Hello I understand how uncomfortable and worrying grade 3 piles (hemorrhoids) can be, especially during the delicate phase of postpartum recovery and breastfeeding. But dont worry we are here to help you out😊
In Grade 3 piles, the swollen hemorrhoidal veins prolapse during defecation and require manual reduction, which indicates a more advanced stage of the disease — one that often needs combined management (Shamana + Shastra karma) for lasting cure.
✅ SAFETY OF AYURHOIDS DURING BREASTFEEDING
Ayurhoids is a proprietary Ayurvedic formulation that generally contains herbs like– Triphala (Haritaki, Bibhitaki, Amalaki), Nimba (Neem), Kanchanar, Suran (Amorphophallus), Nagkesar, Kutaj, Trikatu, and others.
While these herbs are natural and effective for piles, some ingredients like Trikatu (Pippali, Maricha, Shunthi) can increase heat in the body and may slightly affect breast milk quality if taken in high doses or for long duration.
👉 So Ayurhoids is not absolutely unsafe, but it should be taken only under a physician’s supervision during lactation, with careful dose adjustment and close observation of the baby for any signs of colic or restlessness.
If you wish to stay on the safer side during breastfeeding, you can begin with gentler and lactation-safe alternatives as listed below.
✅INTERNAL MEDICATION (Lactation-Safe Alternatives)
1 Triphala Churna 1 tsp at bedtime with warm water (Relieves constipation, reduces strain during stool)
2 Abhayarishta 20 ml with equal water after food (Improves bowel movement, tones rectal veins)
3 Arshoghni Vati (mild dose) 1 tablet twice daily after food (Shrinks piles and reduces bleeding)
4 Kankayan Vati 1 tablet twice daily after food (Relieves congestion and inflammation in rectal veins)
✅EXTERNAL TREATMENT
✅Sitz Bath 1. Boil Triphala (1 tablespoon) in 2 liters of water. 2. Strain and cool till warm and comfortable. 3. Sit in this decoction for 15–20 minutes, twice daily — morning and evening. 4. After the bath, gently pat dry and apply Jatyadi ghrita externally.
Benefit Reduces swelling and inflammation, Relieves burning, pain, and itching, Enhances venous circulation and healing.
✅Local Application
After sitz bath, apply any of the following locally: Jatyadi ghrita — for wound healing and soothing relief,
✅ IS SURGERY THE ONLY OPTION?
Not always — but in Grade 3 piles, where hemorrhoids prolapse and need manual repositioning, the chance of complete cure through medicines alone is limited. You can control symptoms (pain, bleeding, swelling), but the prolapse often persists unless addressed mechanically.
Ayurveda offers minimally invasive para-surgical procedures which are safe even for women and can provide permanent relief, such as:
1. Kshara Karma (Caustic Alkali Application) A controlled herbal cauterization using Apamarga Kshara. Shrinks piles mass, stops bleeding, and heals the site with minimal pain. No hospital stay needed; recovery in 3–5 days.
2. Ksharasutra Therapy- A medicated thread is tied around the pile mass. The pile tissue gradually sloughs off, giving complete relief. Especially effective for Grade 3 and 4 cases, with minimal recurrence.
👉 These are minor Ayurvedic surgical procedures, not major surgeries, and are much safer than conventional hemorrhoidectomy, especially for women recovering from childbirth.
So, yes — surgery is an option, but Ayurveda provides a gentler surgical alternative that’s effective and has faster recovery time.
✅DIET AND LIFESTYLE FOR HEALING
✅ Include
Include fiber-rich foods: cooked vegetables, fruits like papaya, banana, figs, soaked raisins. Drink warm water throughout the day. Add 1 tsp ghee in warm milk at night for soft stools. Do sitz baths (warm water with Triphala decoction) twice daily. Gentle postpartum pelvic exercises and Moola Bandha (anal contraction yoga) to tone rectal muscles.
❌ Avoid
Avoid spicy, fried, and heavy foods. Avoid prolonged sitting or straining during stools. Do not ignore constipation — it worsens piles. Avoid cold and dry foods that aggravate Vata.
Wishing you a good health😊
Warm regards, Dr Snehal Vidhate
Since you are breastfeeding, , give minimal medicine Apply jatyadi oil on affected area in anal region 3-4 times / day. Avoid spicy, sugary, street foods and heat producing foods Avoid nonveg. Do sitz bath twice daily with few drops of betadine. Ayurhoids has good combination of ayurvedic ingredients, so you can take but low dose Start with 1 tablet a day or 1 tablet twice a day, don’t go for higher dose .
Ayurhoids is generally not recommended during breastfeeding as it contains certain hearts that can influence digestion and elimination strength which might indirectly affect breastmilk, quality and babies digestion. It is better to avoid it till your lactation period is over for your grade 3 piles Ayurveda offer safe options, even for breastfeeding mothers. Focusing on softening stools, reducing inflammation, and strengthening rectal veins naturally
Start with Triphala churna 1 teaspoon with warm water at night Gandharvahastadi kashayam 15 ML with equal quantity of water after meals Play Jatyadi tailam externally Do sitz bath with Panchavalkala kwath daily for 15 minutes Eat light, fibre, rich food like cooked vegetables ghee moong dal Award, spicy, fried, and fermented items Drink warm water frequently and never delay bowel moment Do pavanamuktasana and Mala Sana will help
Surgery is needed only when bleeding is severe or prolapse is persistent even after consistent herbal treatment. In most cases, piles of even Gayatri can be reversed naturally with disciplined Ayurvedic care, correct diet and bowel regulation.
