Piles, or hemorrhoids, actually refer to swollen and inflamed veins around your anus and in the lower rectum, and they usually occur in two main areas: internal piles happen inside the anal canal, while external piles develop under the skin around the anus. It makes sense that the doctor mentioned both because understanding their location helps in managing symptoms and treatment effectively.
As for what causes them, your lifestyle and diet can play a big role. Long periods of sitting, chronic constipation or diarrhea, straining during bowel movements, and even pregnancy can lead to the development of piles. Insufficient fiber intake and fluid consumption might exacerbate the situation too.
From an Ayurvedic perspective, piles (known as Arshas) often arise due to an imbalance in Vata and Pitta doshas. To address this naturally, let’s start with a few practical suggestions:
1. Diet: Prioritize fiber-rich foods like whole grains, fruits, and vegetables to improve digestion and regulate bowel movements. Try avoiding spicy foods and heavy-to-digest meals that might aggravate Pitta dosha.
2. Hydration: Drink at least 2-3 liters of water daily to help soften stools.
3. Herbs and Formulations: Kutaja (Holarrhena antidysenterica) and Haritaki (Terminalia chebula) may support digestive health and can be consumed in powdered form after meals. It’s advised to consult with an Ayurvedic practitioner to get the appropriate dosage.
4. Lifestyle changes: Avoid prolonged sitting; try taking short walks or breaks if you have a sedentary job. Regular exercise can improve circulation and digestive health.
5. Therapies: Sitz baths with warm water may soothe itching or pain.
However, if symptoms persist or if there’s significant bleeding, seek immediate medical attention to prevent complications. Ayurveda works well alongside conventional treatments in many cases, but it’s crucial to recognize when professional medical help is needed. Always ensure any herbal supplements or formulations are compatible with your current health conditions and medications.



