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Gastrointestinal Disorders
Question #38024
21 days ago
157

Advice on Managing Hemorrhoids and Bleeding - #38024

Client_7e5637

Sir after colonoscopy exam it's final that hemmoried .my problem that bleeding with stool but not regularly.some time .now please advise me how Long I have to pielexHimalayas?

How long have you been experiencing bleeding with stool?:

- More than 6 months

How would you describe the severity of the bleeding?:

- Mild, occasional drops

What is your current diet like?:

- Uncertain, I don't track my diet
300 INR (~3.51 USD)
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Doctors' responses

Hello You can take pilex 2-0-2 after food with water Avipattikar tablet 1-0-1 Tablet Liv-52 1-0-1 after food with water Apply jatyadi oil on anal region twice Avoid spicy, heat producing foods. Avoid nonveg if you are non-vegetarian. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily Take Triphala tablet 0-0-2 at bedtime with water. How long to continue depends on how fast you recover from the problem Diet, ayurvedic medicine as prescribed both are required , for atleast 2 months Later follow up will revise the required medicines if required.

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Mulethi Kwath - 100 grams Sarvakalpa Kwath - 100 grams Kayakalpa Kwath - 100 grams Mix all of them and add one teaspoon of the mixture in 400 ml of water .Boil it until it reduces to 100 ml. Filter and drink it in the morning and evening on an empty stomach. Mukta Pishti - 04 grams Rasmanikya - 02 grams Pravala Pishti - 10 grams Giloy Sat - 10 grams Kaharva Pishti - 10 grams Arshkalpa Vati - Take 1 tablet, twice a day, half-an-hour after breakfast and dinner with the above prescribed kwath (decoction). Ushirasava - Abhyarishta - Take 4 teaspoons (2 teaspoons from each) of the medicine with an equal amount of water after morning and evening meals. Haritaki churna - Take one teaspoon powder at bed time with llukewarm water Along with the above treatment you can apply piled ointment or Jatyadi taila Do sitz bath for 15 minutes three times daily

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
20 days ago
5

Don’t worry take swadista virechana churnam 1tsp with lukewarm water, arshakutar ras 1tab bd,bolaparpati 1tab bd, kanchanara Guggulu 1tab bd should be avoid fastfood oily spicy meat and take fiber food Dr,RC BAMS,MS(ayu) Ayurvedic Proctologist

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1.Arshoghan vati 2 tab twice daily with water after meals 2.Kutajghan vati 1 tab twice daily with water after meals 3.Triphala churna 1 tsp at bedtime with warm water 4.Abhyarishta 20 ml with 20 ml water twice daily after meals 5.Kasisadi taila-Apply externally twice daily

Gentle Lifestyle Tips - Takra (buttermilk) with roasted cumin and rock salt after lunch is excellent. - Avoid spicy, fried, and fermented foods. - Include ghee, cooked vegetables, soaked raisins, and papaya. - Hydration: Sip warm water throughout the day. - Movement: Gentle walks and avoiding prolonged sitting help circulation.

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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
19 days ago
5

Take- 1. Bolbadha Rasa 2-0-2 after food 2. Abhayarishtam 15ml-0-15ml with 15ml water before food 3. Sitz bath with Triphala kwatha 4. Avipattikar Churn 1tsp-0-1tsp after food

Avoid spicy oily food. Have fibre rich diet

Regards Dr Gursimran Jeet Singh

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Piles, or hemorrhoids, can indeed be a troublesome condition, especially with occasional bleeding. Since you’ve had a colonoscopy that confirmed hemorrhoids, it’s beneficial to consider an integrated approach combining Ayurvedic practices with your current treatment.

Firstly, the usage of commercially available formulations such as Pilex is common, but it’s imperative to follow the package instructions or as prescribed by an Ayurvedic practitioner. Typical ayurvedic course can of such medications last for about 2-4 weeks, but it’s best to consult directly with a practitioner for precise guidance tailored to your needs.

From an Ayurvedic perspective, hemorrhoids may be associated with an imbalance in the Vata and Pitta doshas, which can lead to digestive issues and increased pressure in the anal region. Addressing these imbalances requires a dietary and lifestyle approach.

Dietarily, include more fiber-rich foods like whole grains, fruits, and vegetables to soften stools and reduce straining. Hydration is crucial – aim for at least 8 glasses of water a day to maintain healthy bowel movements.

Herbal support is also useful. Triphala, known for its gentle laxative properties, helps in regulating bowel movements. Taking a teaspoon of Triphala powder with warm water at night can enhance digestion and alleviate constipation, which exacerbates hemorrhoids.

Warm sitz baths with neem leaves boiled in the water can provide relief from pain and discomfort by soothing the anal region. Doing this for 15-20 minutes can be significantly beneficial.