It’s not advisable to consume ayurhoids during breast feeding Do sitz bath 3 times for 15 minutes daily Apply piled ointment after daefecation Drink plenty of fluids Include fruits vegetables in diet Avoid spicy sour fermented processed foods
It’s very tricky to consume medicine through breastfeeding time and pregnancy time:- do natural phenomenon it’s safe for you:-
Sitz bath= take JYATYADI OIL and do sitz bath at night
TRIPHLA CHURNA Nagkeshar CHURNA= mix both take 1 tsp at bed time …it’s stops bleeding and clean your gut…
Consume ghee with milk at night …
Take fibrous fruits .
1.Arshoghni Vati 2 tab twice daily with water after meals 2.Triphala Guggulu 2 tab twice daily with water after meals 3.Abhyarishta 20 ml with 20 ml water twice daily after meals 4.Pilex forte cream-apply it thrice daily
Supportive Therapies - Sitz Bath: Daily warm water sitz bath with Triphala or neem decoction.
Diet & Lifestyle Tips - Avoid: Spicy, fried, and constipating foods; sitting for long hours. - Favor: Warm, fibrous meals—moong dal, ghee, barley, and cooked vegetables. - Hydration: Drink warm water with a pinch of fennel or coriander seeds. - Routine: Regular bowel habits, gentle yoga (e.g., Pawanmuktasana, Vajrasana).
⚠️ Breastfeeding Consideration - Ayurhoids contains strong herbs like Haritaki and Kasis which may affect breast milk composition or cause colic in infants. Avoid unless prescribed by a qualified Ayurvedic doctor. - Safer alternatives during lactation include Abhayarishta, and dietary regulation.
HELLO,
Piles are swollen and enlarged veins inside or around the anus and lower rectum- just like varicose veins in the legs , but in the anal area. They are soft vascular cushions that help control stool, but the they get inflamed or enlarged, they cause symptoms like -Bleeding during bowel movement (often bright red blood on the stool or toiler paper) -Prolapse-the pile mass may come out of the anus during passing stool -pain,burning, itching or mucus discharge -feeling of incomplete evacuation or heaviness
WHAT IS GRADE 3? -prolapse that must be pushed back mannually
So, garde 3 meals your piles are large enough to prolapse, but you still push them back. There is ususally bleeding and discomfort
WHY DO PILES OCCUR?
A) FROM MODERN MEDICAL POINT OF VIEW -Constipation and straining - increase pressure inside anal veins -preganancy and postpartum- pressure from the uterus and hormonal changes cause vein weakness (common after delivery) -prologed sitting- e.glong hours nursing your baby or desk work -low fiber diet- hard stools more straining
FROM AN AYUREVDIC PERSEPCTIVES Piles are called Arsa they occur due to imbalance of three dosha -VATA=causes dryness, constipation and pain -PITTA= causes inflammation, burning and bledding -KAPHA= causes heaviness and swelling
Usually, your case (bleeding piles after childbirth) is a vata pittaja arsa
Ayurveda says that long term constipation, irregular food habits, sitting for long periods, suppression of natural urges, and postpartum weakness disturb the digestive fire and vitiate doshas, leading to swelling in anal veins
TREATMENT GOALS -regular soft bowel movement -shrink piles mass and reduce metabolism -ensure safety for breastfeeding -strengthen pelvic floor and venous system -improve general nutrition and hemoglobin
INTERNAL MEDICATIONS
1) TRIPHALA CHURNA= 1 tsp with warm water at bedtime = natural mild laxative, clears constipation, improves gut fire
2) AVIPATTIKAR CHURNA= 1/2 tsp with warm water before meals twice daily for 4 weeks =reduces acidity and pitta, helps bleeding control
3)ARSH KUTHARA RASA= 1 tab twice daily after meals for 6 weeks =reduces pile mass, stops bleeding, improves digestion
4) KANKAYAN VATI= 1 tab twice daily after meals for 6 weeks =helps prolapsed piles and digestion
5) GANDHAKA RASAYANA= 250 mg twice daily after meals for 4 weeks =tissue healing, anti inflammatory safe in lactation
6) TRIPHALA GUGGULU= 1 tab twice daily after meals for 12 weeks =reduces swelling, improves venous tone
7) DRASHAVALEHA= 1 tsp after meals for 4 weeks =supports bowel movement, nourishes body- safe in lactation
EXTERNAL THERAPIES
1) STIZ BATH= sit in a warm water with decoction of Triphala for 15 mi twice daily esp after defecation =reduces swelling, improves blood flow, relieves pain and itching
2) LOCAL APPLICATION= use ointment Arshoil or piles after washing area gently =shrinks piles, stops bleeding
3)KSHARA KARMA = done in ayurvedic proctology clinic under local anesthesia (do if by above treatment improvement is not observed ) =herbal cauterisation dissolves pile tissue
4) KSHARA SUTRA LIGATION= done for grade 3 piles specialised ayurvedic centre =medicated thread tied at pile base- cuts off pile gradually, minimal recurrence
