How reduce piles - #22032

In ayurveda Piles or arsha as explained is a condition that arises primarily due to improper digestion and accumulation of toxins leading to the aggravation of vata and pitta doshas. When apana vata gets vitiated due to irregular eating habits, long sitting hours, sedentary lifestyle, excessive consumption of spicy or oily food, constipation or suppression of natural urges, it leads to the development of hemorrhoids or piles. The veins in the rectal region become swollen and inflamed which causes pain, discomfort, bleeding and difficulty during defecation. In your case since you have been experiencing this problem for the past 3 years, it is important to understand that chronic piles needs not just symptomatic relief but also deep-rooted cleansing, healing and strengthening of the digestive and excretory systems from within. Ayurveda focuses on nidan parivarjan that is identifying and removing the root cause of the disease along with shodhana or detoxification and shamana or pacifying treatment. The very first and most important step is to correct your digestion and ensure regular soft bowel movements. Avoid all foods that are heavy to digest such as non-vegetarian items, fried foods, processed snacks, maida-based items, excess tea or coffee, carbonated drinks and too much spice. Prefer warm freshly cooked meals with adequate fiber from vegetables like bottle gourd, ridge gourd, spinach, beetroot and fruits like papaya, pomegranate, soaked figs and raisins. Start your day with two teaspoons of cow ghee mixed in warm water or milk on an empty stomach which lubricates the intestines and makes evacuation easier. Drink warm water throughout the day and strictly avoid cold water or chilled items as they disturb agni or digestive fire. Do not suppress the urge to defecate and try to go to the toilet every morning around the same time even if the urge is not strong. This helps in resetting the natural body rhythm. Now coming to the Ayurvedic medicines that have shown excellent results in chronic piles. One of the most trusted classical formulations is Arshoghni Vati or Arshkuthar Rasa which works by reducing inflammation, shrinking pile masses and improving digestion. It should be taken under medical supervision as it contains rasa dravyas. Another effective combination is Abhayarishta which acts as a mild laxative and digestive stimulant. Taking 15-20 ml of Abhayarishta with equal water after meals twice daily helps to relieve constipation and promotes healing of piles. You can also take Triphala churna or Triphala tablet at bedtime with lukewarm water. It helps in cleansing the bowel naturally and prevents hard stools which are the main trigger for pile symptoms. Kankayan Vati is another powerful classical formulation specifically used in the treatment of piles and related anorectal disorders. It improves blood circulation, reduces pile mass and soothes inflammation. For topical application Nirgundi oil or Jatyadi oil can be gently applied in the anal region after cleaning with warm water. This reduces burning, itching and promotes wound healing in case of bleeding or prolapsed piles. If bleeding is a significant symptom, you can take Kutajghan Vati which helps in arresting bleeding and improving gut health. Padmakhya Ghrita or Suran Vatak can also be added depending on the severity and type of piles. In cases where the pile masses are large, hard or prolapsed, Ksharasutra therapy or minor para-surgical intervention might be recommended which is a safe and effective Ayurvedic surgical procedure. Apart from medicines your lifestyle must support healing. Avoid sitting continuously for long hours. Take short breaks every hour to walk or stretch. Practice yoga poses like Malasana, Vajrasana, Pawanmuktasana and gentle anulom vilom pranayama daily to support digestion and reduce pressure in the anal region. Do not lift heavy weights or strain during defecation. Make it a priority to eat early dinner before 8 PM and avoid late night snacking which weakens digestion. Practicing mindfulness, reducing stress and maintaining a calm mind also plays a role as stress-induced constipation is one of the silent contributors in urban cases. Remember that piles is not just a local problem but a systemic imbalance and with the right Ayurvedic approach involving proper diet, lifestyle, herbal medicines and body-mind care, you can completely overcome this condition. With three years of chronicity it may take a few months to reverse the symptoms but you will definitely see positive changes within a few weeks of disciplined practice. Always stay patient and consistent. Healing in Ayurveda is deep, holistic and long-lasting.