Thank you for sharing your concern c Based on what you have described the increase in bleeding and pain over the last few weeks along with frequent constipation indicates that the piles have become active again and are currently inflamed .This is a functional worsening rather than a sudden new disease.
ABC juice and raw carrot though generally considered healthy can aggravate piles in people with a history of this condition .Raw juices increase dryness and roughness in the bowel while oats and raw carrot can increase stool bulk without adequate lubrication. When digestion is not strong this combination often leads to hard stools straining and irritation of the anal region which explains the bleeding and pain you are experiencing
Constipation is the main factor here .When stools are hard dry or difficult to pass pressure increases on the swollen veins leading to pain bleeding and delayed healing Even if there is no obvious trigger changes in food texture timing and digestion can restart symptoms
At this stage raw juices should be stopped temporarily Food should be warm soft freshly cooked and easy to digest Breakfast can be porridge soft rice or cooked vegetables rather than raw items, fats such as ghee help soften stools and reduce friction
Water intake should be regular through the day,Cold drinks and irregular hydration worsen constipation
Avoid delaying bowel urges Straining and prolonged sitting in the toilet , Sitting for long hours without movement will also worsen pressure in the rectal area.
Local care is important, cleansing with warm water after bowel movement and avoid dry wiping will reduce irritation. Sit in warm water for a short duration daily helps reduce pain and swelling
Herbal digestive support that improves stool softness and bowel regularity should be used consistently rather than strong laxatives The aim is smooth painless bowel movement once daily without strain
Spicy fried sour and very dry foods should be avoided during this healing phase Alcohol and excessive tea or coffee worsen bleeding
Pain and bleeding usually reduce once constipation is corrected and local irritation settles Improvement is often noticed within one to two weeks with proper care
If bleeding continues or increases despite correcting diet and bowel habits further evaluation is advised to rule out complications
This condition is manageable and reversible with proper food correction bowel regulation and gentle care Consistency is more important than aggressive treatment
HELLO,
WHY YOUR SYMPTOMS INCREASED RECENTLY (root cause analysis) Recent dietary changes causing flare-up -ABC JUICE-> increases pitta-> bleeding, burning, inflamamtion -OATS-> dry, rough -> aggravats vata-> constipation and pain -Raw foods + juices-> weaken digestive fire
This combination leads to -hard stools -strainin -swollen and bleeding hemorrhoidal veins
TREATMENT PRINCIPLES
1) ANULOMANA= soften stools and correct bowel movement 2) RAKTA-STAMBHANA= stop bleeding 3) PITTA SHAMANA= reduce heat and inflamamtion 4)SHOTHA HARA AND VEDANA HARA= reduce swelling and pain 5) VRANA ROPANA= heal local tissue
INTERNAL MEDICATIONS
1) TRIPHALA CHURNA= 1 tsp with warm water at bedtime for 45 das =softens stool , prevents straining, reduces recurrence
GANDHARVA HARITAKI (if constipation is severe)= 2 tab at bedtime with warm water for 7-10 days one
2) NAGAKESHAR CHURNA= 1/2 tsp with rice washed water morning empty stomach for 15 days =stop bleeding
3) PRAVAL PISHTI= 125 mg with honey after breakfast for 15 days =excellent in bleeding piles, reduces burning sensation
4) KANKAYANA GUTIKA= 1 tab twice daily with warm water after meals for 30 days =classical formulation for piles, reduces pain, swelling and bleeding
5) ABHYARISHTA= 15ml + equal water after meals for 30 days =improves digestion, prevents constipation recurrence
LOCAL APPLICATION - VERY IMPORTANT