HOME REMEDIES -drink 2.5- 3 L of water. daily -soak 2 tsp of isabgol In warm milk at night to soften stools -Eat 2-3 soaked black raisins every morning- gentle laxative -Aloe vera pul= 1-2 tsp or amla juice 20ml in morning - cooling ad anti pitta -Apply coconut oil or castor oil externally if dryness or pain -Use stool softening foods= boiled vegetables, leafy greens, papaya, figs, dates
DIET -warm,f freshly cooked food -moong dal khichdi, rice gruel, vegetable soups -cooked vegetables- bottle gourd, ridge gourd, spinach, pumpkin, beetroot -Fruits= banana, papaya, apple, pear, figs, black raisins, pomegranate -Ghee 1 tsp daily- lubricates intestines -Buttermilk with roasted cumin and rock salt after lunch- improves digestion -Whole grains= oats, millets, wheat -Warm water through the day- avoid cold drinks
AVOID -spicy, fried, oily or processed meals -excess red meat, alcohol, coffee, tea -bakery products, refined flour, cheese -very dry foods- chips, crackers -proloned fasting or irregular meals
LIFESTYLE -empty bowel daily without straining -sitz in warm sitz bath after bowel movement -gentle walk 20-30 min/day -sleep 7-8 hours at night -keep perianal area clean and dry -use soft cushions when sitting esp postpartum
DON’T -don’t suppress urge for defecation -don’t sit long o toilet or use ph -avoid heavy liftig/ long sitting -avoid late nights, stress -don’t use chemical soaps -avoid sitting on hard surfaces
YOGA AND PRANAYAM Avoid yoga immediately after delivery util 6-8 weeks postpartum
-Pawanmuktasana= improves digestion -Vajrasana= sit after meals to aid digestion -malasana= tones pelvic muscle -sarvangasana=improves venous return -setu badhasana= sthregnthens anal and pelvic floor muscles
PRANAYAM -Aanulom vilom= balaces doshas, calms mind -bhramari= reduces stress, improves circulation -deep diaphragmatic breathing- helps postpartum tone
-Grade 3 piles are reversible if treated early and carefully, even postpartum -Breastfeeding safety is priority - avoid Ayurhoids strictly -Ayurevdic treatment works slowly but deeply -always treat constipation first- it’s the root cause -avoid mental stress, anxiety and hurry during bowel movement
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Dont take Ayurhoids while breastfeeding, skip it. Ashwagandha can pass to baby, so better safe.
Grade 3 piles – full cure without surgery? YES, 70-80% chance with herbs + Kshara Sutra (quick thread tie-off, heals in 4 weeks, no hospital). Medicines safe in Breastfeeding- 1. Triphala Churna – ½ tsp nightly. 2. Kutajarishta – 15 ml + water, 2x/day after meals. 3. Shatavari Tabs – 1 (500 mg) 2x/day with milk.
Local Application Jatyadi Ghrita – dab 2x/day. Sitz bath (warm water + Triphala) – 10 mins 2x/day.
Eat: Papaya, oats, ghee, buttermilk. Avoid: Spicy, straining. Daily: 20-min walk, footstool for poop. Bleeding stops in 1-2 weeks. See proctologist for Kshara Sutra if needed.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Ayurhoids, as a proprietary herbal formulation targeted to address issues like piles, varies greatly in ingredients and their safety profiles. For a breastfeeding mother, it is crucial to ensure that any herbal supplements consumed are safe for both you and the baby. Some ingredients may transfer through breast milk and could potentially affect your newborn. Since I do not have the specific ingredient list for Ayurhoids, it’s best to consult with your healthcare provider or a pediatrician who understands both Ayurveda and breastfeeding for personalized evaluation.
Regarding grade 3 piles, complete recovery is indeed possible, but the approach does depends on the severity of symptoms and response to treatments. Surgical intervention, while effective for many, isn’t the only route. Ayurveda offers various non-surgical treatments aimed at reducing symptoms and potentially offering relief. Herbal formulations like Triphala churna, which can help in maintaining regular bowel movements, and Kanchanar guggulu, known for its anti-inflammatory properties, might be beneficial.
For immediate relief, you may also consider using local applications like a sitz bath with warm water and certain herbs like neem, or turmeric, known for their healing properties. Maintaining a balanced diet rich in fiber, such as fresh fruits, vegetables, and whole grains, is vital. Drinking ample water aids in reducing constipation, a leading cause of piles. Also avoid sitting for too long and practicing yogasanas like Pavanamuktasana or Malasana, which can improve circulation in the rectal area.
However it’s essential to note that Ayurveda treatments require patience and consistency. If the condition does not improve or worsens, surgery might still be considered as a viable option. Always consult a qualified Ayurvedic practitioner who can cater the treatments to your specific constitution, ensuring a holistic approach.
