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General Medicine
प्रश्न #21986
236 दिनों पहले
966

Piles - #21986

N

I'm Suffering from Piles since 6 months , I even go through a lot of pain while defecation . I even have severe constipation. My prakruthi is pitta vata type . I'm even having Puffy face and belly since 2-3months

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डॉक्टरों की प्रतिक्रियाएं

Based on your symptoms and your prakriti of Pitta-Vata, the issues you’re facing, including piles, constipation, and puffiness, are likely related to an imbalance in these doshas. In Ayurveda, it’s essential to focus on balancing the doshas through diet, lifestyle modifications, and herbal treatments.

For your condition, I recommend: 1. Herbs: Consider using Triphala (a mild laxative) to relieve constipation and help regulate digestion. 2. Diet: rich in fiber, fresh fruits, vegetables, and hydrating fluids. Avoid spicy, oily, and fried foods, as these aggravate Pitta. 3. Lifestyle: Gentle yoga or stretching exercises can stimulate digestion. Ensure you’re not sitting for long periods, and try to avoid stress. 4. Abhyanga: Daily self-massage with warm sesame oil can help reduce the puffiness and balance your doshas. 5. Sitz bath over 15 minutes 3 times daily 6. Jatyadi taila- apply external with cotton

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Do you consult any doctor for this? Actually piles can be classified into 4 grades. In 1 st grade there is only bleeding per rectum. Bleeding is bright red, painless and occurs along with defecation. Prolapse is later symptom.

Do you notice any bleeding while defecation? Pain during defecation must not be piles. It may be fissure in ano. It is a very common and painful condition. Main cause is constipation. It is due to the tearing of anal valve due to passage of hard stool. Passage of drop of blood along with the stool is mainly seen in this condition.

1. Padolamuladi kashayam 15 ml+ 45 ml lukewarm water twice daily before food. ( This will help you to relieve constipation)

2. Triphala guggulu tablet 2-0-2 after food.

3. Pilocid gel for external application ( fissure)

- Drink plenty of lukewarm water. - Include lots of fruits and vegetables in your diet.

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Avoid hot and chilly food, bakery product, maida,carbonated drinks excessive intake of coffee and tea. Have fiber rich diet. Buttermilk daily.
Triphala guggul 2-2-2 Gandharva haritaki 0-0-2 at night Syp. Abhayarishta 4tsp-0-4tsp in lukewarm Water Tab. Pilex (Himalaya) 2-0-2

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Arshakalpa vati- 1 tab twice daily after food with lukewarm water Triphala churna- 1 tsp with warm water at night Abhaya aristha- 4 tsp with equal quantity of water twice daily after food Sitz bath daily Avoid spicy sour foods

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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Abhya arista 20ml two times a day with warm water after meals Triphala churna half spoon with warm water two times a day Avoid oily spicy foods Eat high fiber diet Eat fruits Drink plenty of liquids

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Tablet pilex 2-0-2 after food with water Pilex cream local application on piles twice daily Tab liv-52 1-0-1 after food with water Abhayarist 15ml twice daily after food with water Avoid fried, spicy, foods Avoid nonveg food like egg, chicken, prawns Sitz bath twice daily with warm water with potassium permanganate few drops in.

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Please answer which type of piles dry piles called baadi …or bleeding piles called khooni bawasir???

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As a psychological counselor specializing in the well-being of women and children, I am committed to supporting my patients through a holistic and compassionate approach. My work focuses on addressing emotional, psychological, and physical health concerns by integrating counseling, nutrition guidance, and yoga into the therapeutic process. I strongly believe that mental health and physical well-being are closely connected, and sustainable healing is achieved through consistent, mindful lifestyle changes. I work closely with women and children facing a variety of psychological challenges such as stress, anxiety, emotional imbalances, and behavioral issues. Through individualized counseling sessions, I aim to create a safe, supportive, and non-judgmental space where my patients can express themselves openly and work toward emotional resilience. I combine evidence-based psychological techniques with practical strategies that include balanced nutrition and therapeutic yoga practices tailored to each patient’s unique needs and abilities. My approach is centered on empowering patients to take charge of their mental and physical health by making gradual yet impactful adjustments to their daily routines. By focusing on lifestyle modifications — such as mindful eating, stress management, body awareness, and improved emotional regulation — I help my patients build healthier habits that contribute to long-term well-being. Whether guiding a child through emotional difficulties, supporting a woman through life’s transitions, or promoting holistic health through diet and yoga, my goal is to make each patient’s journey meaningful and effective. I am passionate about promoting mental health, self-care, and sustainable wellness practices, ensuring that every individual I work with receives thoughtful and personalized care.
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Plz visit nearby centre To know it’s type and grade As according to grade of pile treatment decided

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Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime. Tab.Pilex fort 2-0-2

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Do you have bleeding or do you have burning type of severe pain or pricking pain May be you can have fissure Do you get hard stools often

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Please visit an Ayurveda physician near by, This needs a direct examination and evaluation In general you can have 1.Dusparsakadi kashayam tab 2-0-2 before food 2.Pilocid tab 2-0-2 after food 3.Pilocid gel for ext.application/at night

