can piles be treated without surgery - #36950
I am really concerned about something that's been bothering me for a while now. I’ve got this issue, you know, with piles. I've tried to ignore it, hoping it would just go away, but it hasn’t. It's super uncomfortable and kinda embarrassing to talk about. I even had a friend say they had piles too, and they went through some painful surgery, which freaks me out! I keep wondering if piles can be treated without surgery and if that’s even a realistic option for me. I’ve read a little here and there about natural remedies and dietary changes that might help with piles. Like, I heard increasing fiber could make a difference? But what if that’s not enough? I’ve been dealing with frequent constipation, and I'm worried that might be making the piles worse. Sometimes they bleed a bit, which is scary. And the itchiness drives me mad!!! I’m not sure if over-the-counter creams are worth it either or if I need something more... I dunno, effective? Can anyone share if piles can be treated without surgery and what you guys have tried? Honestly, I’m just looking for some hope that I can avoid going down a surgical path. Thanks for any help!
Doctor-recommended remedies for this condition


Doctors' responses
Yes, piles, also known as hemorrhoids, can often be treated without surgery, especially if they’re in the early stages. In Ayurveda, piles are understood as ‘Arsha’, and managing them non-surgically is definitely a realistic opton. One of the main reasons piles occur is due to aggravation of the Vata dosha, compounded by constipation and poor digestive habits.
First off, diet plays an essential role. Increasing fiber intake is indeed beneficial. Include more whole grains like barley and oats, as well as fresh fruits like apples, papayas, pears and vegetables like leafy greens, carrots, and beets in your meals. These can help soften stools making bowel movements smoother. It’s also crucial to stay hydrated, so Water, and avoid caffeinated and alcoholic drinks.
For constipation you’re experiencing, Ayurveda recommends a routine using Triphala, a common Ayurvedic formulation. Taking 1 teaspoon of Triphala powder with warm water before bed can help regularize bowel movements. Of course, this should be done alongside a balanced diet.
You mentioned bleeding, in which case, applying coconut oil or warm sesame oil to the affected area can sometimes relieve pain and itching. Sitz baths, where you sit in warm water for about 15 minutes a few times a day, can be particularly soothing and effective.
It’s also advisable to avoid sitting for long periods to relieve pressure on the anal region. Incorporate light physical activity like walking or yoga, which can improve circulation.
Over-the-counter creams might not address the root cause, but Ayurvedic formulations like Nagkeshar and Kankayana Vati can be used under guidance of a qualified practitioner for better results.
If symptoms persist or worsen, it’s important to consult with an Ayurvedic physician or a healthcare provider to explore customized treatments tailored to your condition. With consistent lifestyle changes and appropriate measures, many individuals find relief without surgical intervention.
Yes, piles can often be managed effectively without surgery, especially in their early stages. Addressing the root cause behind piles involves a balanced and consistent approach, primarily focused on easing the symptoms and improving digestive health. Since you mentioned frequent constipation, it’s likely contributing to the issue. In understanding from a Siddha-Ayurvedic perspective, it’s important to balance the Vata dosha, which governs movement and elimination in the body.
The first step would be to look at your diet. Increasing dietary fiber is indeed beneficial, as it helps to soften stools and regulate bowel movements. Incorporating more whole grains, fresh fruits, and vegetables could be helpful. You might try having a small handful of soaked fenugreek seeds in the morning with warm water, as they are known to aid digestion and ease constipation. Also, a warm glass of water with a bit of lemon juice first thing in the morning may help get things moving.
Hydration is equally crucial. Drinking adequate water throughout the day can also help prevent constipation. Avoid caffeine and alcohol, as they can dehydrate you further and potentially worsen symptoms.
Alongside dietary changes, there are topical options within Ayurveda, such as applying a paste of dry know kushta (Saussurea lappa) and clarified butter externally to the affected area which can provide relief. External applications of medicated oils such as Jatyadi taila may also help reduce discomfort and itching.
Regularly practicing yoga asanas like Pavanamuktasana and Malasana can improve circulation to the pelvic region, supporting proper bowel movements. A short, daily meditation and pranayama practice, like Nadi Shodhana (alternate nostril breathing), may aid in managing stress, as stress can exacerbate Vata imbalances.
If there’s bleeding involved, though, it’s important to keep an eye on it. If it becomes persistent or is accompanied by severe pain, seeking consultation from a healthcare provider would be appropriate. Piles can sometimes indicate other conditions, so having them checked can rule out more serious issues.
Always consult with a health professional before trying any new remedy or treatment, especially in managing any bleeding. While these suggestions can help manage and alleviate symptoms, a personalized consultation with an Ayurvedic practitioner would be ideal to tailor the treatment to your specific constitution and condition.

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