Sir, with medication you are taking , also start with some lyfestyle change for permanant relief- Try this natural routine every night:
🔹 1 tsp ghee in warm milk + 2 soaked figs at bedtime 🔹 Or: 1 tsp Avipattikar or Triphala Churna with warm water
🌸 4. Sitz Bath with Triphala Decoction – 1× Daily
Boil 2 tbsp Triphala in 1 litre of water, cool to lukewarm, and soak for 10–15 mins. ✅ Reduces swelling and promotes healing.
🧘 5. Yoga & Movement
Do these daily:
Pawanmuktasana – improves gut movement
Malasana (Garland Pose) – strengthens pelvic floor
Vajrasana after meals – improves digestion
Walk 20–30 minutes daily
Dietary Guidelines (Crucial for Permanent Cure)
✅ Eat:
Cooked vegetables (bottle gourd, pumpkin, ridge gourd, spinach)
Stewed apples, papaya, figs (soaked overnight), raisins
Whole grains like moong dal khichdi with ghee
Plenty of warm water and buttermilk
❌ Avoid:
Spicy, sour, fried, dry, or constipating food
Non-veg, cheese, maida, and tea/coffee in excess
Long gaps between meals
Sitting too long or excessive straining
💠 piles ( arsha) or haemorrhoids is the varicosity of the veins around the anus . This varicosity may be in the external area of sphineter of the anus and in the internal area of the anus
* It is said that growth may resemble so many shapes such as mustard like , pealike, barley like, plums like, fig like and like so many anguras( buds) these shape and size are indicative of the doshas involved in the manifestation of the various type of growth.
🌱High fiber diet is ideal diet for persons suffering from piles. Fiber create bulk in stools and give relief from hard stools. Avoid spicy, oily food as they trigger gastrointestinal problems and worsen the condition.
🌱FRUITS Fruits to be consumed Apple, Banana, Water melon, Muskmelon, Avocado, Peaches, Pear, Coconut, Pomegranate, All types of berries , Figs, Mango, Litchi, Custard apple, Orange, Sweet lime, Sapodilla, Pineapple, Orange, Grapes
🌱Fruits to be avoided Banana (over use) , Canned fruits and juices
🌱 Hot and Spicy Foods: Spicy foods rich in Katu Rasa in Ayurveda such as hot peppers and spicy sauces, can be a trigger for hemorrhoid flare-ups. They can irritate the digestive system and lead to bowel movements that are more frequent and urgent, potentially worsening existing hemorrhoids.
🌱 Processed Foods: Processed foods, like fast food, chips, and sugary snacks, are typically low in dietary fiber. A lack of fiber in your diet can lead to constipation, which is a common cause of hemorrhoids. To avoid constipation and reduce the risk of hemorrhoids, for whole foods like fruits, vegetables, whole grains, and legumes, which are rich in fiber and promote regular bowel movements.
🌱 Refined grains, such as white bread, white rice, and sugary cereals, lack the fiber and nutrients found in whole grains. Like processed foods, they can contribute to constipation and should be limited in your diet.
🌱 Red Meat: Red meat, especially when consumed in excess, can contribute to constipation due to its lower fiber content. It’s advisable to limit your intake of red meat and choose leaner protein sources like poultry, fish, and plant-based proteins such as beans and tofu. These alternatives can help maintain softer stools and reduce the strain on the rectum.
🌱 Dairy Products: Dairy products like cheese and ice cream can be binding for some individuals, leading to constipation.
🌱 Caffeine: Beverages like coffee and certain types of tea can lead to dry, hard stools, making them difficult to pass. Ayurveda also considers these beverages to increase Pitta Dosha. While moderate caffeine intake is generally safe for most people, be mindful of its effects on your digestive system and balance it with adequate water intake.
🌱 Alcohol: Alcohol consumption can lead to dehydration, which is a known risk factor for hemorrhoids. According to Ayurveda, it also increases Pitta Dosha . Dehydration can make stools harder and more difficult to pass, increasing the strain on the rectum and exacerbating hemorrhoid symptoms.
💊 MEDICINE 💊
1. Chiruvilwadi kashayam - 15 ml with 60 ml boiled hot water morning and evening before food
2. Kankayana vati - 1 - 0 - 1 with kashayam
3. Triphala guggulu 2 - 0 - 2 with warm water after food
4. Mahathikthakam ghrtam - 10 ml morning and night after food
5. Arogyavardhini vati 1 - 0 - 1 after food
🌸 External application
1. Sitz bath - Triphala choornam boiled water ( tolerable heat)
2. Apply pilokot ointment
💠 DIETARY TIPS Follow regular and balance meal pattern. Consume high fiber and adequate fluid diet. Whole fruit should be preferred to fruit juices. Skipping of meals should be avoided, especially the breakfast Water intake should be increased at least 8-10 glass of water.
💠EARLY-MORNING Warm water +1 tsp Flax seed / Aloe vera juice/ wheat grass juice
BREAKFAST Broken wheat porridge / Veg Semolina (veg upma) / Veg Vermicelli / Veg Idli / /Oats/ Stuffed Chapatti / Chapatti with Veg or Dal
MID-MORNING Fruit / Fruit juice / Herbal tea / Coconut water/ Coconut milk/Lemon water
LUNCH Chapatti+Brown Rice + Salad + Vegetable + Dal / Chicken ( Once in week )
EVENING Roasted chane / Homemade soup / Vermicelli / Herbal tea/Green tea/ sprouts
DINNER Chapatti + Vegetable + Dal
Thank you
The recurrence of piles despite surgery suggests a need to balance your doshas and optimize digestion according to Ayurvedic principles. Based on your symptoms and age, it is important to address both vitiated Vata and Pitta dosha while fortifying your digestive fire or agni.
To begin with, dietary modifications are critical. Incorporate fiber-rich foods like whole grains, fruits, and vegetables which can prevent constipation. Avoid spicy, fried foods and excess caffeine or alcohol, which may aggravate Pitta. Drinking plenty of warm water throughout the day helps maintain adequate hydration and aids digestion.
An Ayurvedic remedy is the consumption of one tablespoon of Triphala powder mixed in warm water, taken before bed. Triphala acts as a gentle laxative, helping regulate bowel movements naturally. Shunthi (ginger) tea after meals may enhance digestion and alleviate bloating.
Physical activity such as brisk walking or yoga promotes circulation and digestive health. Pavanamuktasana (wind-relieving pose) can be beneficial in easing bowel movements due to its ability to relieve gas and enhance digestion. Ensure you are engaging in at least 30 minutes of physical activity daily.
Stress management is vital, as it can worsen piles. Practicing Pranayama (breathing exercises) and meditation could reduce stress and harmonize the mind-body balance.
Topically, you may use a paste made from Haritaki and honey or ghee applied externally to the affected area for soothing relief and reducing inflammation.
Long-term, focus on consistent digestion, balancing of your doshas, and maintaining a lifestyle that enhances regularity. Monthly consultations with an Ayurvedic practitioner may help tailor these therapies specifically to your prakriti and ongoing needs. As with all medical conditions, please consult with your healthcare provider before starting any new regimen to ensure it complements existing treatments.
