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General Medicine
Question #21986
120 days ago
419

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

Age: 22
Chronic illnesses: No
300 INR (~3.51 USD)
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Doctors’ responses

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.
119 days ago
5

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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Dr. Trupti
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.
119 days ago

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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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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Dr. Harshita Hyati
I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
118 days ago
5

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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Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
30 reviews

Latest reviews

Mia
4 hours ago
Thanks for the advice, doc! Your recommendations seem clear and practical. Definitely feeling more hopeful about trying them out!
Thanks for the advice, doc! Your recommendations seem clear and practical. Definitely feeling more hopeful about trying them out!
Charlotte
4 hours ago
Thanks, doc! Your advice finally makes sense. Gonna try following it and hoping for some relief soon. Appreciate the help!
Thanks, doc! Your advice finally makes sense. Gonna try following it and hoping for some relief soon. Appreciate the help!
Lillian
4 hours ago
Thanks for breaking it down so clearly! Really helped me understand my next steps. Feeling more hopeful about managing all this!
Thanks for breaking it down so clearly! Really helped me understand my next steps. Feeling more hopeful about managing all this!
Penelope
4 hours ago
This was super helpful! Got all the details I needed for skincare, and its just what I was looking for. Really appreciate the step-by-step approach!
This was super helpful! Got all the details I needed for skincare, and its just what I was looking for. Really appreciate the step-by-step approach!