JATYADI TAILA -apply locally after bowel movement -first clean area with lukewarm water -apply gently with clean finger or cotton =heals wounds, reduces pain and burning, prevents infection
SITZ BATH -warm water + triphala decoction -sit for 10-15 min, once daily =reduces swelling, improves blood circulation
DIET -warm, soft, cooked food only -rice gruel -moong dal -steamed vegetables- bottle gourd, pumpkin -cow’s milk warm, boiled -homemade ghee small quantity
AVOID -ABC juice, beetroot juice -raw salads -oats -spicy, fried, sour foods -tea, coffee, alcohol -sitting long hours
DRINKS -buttermilk with roasted cumin -warm water olnly
YOGA AND LIFESTYLE -malasana= 1-2 min -pawanmuktasana= 10 rounds -Walking= 20 min
AVOID -atraining -sitting long on toiler -suppressing urge
EXPECTED HEALING TIMELINE -Bleeding= improves in 5-7 days -Pain and swelling = 7-10 days -Constipation= 3-5 days -Complete healing = 4-6 weeks
WARNING SIGNS- CONSULT IMMEDIATELY -bleeding continues beyond 2 weeks -severe pain or prolapse -black stools or weakness
IMPORTANT NOTE ABC juice is healthy for some people, but not during active bleeding piles. Once fully healed, diet can be reintroduced gradually under guidance
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
THE WORSENING OF BLEEDING AND PAIN IS STRONGLY LINKED TO THE RECENT DIET CHANGES YOU HAVE MADE ESPECIALLY THE DAILY USE OF ABC JUICE AND DRY BREAKFAST PATTERN
WITH HISTORY OF PILES WHICH MEANS THE VEINS IN THE RECTAL AREA ARE SENSITIVE AND PRONE TO REINJURY WHENEVER STOOLS BECOME HARD DRY OR WHEN STRAINING INCREASES ABC JUICE IS RAW COLD AND DRY IN EFFECT AND WHEN TAKEN REGULARLY ON AN EMPTY STOMACH IT HAS INCREASED DRYNESS IN YOUR INTESTINES THIS HAS DIRECTLY LED TO CONSTIPATION AND STRAINING DURING MOTION WHICH HAS TRIGGERED ACTIVE BLEEDING AND PAIN AGAIN EVEN THOUGH YOUR CONDITION WAS PREVIOUSLY STABLE
BREAKFAST OF ONLY CARROT AND OATS IS ALSO CONTRIBUTING BECAUSE IT LACKS NATURAL LUBRICATION AND WARMTH REQUIRED FOR EASY BOWEL MOVEMENT OVER TIME THIS TYPE OF DRY FOOD PATTERN DAMAGES THE HEALING OF PILES AND PREVENTS THE WOUNDS FROM SETTLING
THE FIRST AND MOST IMPORTANT STEP IS TO STOP ABC JUICE COMPLETELY WITH IMMEDIATE EFFECT AND NOT RESTART IT UNTIL YOUR BLEEDING AND PAIN HAVE FULLY RESOLVED YOU SHOULD ALSO AVOID RAW VEGETABLES RAW JUICES SALADS OATS AND DRY FOODS FOR NOW
YOUR DIET SHOULD SHIFT TO SOFT WARM AND COOKED FOODS THAT SUPPORT HEALING AND SMOOTH STOOLS START YOUR DAY WITH WARM WATER BREAKFAST SHOULD BE COOKED SUCH AS RICE PORRIDGE VEGETABLE PORRIDGE SOFT IDLI OR WELL COOKED DALIYA ADD ONE TEASPOON OF GHEE DAILY TO LUNCH AND DINNER INCLUDE COOKED VEGETABLES LIKE BOTTLE GOURD RIDGE GOURD PUMPKIN AND TAKE RIPE PAPAYA OR STEWED APPLE INSTEAD OF RAW FRUITS
ABHAYARISHTA 20 ML WITH EQUAL WATER AT NIGHT AFTER FOOD TRIPHALA POWDER HALF TEASPOON WITH WARM WATER AT BEDTIME NAGKESAR POWDER 250 MG TWICE DAILY AFTER FOOD GANDHAK RASAYAN 1 TABLET TWICE DAILY AFTER FOOD
TAKE WARM WATER SITZ BATH FOR 10 TO 15 MINUTES TWICE DAILY DO NOT STRAIN DURING MOTION DO NOT SIT FOR LONG ON THE TOILET
MAINTAIN A REGULAR BOWEL ROUTINE WALK DAILY FOR AT LEAST 30 MINUTES SIP WARM WATER THROUGHOUT THE DAY
IF BLEEDING DOES NOT REDUCE WITHIN SEVEN DAYS OR IF PAIN INCREASES YOU SHOULD GET A LOCAL EXAMINATION DONE TO RULE OUT FISSURE OR COMPLICATED PILES
Take arshakutar ras 1tab bd, pilocid 1tab bd, kaishora Guggulu 1tab bd, Trophala churna kashayam for sitzbath u ll get results
Dr RC BAMS MS AYURVEDIC Proctologist
Hello I get why you’re worried. When piles act up with bleeding and pain, especially after changing your diet, it’s really tough. But dont worry we are here to help you out 😊
Okay, so your symptoms sound like piles, or Arsha as we say in Ayurveda. –Vata imbalance: that’s the constipation and pain you’re feeling. – Pitta imbalance: that’s the bleeding and burning.
