External piles, or hemorrhoids, can indeed often be managed effectively without surgery, especially when they’re not too severe. In the Siddha-Ayurvedic tradition, we see this primarily as an issue of impaired agni (digestive fire) and imbalances in the doshas, usually involving pitta and vata. Addressing these foundational factors can provide relief and promote healing.
First, it’s good that you’re increasing your fiber intake and water—these are crucial in preventing constipation, which is a common contributor to piles. Keep that up, and consider adding more whole grains, fruits, and leafy vegetables to enhance their effect. In Ayurveda, triphala, a blend of three fruits, is a trusted remedy for improving digestion and regularity. You might take it as a powder or tablet at bedtime with warm water.
Applying coconut oil externally can provide some soothing relief from itching and irritation, thanks to its anti-inflammatory properties. Aloe vera, a bit more cooling, can also be applied topically. Making these simple topical applications can complement internal remedies.
Herbal formulations such as Haritaki or Triphala help to cleanse the bowels, thus reducing the strain during bowel movements. You might also find Pilesgon capsules, an Ayurvedic formulation, beneficial for reducing the size and discomfort of hemorrhoids.
Other lifestyle changes, such as avoiding sitting for extended periods and performing exercises like walking or mild yoga, can also support recovery. Check if it’s feasible to do regular squats or knee hugs to stimulate circulation and alleviate pressure in the rectal area.
Avoid excessive spicy and fried foods, which may aggravate pitta. Instead, include cooling herbs and foods such as coriander, fennel, and amla. These adjustments can harmonize your overall dosha balance.
Nevertheless, if the discomfort persists or worsens, consult your healthcare provider to rule out more immediate problems. This holistic approach, centered on dietary changes and Ayurvedic supplements, should bring about relief, but being attentive to any changes is always wise.



