i understand this has been troubling you for a long time and using laxatives daily slowly weakens the natural bowel movement so we have to correct the root and make the intestines work on their own again start your day early with a glass of warm water and sit for motion without forcing even if urge is less the body will gradually adapt at night take one teaspoon triphala churna with warm water this will help regulate bowels gently you can add gandharvahastadi kashayam fifteen ml with equal quantity of warm water twice daily before food this is very useful in chronic constipation and helps vata move in the right direction for piles and dryness take one teaspoon cow ghee in warm milk at bedtime or with warm water if milk does not suit you this will soften stools and reduce strain in the morning take soaked munakka or black raisins this helps natural bowel movement and also gives strength apply a little sesame oil or coconut oil locally before passing stools to reduce pain and friction and sit in warm water for ten minutes daily if there is discomfort avoid dry spicy fried food maida tea excess coffee and long gaps between meals keep food simple warm and easy to digest like rice moong dal and vegetables do not stop your laxatives suddenly reduce slowly as your bowels improve with this support if there is bleeding severe pain or no improvement then get it examined once so we can adjust treatment accordingly
🌸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