Fissure and internal piles often persist when hard stools repeatedly cause strain and irritation during bowel movements. In Ayurveda, this condition is commonly associated with Vata aggravation, constipation, and impaired digestion (Mandagni). Ayurvedic Management The primary goal is to keep stools soft, regular, and easy to pass. Triphala Churna 3–5 g at bedtime with warm water can help regulate bowel movements. Abhayarishta 15–20 ml with an equal quantity of water after dinner may support healthy bowel function. For piles, Arshoghni Vati Diet & Lifestyle Increase fiber intake through fruits, vegetables, oats, whole grains, and soaked raisins. Continue adequate hydration (2–3 liters daily). Avoid excessive spicy foods, deep-fried items, processed foods, and prolonged sitting. Do not suppress the urge for bowel movements and avoid excessive straining. Regular walking and light exercise can improve digestion and bowel regularity. Local Care Warm sitz baths (sitting in warm water for 10–15 minutes) after bowel movements can help reduce pain and discomfort. Maintain good anal hygiene and avoid harsh rubbing.
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