs are quite effective in managing anemia due to bleeding piles along with dietary guidelines to enhance hemoglobin. 

1. The prevention of the formation of hard stools or constipation is done by adding natural laxatives e.g Triphala powder, Panchsakar churna, Haritaki churna, Abhayarishta. 
2. The hot sitz bath with sphatika powder followed by effective utilization of Jatyadi tailam or Kasisadi tailam is highly effective alongside anti-haemorrhoidal formulations like Arshoghni vati, Arshakuthar ras. 
3. Apart from the conservative treatments various procedures like kshara sutra and kshara karma also called as cauterization therapy are used to cure the disease.

In the third and fourth degrees of piles, the following non-surgical ayurvedic treatments are available.

1. Kshar sutra ligation is a successful strategy for hemorrhoids in which the medicated herbs coated seton thread is ligated on the external and internal piles mass. It takes around 5 days to a week for the sprouted pile mass to shrink fully and fall off eventually. The success rate of this procedure is about 97%.
2. Kshar karma is the application of herbal-based alkali paste on the pile mass and washing with lemon water. The alkali paste acts as a sclerosing agent inhibiting the swelling and growth of the pile mass with a success rate is 70%.
3. Agnikarma or electrocauterization is done to minimize the chance of the recurrence of piles.

The best non-surgical approach to healing the piles is with kshara sutra therapy as it is a daycare simple, safe, cost-effective and sure procedure with a high success rate and is useful for all age groups with minimal chances of complications and zero recurrence rate.

Preventive Aspects to take Care of:

The non-surgical approach for healing piles is based on correcting diet and lifestyle with some natural herbal formulations. The following preventive principles should be accepted as follows:

1. Avoid excessive straining i.e. sitting on the toilet, not more than 2 minutes.
2. Adequate fluid intake. 
3. Increase of intake of the bulk amount in the form of vegetable fibers run processed cereal fiber. Include natural laxatives such as Haritaki/Triphala/Isabgol husk to avoid hard stool formation.
4. Follow easily digestible light diet guidelines in the food menu like green gram soup.
5. Take natural herbal appetizers, and digestive and carminative formulations like Chitrakadi vati, Haritaki powder for improving digestive fire strength.
6. Maintain anal hygiene by doing sitz bath i.e sitting in warm water mixed with a pinch of sphatika powder for at least 15 minutes daily. This will clean the bowel as well as reduce inflammation or any swelling around the affected area.
7. The local application of jatyadi tailam or any other anti-inflammatory lubricant with antibiotic action in the affected area before and after defecation.
8. Healthy toileting habits like not ignoring the urge to defecate, and avoiding spending more time without having sufficient bowel movements.

Ayurveda provides a sure solution for pile management basically by following the conservative approach. Kshara therapy is the most effective treatment of piles that takes less time as there is no requirement for cutting off the tissues hence no bleeding and no hospitalization is required and economical too.