Seeking Ayurvedic Treatment for Grade 1 Piles and Chronic Constipation - #48076
Dear Dr. Ravi Chandra Rushi, I am writing to seek your expert advice for the management of Grade 1 Piles (Haemorrhoids) accompanied by chronic constipation. My main symptoms include significant straining during bowel movements and a persistent feeling of incomplete evacuation, which has contributed to the piles' discomfort. My diet is primarily healthy and home-cooked, yet the condition restricts my daily activities and social life, which is a major concern. My primary goal is a complete, root-cause Ayurvedic healing protocol. I require a sugar-free treatment plan with no side effects. I would be grateful for your personalized recommendations regarding internal herbal medicines, specific dietary adjustments, daily routines (Dinacharya), and any topical applications or home procedures I should follow. Could you also advise on the expected timeline for improvement? Sincerely, Amrita
How long have you been experiencing constipation and piles?:
- More than 6 monthsWhat is the consistency of your stools?:
- Soft but difficult to passDo you have any other digestive issues?:
- Frequent gasDoctor-recommended remedies for this condition
Doctors' responses
Hi Ano rectal disorders are mainly cause by gastric issues and constipation but not to worry I don’t know how you identify grade 1 haemorrhoids but if it is so then not to worry Tab gasex -2 BD Triphala churna -1 tsp - morning with warm water For another rectal Tab pilex forte-2-BD Oint pilex forte …apply the ointment inside anal canal with the help of applicator Do it for 15 days
Hi Amrita, I get how tough it is to deal with constipation and Grade 1 piles—especially when you’re always straining, never feeling fully relieved, and that annoying gas keeps cropping up. It chips away at your day and your confidence.
YOUR CONCERN
- Grade 1 piles (internal hemorrhoids), going on for over 6 months
- Main troubles: heavy straining, that unfinished feeling, frequent gas
- Stools are soft but still hard to pass
- You eat mostly healthy, home-cooked food
- The goal: get to the real root—no quick-fix laxatives
AYURVEDIC TAKE
Ayurveda looks at this as a mix of a few things: 1. Gudagata Vata: Vata is out of balance in your rectum. That messes with how your bowels move—so even soft stools feel tough to pass. 2. Mandagni & Apana Vata Dushti: Your digestive fire is a bit weak, which means more gas, that stuck feeling, and constant straining. 3. Arsha (Grade 1): Early piles—more from long-term constipation and pressure, not any permanent damage.
Here’s the main thing: constipation is the real culprit here. Fix that, and the piles sort themselves out.
WHAT WE’RE AIMING FOR
- Get bowel movements back to normal—easy, natural, and complete - Balance Apana Vata so everything moves the right way - Ease pressure in the rectum so the piles shrink - Kick out the gas and bloating - Keep this from coming back
AYURVEDIC PLAN FOR YOU
INTERNAL MEDICATION
1. Gandharvahastadi Kashayam Take 15 ml with the same amount of warm water at night, after dinner. This helps the bowel move smoothly, but it’s gentle—not a harsh laxative.
2. Triphala Churna Half a teaspoon at bedtime with warm water. This strengthens your colon, keeps things from drying out, and helps you go naturally.
3. Hingvashtaka Churna Quarter teaspoon after lunch and dinner, with warm water. This keeps gas in check, helps your gut work better, and stops you from straining.
EXTERNAL CARE
Jatyadi Taila Apply inside the anal opening at night with a clean finger. Do this every night for 2–3 weeks. It heals the lining, eases irritation, and keeps things from getting worse.
DIET TIPS (THIS REALLY MATTERS)
What to include every day:
- Warm water as soon as you wake up
- Soft, cooked veggies (lauki, pumpkin, carrots, beets)
- Moong dal, rice, roti with ghee
- 1–2 teaspoons of cow ghee daily
- Stewed apple or 5–6 soaked raisins
What to skip:
- Dry snacks like biscuits, toast, popcorn
- Raw salads at dinner
- Tea or coffee on an empty stomach
- Too much chili
- Long sessions sitting on the toilet
DAILY HABITS THAT HELP
- Start your day with a glass of warm water - Go to the bathroom only when you really feel the urge—don’t force it - No straining or scrolling on your phone in there - Take a light walk for 15–20 minutes - Keep your meal and sleep times steady
A SIMPLE HOME REMEDY
Take a warm sitz bath every evening—just sit in warm water for about 10 minutes. This relaxes the muscles around your anus and makes it easier to go without straining.