Avoid heavy meals late at night, excessive spicy or fried foods, and restrict the consumption of caffeinated beverages as they can irritate the digestive tract. Regular exercise and yoga can also enhance blood circulation and easing symptoms of hemorrhoids.

Should bleeding continue or become more frequent, it is advisable to consult with a healthcare professional to rule out more serious conditions and explore further treatment options.

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HELLO,

Hemorrhoids called arsha in Ayurveda, are swollen blood vessels around the anus or rectum They can be internal or external

In your case- colonoscopy confirmed internalhemorrhoids with mild bleeding

WHY DO THEY OCCUR? -weakdigestion-> production of ama (toxins) -irregualr bowel habits-> chronic constipation or straining -Imbalance of dosha -vata causes dryness and constipation -pitta causes inflamamtion and bleeding -kapha causing swelling and heaviness

Lifestyle and diet errors- spicy foods, sitting for long, stress, late night eating

Over time, these factors Make the veins around the anus weak and swollen leading to -bleeding with stool -painor buring -itching -mucus discharge -feeling of incomplete evacuation

TREATMENT GOALS -relieve constipation -reduce bleeding and inflamamtion -heal pile mass -strengthen digestio -prevent recurrence

INTERNAL MEDICATIONS

1)PILEX HIMALAYA TABLETS= 2 tabs twice edialy afte meals for 3 months = reduces pile mass, inflammation , bleeding, strenghtens veins

2) ABHYARISHTA= 20 ml with warm water after dinner for 2 months =mild laxative, regulates bowel movement

3) TRIPHALA CHURNA= 1 tsp with warm water at bedtime = gentle colon cleanser, improves digestion

4) KANKAYAN VATI= 1 tab twice daily after meals for 2 months =shrinks piles, reduces bleeding, and swelling

5) GANDHAK RASYANA= 1 tab twice edialy after meals for 1 month =anti inflammatory, wound healing, improves digestion

EXTERNAL THERAPIES

1) PILEX OINTMENT= apply gently after cleansing the anal area twice daily =shirnks pile mass, soothes itching.burning

2) SITZ BATH= sit in warm water add 1 tsp triphala Chura or turmeric for 15 mi =improves circulation, redues pain and swelling

3) ALOE VERA GEL= apply a small amount after sitz bath =natural cooling and healing

4) COCONUT OIL + CAMPHOR (1:10)= apply lightly =reduces itching and burning

LIFESTYLE MODIFICATIONS -drink 8-10 glass of warm water daily keeps stools soft, prevent straining -avoid sitting for > 1 hour continuously -defecate early morning regularly -sleep 6-8 hours -avoid reading/phone use in toilet -avoid tight clothing -use soft cushion if sitting long hourS

DIET -whole grians= brown rice, oats, wheat, barley -vegettbales= bottle gourd, pumpkin, ridge gourd, spinach, drumstick ,carrot -fruits= banana, papaya, apple, pomegranate, fig, raisins, amla -fluids= warm water, buttermilk, coconut water -healhy fats= 1-2 tsp ghee daily -herbal teas= cumin fennel corrode rwater -soups= moong dal, vegetale soups with black pepper and cumin

AVOID -spicy, fried, oily foods -red chilli, garlic in excess, pickles,vinegar -tea,coffee ,alcohol, smoking -bakery products, cheese, red meat -cold driks, ice cream, refined flour -excess salt and sour foods

YOGA ASANAS -pawanmuktasana’ -viparita karani -malsanaa -sarvangasaa -balasana

PRANAYAM -anulom vilom -sheetali sheetkari -brahmari

HOME REMEDIES -aloe vera juice 20 ml in morning empty stomach- cooling and laxative -warm water with lemon and honey daily -figs soaked overnight 2-3 pieces gentle laxative cleans colon -blavk raisins 10 soaked overnight improve stool tecxture -casotr oil 1 tsp in milk at bedtime once weekly -turmeric milk at night

Hemorrhoids are fully manageable with Ayurvedic treatment if the root cause are corrected

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Start with Arshakalpa vati 1-0-1 Arogyavardini vati 1-0-1 Abhaya aristha 4 tsp with equal amounts of water after meals Triphala churna 1 tsp with warm water at night Do sitz bath for about 15 minutes daily 3 times Drink plenty of fluids Externally can apply piled ointment after passing stools

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I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
165 reviews
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
313 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
695 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1129 reviews

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Thanks for the advice! I thought it might be the medicine, but it’s good to know when to check back with the doctor. Much appreciated!
Thanks for the advice! I thought it might be the medicine, but it’s good to know when to check back with the doctor. Much appreciated!
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Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
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This answer was super helpful! Loved the natural remedies suggested, feeling more confident about managing this now. Thanks a bunch!