why do piles happen - #37454
I am dealing with this annoying issue that’s driving me a bit insane lately and I just need to know why do piles happen? It all started a couple of months ago after I had this long road trip where I sat for hours without much movement. Like, I thought I was being healthy with snacks but probably ate too many junk food items. Anyway, I started noticing this discomfort, and then there was this itchiness, which made me think maybe it’s just something I ate. Then I went to the doc, and after a few tests, they told me I have piles! Ugh. I felt totally betrayed by my body. Why do piles happen? Is it really just about the sitting too long or could it be something else, like genetics? My dad had a similar issue, but I didn’t think it would hit me this young. Now, I’m sitting here wondering if it’s even safe to go back to my normal routine or if I need to change my diet or something? I also heard about some Ayurvedic remedies online and wonder if those actually help, or is it too late for that? I guess I'm just confused and seeking advice on why do piles happen and how to prevent it from getting worse. Any insight would be super appreciated!!
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Doctors' responses
Piles, known medically as hemorrhoids, happen due to a variety of factors that often interplay with each other. From an Ayurvedic perspective, they are primarily the result of an imbalance in the Vata and Pitta doshas, leading to the accumulation of excessive heat and dryness, which aggravates the rectal veins. Sitting for long durations during your road trip and consumption of unhealthy, processed foods likely contributed to this imbalance by weakening your digestive fire, or Agni. Lifestyles that involve prolonged sitting can impair the normal movements of Vata dosha, increasing pressure on the anal veins. Likewise, the consumption of junk food disturbs your Pitta dosha, irritating internal tissues and triggering inflammatory responses.
Genetics do play a role, as a familial predisposition can make individuals more susceptible to piles, this might be relevant since you mentioned your father had similar issues. However, it’s not solely deterministic; lifestyle choices have a significant impact too. To safely return to your routine, consider making some changes aimed at maintaining a balanced dosha.
Bowel movements should be regular to avoid straining; drink plenty of warm water throughout the day as it aids in maintaining a healthy Vata balance. Modify your diet by incorporating more fiber-rich foods such as whole grains, fruits like papayas and vegetables to prevent constipation. Minimize consumption of spicy, oily, and fried foods which aggravate Pitta dosha. Practicing physical activities like yoga or gentle walks can enhance digestion and circulation, relieving pressure on the anal area.
Ayurvedic remedies can definitely offer support. Well-established treatments include Triphala, an herbal concoction known for its gentle laxative effect and ability to bolster digestive health. Applying coconut oil or witch hazel locally can provide relief from symptoms like itching and swelling. In more advanced stages, treatments like Kshar Sutra – an Ayurvedic surgical approach, may be considered under professional guidance.
Remember, chronic or severely painful piles may require medical intervention, so if the symptoms persist or intensify, consider consulting with a healthcare provider to discuss a comprehensive plan. But with mindful adjustments in your lifestyle and diet, you can manage and improve your condition effectively.

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