This approach skips sugar, isn’t habit-forming like some laxatives, and it’s safe long-term. If you follow it, you can keep piles from coming back. You’re at a stage where you don’t need surgery or lifelong meds. With a bit of discipline and the right steps, you can put this behind you.
Warm Regards Dr. Snehal Vidhate
Internal Medicines 1 Abhayarishta – 15 ml + 30 ml warm water after lunch & dinner 2 Triphala Guggulu – 1 tablet twice daily after meals 3 Arshoghni Vati – 1 tablet twice daily after meals 4 Hingwashtak Churna – 1 tsp + warm water after meals
Dietary Adjustments Eat: Moong khichdi + 1–2 tsp ghee, papaya/pomegranate, cooked lauki/turai, thin buttermilk + roasted jeera Drink: 3–4 L warm water daily
Avoid: Spicy/sour, fried food, maida, dairy (except ghee), late dinner, cold drinks
Daily Routine (Dinacharya) Wake up and warm water sip + 10 min Vajrasana after meals Gentle walk 20–30 min daily Sleep 10 PM – 6 AM strictly
Topical/Home Procedures Warm Sitz Bath (hot water + pinch rock salt + 1 tsp Triphala powder) – 15 min twice daily (reduces swelling & pain) Apply Jatyadi Ghrita locally after bath (heals fissures & piles)
Expected Timeline Gas & straining ↓ 70–80% in 10–15 days Bleeding & discomfort reduce in 30 days Complete healing & regular motion in 60–90 days
Regards Dr Gursimran Jeet Singh MD Panchakarma
Root cause (Ayurveda) Mainly Apāna Vāta disturbance + weak Agni, causing hard stools and straining.
Anuloman dsb 1tab bedtime with warm water Gandharva Haritaki – 1 tab at night (for regular bowel movement) Pilosage 1tab bd after food Kanchanara Guggulu 1tab bd after food
Local application Sunarin ointment or pilex ointment– apply locally morning & night Trophala churna Warm sitz bath 10 minutes daily Diet (very important)
Cooked vegetables, bottle gourd, ridge gourd, pumpkin Rice, green gram, ghee (1–2 tsp daily)
Avoid spicy food, fried food, bakery items, cheese, excess tea/coffee Daily routine (Dinacharya) Fixed toilet time in the morning Do not strain or sit long in the toilet Walk 30 minutes daily Avoid suppressing natural urges Expected improvement Constipation relief: 7–10 days Piles symptoms reduce: 3–4 weeks Complete control if routine maintained: 6–8 weeks ⚠️ Surgery not needed at Grade-1 if constipation is corrected.
Dr RC BAMS MS Ayurvedic Proctologist
Amrita,I am Dr.M. Sushma and I have carefully read about your situation with Grade 1 piles chronic constipation and frequent gas…
From an Ayurvedic view your problem is due to Vata imbalance in the lower digestive tract, which is causing sluggish bowels straining and swelling in the anal area… Even though your stools are soft they are difficult to pass which shows that digestion and bowel movement are not functioning properly…
For internal support take Pilex tablets two tablets twice daily after meals… Abhaya Aristha two teaspoons twice daily after meals… Giloy tablets one tablet twice daily…. Drink enough warm water during the day and never hold back the urge to pass stools…
Diet should be soft warm and easily digestible… Include cooked vegetables like bottle gourd ash gourd pumpkin and carrot and whole grains such as rice and oats… Add ghee daily… Avoid cold dry heavy foods fried items and too much tea or coffee… Eat at regular times and chew your food properly…
For external care apply Pilex oint on the anal area after bowel movements to reduce swelling and irritation… Take sitz baths twice daily for fifteen minutes to soothe discomfort and help healing…
Daily routine should include morning walks and abdominal breathing exercises to improve circulation and bowel movement Make sure to get proper sleep and keep stress under control
If you follow this plan consistently you will notice improvement in bowel evacuation and reduction of piles discomfort within two to three weeks Complete healing at the root level may take two to three months depending on response…
