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haemorrhoids (Piles)

Feature on homeopathic treatment of piles . Best Homeopathic medicines for hemorrhoids
Haemorrhoids or piles are abnormally enlarged veins in or around the anus, rectum or sigmoid colon caused by increased pressure in the anus or rectal area. In normal condition, the veins of this area act as cushions that aid in stool control. When these veins swell up due to constipation or pregnancy or child birth, they are known as piles or referred as haemorrhoidal disease.

Haemorrhoids may be located inside the anus known as INTERNAL HAEMORRHOIDS OR they may be present outside the anus which can be felt on touching, known as EXTERNAL HAEMORRHOIDS

How to Haemorrhoids Develop?

Haemorrhoids can be technically referred as varicose veins of the anus. Whenever
the veins of the last portion of alimentary canal ,which includes sigmoid colon, rectum and anus get enlarged due to increased pressure, piles develop. Increase in pressure around the pelvic cavity can be caused by:

  • Pregnancy
  • Chronic Constipation
  • Persistent Diarrhoea
  • ObesityAnal Intercourse
  • Low Fibre DietAging

External and Internal Piles

External hemorrhoids develop under the skin around the anus while hemorrhoids located inside the rectum are internal hemorrhoids. Symptoms of Haemorrhoids: 

Symptoms of Haemorrhoids:
External and internal haemorrhoids have different clinical presentations, owing to their position, though some patients may present with a combination of the two.
Clinical Presentation of external piles:
These are located around the anus and usually don't cause discomfort .At times, blood may pool under the skin, forming a hard, painful lump. This is called a thrombosis, or clotted haemorrhoids which may cause severe pain. Streaks of blood may also be present due to damage to the surface of piles. Larger external piles can cause hygiene issues leading to anal irritation and itching.
Clinical Presentation of Internal Piles:
Internal piles usually have painless, bright red rectal bleeding. The blood typically covers the stool, is on the toilet paper, or drips into the toilet bowl. Other symptoms are itching, mucus discharge, skin irritation, discomfort and perianal mass (due to prolapse of haemorrhoid).These piles become painful only when thrombosis.
Complications of Haemorrhoids:
Anemia- Due to chronic blood loss from the haemorrhoids
Strangulated haemorrhoid- Sometimes blood supply to an internal haemorrhoid is cut off leading to extreme pain and gangrene. This is strangulated haemorrhoid.
Diagnosis of Haemorrhoids: The diagnosis of hemorrhoids is based on a medical history and physical examination:
External piles are diagnosed just by external examination.
Internal piles are diagnosed by Digital Anal Examination and Anoscopy.

Other diseases similar to haemorrhoids:
The diseases listed below, have symptoms similar to haemorrhoids .Thus, they need to be differentiated by the physician for proper treatment:

  • Anal fissure or anal fistula.
  • Anorectal abscess.
  • Colon polyp.
  • Inflammatory bowel disease, particularly Crohn's disease.
  • Rectal prolapse


How to prevent haemorrhoids:

  • The piles can be prevented or the symptoms can be made less severe by following the tips mentioned below :
  • high fibre diet
  • take plenty of fluids
  • Don't strain while passing stool
  • Avoid long periods of sitting
  • Regular Exercise
  • Have proper Weight

Management of Haemorrhoids :
A person suffering from haemorrhoids should not get constipated and have soft stools by following the tips mentioned above. In addition to this, the patient should take care of the hygiene of anal area. Sitz bath can also be helpful in relieving pain and swelling.


1. Aconite nap: Where there is discharge of blood with shooting pains and pressure on anus;accompanied with fear, tension and restlessness, sudden and violently. Frequent thirst for large quantity of water.

2. Aesculus hip: The rectum is dry and painful with a feeling of full of sticks with sharp and shooting pains in the back. Burning, heaviness and prolapse of rectum. Amelioration— warmth.Aggravation: application of cold water and in the winter. Very much constipation.

3. Aloe socotrina: When piles protrude like a bunch of grapes and often bleed profusely. Buming pain relieves by cold application, a tendency to diarrhea, feeling of weakness and soreness after stool. Altemating diarrhoea and constipation, or backache and headache. Involuntary stool with, profuse flatus.
4. Ammonium carb: When piles protrude with hard, knotty, difficult stools with itching at anus. Bleeding is worse after menses. Discharges are acrid and offensive. The patient is chilly and tendency to affect right side.
5. Arsenic album: Haemorrhoids which are bluish, buming sensation like fire, and are relieved by heat. Prostration and debility are marked. The patient is chilly, restlessness and fear of death. Frequent thirst for small quantity of water.
6. Hamamelis: When excessive flow of dark blood, with great soreness and imflamation.
Severe weakness.
7. Ignatia: Haemorrhoids characterized by sharp stitching pains, shooting up the rectum. Bleeding and pain aggravated by soft stool and ameliorated by hard stool, warmth and
wondering. The patient is chilly, silent grief, aggravated by consolation, changeable
symptoms. Desires for sours.
8. Kali mur: Haemorrhoids with dark and thick blood which fibrinous and clotted.
9. Nitric acid: Protruding piles that bleed easily,with constipation and fissures; burning, itching and cutting pains after stool relieves by warm application. All discharges are offensive and
acrid. The patient is chilly and generally aggravated at night, cold and winter.
10. Nux vom: Bleeding piles with constant urging to stool, relieved by cold water. Particularly
who are sedentary habits and drunkard. Also bad effects of exhaustion, sexual abuse, night
watching and maltreatment. The patient is angry, oversensitive and chilly.
11. Ratanhia: For protrusion of dilated veins with buming (even in soft stool) and fissure in the
anus, and its great stitching pain and sensitiveness, relieved by warm water.
12. Sulphur : Haemorrhoids due to ailments that lead to these troubles from the suppression of
blood from the tumours which promote heat in the head. Constipation is present with a desire
for stool and itching of the anus. All discharges are offensive and acid. The patient is
susceptible to hot and restless. Aversion to milk, and desire for sweets. Burning of sole, palm and vertex.

Updated: March, 3 2015

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