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Hello I can understand your concern regarding piles, as it makes very much difficult to do our day to day activities. I just wanted to know whether they are bleeding or not

Ayuveda has great result in managing piles both symptomatically and also remove it from its root cause. You have to follow certain medication and external treatment for 30 days

Medications 1. Soornadi lehyam 1 tsp morning empty stomach, follwed by warm water. 2. Durlabharistha 30 ml -0-30ml after food 3. Abhyaristha 30 ml at bed time

External treatment 1. Nimba + Aragwadha sitz bath - put 5 gm of each in 3 litre of water, boil and reduce to half and pour the medicated water in a tub and sit in it for 30 mins 2. Then apply pilex ointment at day time 3. Jathyadi ghritham at night time

Diet modication 1. Avoid spicy, fermented food 2. Take more of fibrous food

Hope it is helpful to you!! Wish you a good health

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Sukumara ghrita 2tsp daily night with warm milk Gadhaka rasayana 2 -0-2 before food

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Chitrakadi vati 1BD Kam dudha Ras 1 BD Trifla Churn 1.5tsf TID with lukewarm water Abhyarishta 10 ml TID with lukewarm water Tab Pilex 1TID

Do sitz bath in lukewarm water add 2tsf epsom salts 2 times Eat leafy vegetables take lots of water

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Hey you are suffering from piles in very young age, you definitely must be having a very bad diet (spicy ,oily etc) If since 6mnth you are facing issues you will recover Firstly you change your diet style. *Start taking semi liguid diet, or good water intake. *Avoid diet you are noticing is causing pain while defication.( Spicy,oily, maida etc.) * Eat Green veggies,salad, etc. more

Medication- 1.take triphala tab,or churna at night with gee or luke warm water. 2.aragwadharishta 10ml with water ifhard stools. Himalaya pilex oint for applying

*

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Addressing piles, or hemorrhoids, involves treating both the immediate symptoms and the underlying causes, such as constipation and dosha imbalances in your case. Given that your prakriti is pitta-vata and you’re experiencing severe constipation, it is likely that an imbalance between these doshas is contributing to your symptoms.

First, focus on soothing your digestive system and easing bowel movements. Consuming plenty of water is essential; aim for at least 8-10 glasses a day, as dehydration aggravates vata and can worsen constipation. A diet rich in fiber can help to manage constipation. Include foods like whole grains, lentils, and fresh fruits such as papaya and prunes (or soaked raisins, if preferred). Ghee added to warm milk at night might help also lubricate the passages.

Ayurvedically, Triphala can be beneficial for bowel regulation due to its balancing properties. It can be taken as a powder, about 1-2 teaspoons with warm water before bed. Arshoghni vati is another ayurvedic formulation for piles that might be helpful to consider under guidance from a practitioner.

From a lifestyle perspective, avoid sitting for long periods and incorporate gentle exercise such as yoga or walking. The focus should be on calming vata, so practices like meditation and pranayama can be grounding and help reduce stress — which might worsen your symptoms.

Applying a cold compress to the affected area can help soothe pain and reduce swelling. In ayurveda, a turmeric and aloe vera paste can be applied externally to reduce inflammation, while internal inflammation might be mitigated by avoiding overly spicy or heating foods.

However, if your symptoms persist or worsen, it’s necessary to seek immediate professional medical advice. Especially with the puffy face and belly, it might indicate something that requires more urgent attention. In severe cases of piles, medical intervention like ligation or coagulation procedures could be considered as prescribed by a healthcare provider.

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346 समीक्षाएँ
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
604 समीक्षाएँ
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
0 समीक्षाएँ
Dr. Sumi. S
I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
58 समीक्षाएँ
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
209 समीक्षाएँ

नवीनतम समीक्षाएँ

Reese
1 घंटा पहले
This answer was spot on! Love how thorough and clear it was. Made a real difference in understanding my symptoms and finding a balance. Thanks so much!
This answer was spot on! Love how thorough and clear it was. Made a real difference in understanding my symptoms and finding a balance. Thanks so much!
Owen
1 घंटा पहले
Thanks so much for the detailed answer! Really appreciate the specific advice - it's reassuring to have a clear plan to follow.
Thanks so much for the detailed answer! Really appreciate the specific advice - it's reassuring to have a clear plan to follow.
Zara
22 घंटे पहले
Yaar, mujhe jo advice mili woh sach mein kaam aayi! Pehle balon ka itna tension tha, ab lagta hai samajh aa gaya kya zaroori hai. Thanks for the awesome tips!
Yaar, mujhe jo advice mili woh sach mein kaam aayi! Pehle balon ka itna tension tha, ab lagta hai samajh aa gaya kya zaroori hai. Thanks for the awesome tips!
Scarlett
22 घंटे पहले
That's super helpful, thanks! Your explanation was clear and actionable. Finally feels like I can see a way forward with my hair issues! 😊
That's super helpful, thanks! Your explanation was clear and actionable. Finally feels like I can see a way forward with my hair issues! 😊