ABOUT ABC JUICE
Now, about that ABC juice (Apple-Beetroot-Carrot). It’s usually seen as healthy, but for piles, a lot of the time it’s actually not good, especially when you’re bleeding.
Is Your ABC Juice Making Your Piles Worse?
Yeah, probably. Here’s why: –Beetroot and carrot can be heavy and heat-producing. –ABC juice itself is raw, cold, and has a lot of fiber. This can: * Increase Pitta, which makes you bleed more. * Worsen Vata, leading to hard stools and pain. * Raw juices can also make constipation worse if your digestion is sensitive.
Since you had piles before, it’s very likely the ABC juice stirred things up, causing the bleeding and pain you’re feeling now.
STOP These Things Right Away:
* ABC juice * Raw carrot juice * Oats, if they make your stools dry or hard * Spicy, fried, or junk food * Tea, coffee, alcohol
Here’s What You SHOULD Do Now (Step-by-Step):
✅INCLUDE (This is the most important part!)
For breakfast, pick just one of these:
* Warm moong dal cheela * Daliya (broken wheat) porridge * Cooked apple or stewed pear * Idli (skip the chutney for now)
Every day, make sure you have:
* Warm water all day long * 1 to 2 teaspoons of cow ghee with your food * Well-cooked veggies like bottle gourd, ridge gourd, or pumpkin
AYURVEDIC MEDICINES (They’re safe and work well)
1. Abhayarishta: 20 ml with the same amount of warm water, after dinner. This helps soften stools and lets your piles heal.
2. Nagkesar Churna: Half a teaspoon with honey, twice a day after meals. This helps stop the bleeding.
3. Triphala Churna: Half a teaspoon with warm water before bed. This helps prevent constipation (it’s a gentle laxative).
EXTERNAL. CARE Jatyadi Taila or Pilex ointment. Put it on the area at night after washing. This reduces pain and helps with healing.
OTHER HELPFUL THINGS:
–Sitz bath: Sit in warm water for 10-15 minutes, once a day. –Don’t strain when you’re going to the bathroom. –Don’t sit on the toilet for too long.
How Long Until You Feel Better?
* Bleeding: should get better in 5-7 days. * Pain: you’ll feel relief in 3-5 days. * Totally under control: 2-4 weeks (if you stick to the diet strictly).
ABC juice is okay for some people, but it’s not good when you have active piles, especially if you’re bleeding. Once your piles are totally sorted, we can talk about other safe options later.
Warm Regards Dr. Snehal Vidhate
ABC juice normally doesn’t trigger piles. You may have done some apthaya that has triggered your piles.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem.
✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.
🧘♀️ Yogasan : 🧘♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana
🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom
❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.
💊Medication 💊
Tab. Ampachak Vati 2 tabs twice a day before food. Cap. Sunarin 2 caps twice a day before food. Cap. Mebarid 2 tabs twice a day before food. Tab. Gandhak Rasayan 2 tabs twice a day before food stop after bleeding stops. Syp. Abhayarishat 2 tsp with half a cup of warm water before food.
Sunarin cream For local application
Tab. Gandharva Haritaki Vati 2 tabs at bed time with a cup of hot water.
1.Arshoghan vati 2 tab twice daily with water after meals 2.Kankayan vati 2 tab twice daily with water after meals 3.Abhyarishta 20 ml with 20 ml water twice daily after meals 4.Triphala churna 1 tsp with warm water at bedtime ***Takra (buttermilk therapy) – Buttermilk with mild spices like cumin is traditionally recommended for piles.
Diet & Lifestyle Tips High-fiber diet: Whole grains, cooked vegetables, ripe bananas, papaya, figs, soaked raisins.
Avoid triggers: Spicy, oily, fried foods, red meat, alcohol, and excess caffeine.
Hydration: Drink plenty of warm water and herbal teas (coriander, cumin, fennel).
Regular meals: Avoid overeating and irregular eating patterns.
Avoid straining: Do not sit long on the toilet; use a stool softener if needed.
Sitz bath: Warm water sitz baths can soothe discomfort and reduce bleeding.
Exercise: Gentle walking or yoga improves circulation and digestion.