Avoid straining heavy lifting and delaying bowel movements as these will worsen piles…
CHRONIC CONSTIPATION AND PILES CAN BE VERY DISTRESSING AND INTERFERE WITH YOUR DAILY LIFE YOUR STRAINING AND FEELING OF INCOMPLETE EVACUATION SHOW THAT YOUR DIGESTION NEEDS GENTLE AND NATURAL SUPPORT
FOR INTERNAL MEDICINES TAKE A TEASPOON OF TRIPHALA POWDER AT NIGHT WITH WARM WATER OR HONEY IF YOUR DIGESTION IS GOOD THIS HELPS REGULATE BOWEL MOVEMENTS AND STRENGTHEN THE INTESTINAL TISSUE TAKE A TEASPOON OF MEDICATED CLARIFIED BUTTER ON AN EMPTY STOMACH AT BEDTIME TO SUPPORT SMOOTH EVACUATION YOU CAN ALSO TAKE HALF TEASPOON OF HARITAKI WITH ROCK SALT AT NIGHT WITH WARM WATER TO REDUCE STRAINING AND PREVENT CONSTIPATION
DIET SHOULD BE LIGHT AND EASY TO DIGEST INCLUDE WARM COOKED FOODS WITH FIBER LIKE MOONG DAL KHICHDI SOFT COOKED VEGETABLES AND RIPE FRUITS DRINK PLENTY OF WARM WATER THROUGHOUT THE DAY AVOID RAW COLD FOODS FROZEN ITEMS REFINED SUGAR HEAVY FRIED FOODS AND EXCESSIVE DAIRY EAT SMALL FREQUENT MEALS RATHER THAN LARGE HEAVY MEALS
FOR DAILY ROUTINE WAKE UP EARLY PRACTICE GENTLE OIL MASSAGE FOLLOWED BY WARM SHOWER MAINTAIN REGULAR BOWEL HABITS USING A LOW FOOTSTOOL TO EASE EVACUATION GENTLE WALKING OR YOGA POSES THAT OPEN THE PELVIS AND SUPPORT DIGESTION ARE HELPFUL AVOID PROLONGED SITTING AND STRAINING
FOR EXTERNAL CARE TAKE SITS BATH IN WARM WATER TWICE DAILY FOR 10 TO 15 MINUTES TO REDUCE INFLAMMATION APPLY MEDICATED CLARIFIED BUTTER LOCALLY TO SOOTHE PILES AVOID HEAVY LIFTING AND STRAINING DURING BOWEL MOVEMENTS
WITH CONSISTENT USE OF MEDICINES DIET AND DAILY ROUTINE YOU CAN EXPECT IMPROVEMENT IN BOWEL REGULARITY AND REDUCTION IN PILES DISCOMFORT WITHIN THREE TO FOUR WEEKS COMPLETE HEALING AND STRENGTHENING OF RECTAL TISSUE MAY TAKE TWO TO THREE MONTHS MEDICINES CAN BE ADJUSTED BASED ON YOUR RESPONSE
CONSISTENCY GENTLE CARE AND BALANCED DAILY HABITS ARE KEY TO ROOT CAUSE HEALING THIS PLAN IS NATURAL SUGAR FREE AND WITHOUT SIDE EFFECTS IF THERE IS BLEEDING SEVERE PAIN OR CHANGE IN STOOL PATTERN PLEASE CONSULT A PHYSICIAN IMMEDIATELY
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Tab. Live 52 DS 1 tab twice a day before food. Cap. Mebarid 2 caps twice a day before food. Syp. Abhayarishta 2 tsp twice a day before food.
Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.
Hi, As per the details provided by you You are having disturbed Apan Vata, Agnimandya, Aam formation. The root cause of your problem is Dryness + weak gut motility + disturbed Apana Vata. So Unless constipation is corrected piles will keep recurring, even if local symptoms reduce. We have to focus on the following points - Improvement in bowel movement - improvement in digestion - Local healing of anal region - Diet & Lifestyle correction
Take following medicine
1) Triphala Churna + Shunthi churna – 5 gm With lukewarm water daily morning empty stomach.
2) Hingvastak Churna – ½ tsp with 1st bite of lunch & dinner with warm water or buttermilk
3) Arshoghni Vati / Pilex Tablet / Kankayan Vati - (any 1) - 1 tab twice a day after food with water.
4) Suran vatak - 1 tablet twice a day after food with water.
5) Abhayarishta syrup - 15 ml + equal warm water After dinner.
6) Jatyadi Taila - Apply gently inside anal opening and around the piles tag.
Diet plan - Warm, freshly cooked food Moong dal, masoor dal Lauki, tori, pumpkin, carrot, Suran Stewed apple / papaya Cow ghee – 1 tsp daily
Avoid in Diet - Bakery products, biscuits, Cheese, paneer, Dry snacks, nonveg diet, Spicy Excess tea/coffee Late-night dinner
Daily Yoga - Pawanmuktasana - Malasana - Vajrasana after meals - Anulom Vilom (5–7 min)
Remember Respond immediately to natural urge As Suppressing urge worsens piles Avoid enemas & strong laxatives
Start with Pilex tab 1-0-1 after food Hareetaki churna half teaspoon with warm water twice a day after food Panchavalkala kwatham sitz bath daily
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