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
