What Causes Piles, and How Can They Be Treated Naturally?

Question

I recently started experiencing pain, itching, and swelling around the anus, and after doing some research, I suspect I might have piles. From what I understand, piles (also called hemorrhoids) are swollen veins in the rectal area, but what exactly causes them, and how do they develop?

I read that piles can be triggered by chronic constipation, prolonged sitting, pregnancy, and a low-fiber diet. But how do you know if you have internal or external piles, and what are the best ways to treat them?

One thing that concerns me is that piles can sometimes lead to complications like bleeding, infections, or even prolapse. What are the signs that piles require medical attention, and when is surgery necessary?

Are there any Ayurvedic or natural remedies that help with piles treatment and pain relief? I’ve heard that Triphala, Aloe Vera, and Sitz baths can help—do these actually work for reducing piles symptoms?

If anyone has had piles, what treatments worked best for you? Did dietary changes, home remedies, or medications help the most?

Dr Sujal Patil · Accepted Answer

Thank you for sharing your concerns. Piles (hemorrhoids) are swollen veins in the rectal area, often caused by chronic constipation, prolonged sitting, pregnancy, or a low-fiber diet. They develop due to increased pressure in the veins. Internal piles are located inside the rectum and may cause painless bleeding, while external piles occur around the anus and can cause pain, itching, and swelling.

For mild piles, increasing fiber intake (fruits, vegetables, whole grains) and staying hydrated can help soften stools and reduce symptoms. Sitz baths (sitting in warm water for 10–15 minutes) can relieve pain and itching. Over-the-counter creams or suppositories with hydrocortisone may also help. Seek medical attention if you experience heavy bleeding, severe pain, or prolapse (protruding piles). Surgery may be necessary for severe or chronic cases.

Ayurvedic remedies like Triphala (for constipation) and Aloe Vera may help reduce symptoms. Sitz baths are highly effective for relief. While these remedies can ease mild symptoms, persistent or worsening piles should be evaluated by a doctor. Let me know if you’d like more information!

Dr. Harsha Joy · Answer

Piles, or Arsha, occur due to swollen veins in the rectal area, often caused by constipation, prolonged sitting, pregnancy, or a low-fiber diet. They can be internal (inside the rectum) or external (around the anus), with internal piles leading to bleeding and external piles causing pain and irritation. If there is excessive bleeding, severe pain, or prolapse, medical attention is necessary. In Ayurveda, remedies like Triphala churna, Aloe Vera, Sitz baths (Avagaha Snan), and Jatyadi Taila help reduce symptoms and promote healing. To balance Vata and Pitta, it is important to eat fiber-rich foods, stay hydrated, and include flaxseeds and green vegetables in the diet.

What Causes Piles, and How Can They Be Treated Naturally? - #15404

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