Piles- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga &

Piles is the common term for the ano rectal disease called haemorrhoids. It dates back to early history of humans when we started walking on erect posture. Piles in simple terms denotes the swollen veins in the anus and rectum. It can affect anyone but people with continuous sitting habit & chronic constipation are more prone to developing it. In most of the cases, it is a long-term disease with flare up periods and normal conditions in between. Piles causes pain, bleeding, itching and many other discomforts along with constipation or diarrhoea. Most of the people with piles also suffer from digestive disturbances and compromised immunity. There are many medications and treatments available for piles now. But regular follow up and a healthy lifestyle are compulsory to avoid recurrence and complications.

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Signs & Symptoms

Frequent constipation altering with loose stools
Dry or oily stools
Pain during and after defaecation and feeling of incomplete voiding of stools
Bleeding through anus; fresh blood just after passing faeces.
Itching around the anus
Lumps or masses in and around anus
Bloating heartburn and indigestion
Gas trouble and distension of abdomen

Causes

Straining during bowel movements.
Sitting for long periods of time on the toilet.
Having chronic diarrhoea or constipation.
Being obese.
Being pregnant.
Having anal intercourse.
Eating a low-fibre diet.
Regular heavy lifting.
Sedentary lifestyle
Continuous sitting job or bike riding

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Physiopathologie

Constipation and prolonged straining are widely believed to cause haemorrhoids because hard stool and increased intra-abdominal pressure could cause obstruction of venous return, resulting in engorgement of the hemorrhoidal plexus. Defecation of hard faecal material increases shearing force on the anal cushions.

Diagnostic

External haemorrhoids can be seen during a physical examination.

Diagnosing internal haemorrhoids might include examination of anal canal and rectum.

Digital examination of anus and rectum with fingers
Visual inspection with proctoscope or other instruments

Traitements

In haemorrhoids with mild or negligible discomfort, creams, ointments, suppositories or pads are recommended. These products contain ingredients such as witch hazel, or hydrocortisone and lidocaine, which can temporarily relieve pain and itching.

External Haemorrhoid Thrombectomy

If a painful blood clot (thrombosis) has formed within an external haemorrhoid, the haemorrhoid should be removed surgically, which can provide prompt relief. This procedure is done under local anaesthesia.

Minimally Invasive Procedures

For persistent bleeding or painful haemorrhoids, other minimally invasive procedures are available that don’t usually require anaesthesia.

Rubber band ligation – one or two tiny rubber bands are placed around the base of an internal haemorrhoid to cut off its circulation. The haemorrhoid withers and falls off within a week.

Haemorrhoid banding can be uncomfortable and cause bleeding, which might begin two to four days after the procedure but is rarely severe. Occasionally, more-serious complications can occur.

Injection (sclerotherapy) – A chemical solution is injected into the haemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation.

Coagulation (infrared, laser or bipolar). Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal haemorrhoids to harden and shrivel. Coagulation has few side effects and usually causes little discomfort.

Surgical Procedures

If other procedures haven’t been successful or in large hemorrhoids, any one of the following surgical procedures are recommended:

Haemorrhoid removal (haemorrhoidectomy)

Hemorrhoid stapling (stapled hemorrhoidopexy)

Pronostic

Piles tend to have a long-term course if not treated on time. But most of piles resolve spontaneously or with conservative medical therapy.

Complications

Thrombosis
Secondary infection
Formation d'abcès
Ulceration
Incontinence
Anaemia in bleeding piles

Maladies et Ayurveda

Arsas

Nidana

Indigestion and faeces collected in the rectum without expulsion are the root cause of Arsas. Following factors along with these can lead to the samprapti:

Excess sexual intercourse
Continuous and shaking type of travelling
Seat which is not levelled up & comfortable
Squatting
Friction with cloth, soil, stone/rock, vastiyantra etc.
Touch with excessively cold water
Continuous habit of straining
Holding or forcefully expelling out natural urges like flatulence, urine, faeces etc.
Diseases like jwara, gulma, atisaaram, grahani, paandu, sopham etc.
Émaciation
Uncomfortable postures and movements of body
Grossesse

Purvaaroopa

Indigestion
Weakness of legs
Cramps of calf muscles
Vertiges
Fatigue
Oedema around the eyes
Diarrhoea/constipation
Distension of abdomen
Irregular movement of Vaayu below naabhi, and expulsion of air with pain & difficulty
Abnormal sounds in the abdomen
Excess belching & lethargy
Excessive urine output
Less quantity of stools
Lack of concentration
Heartburn
Pain in head, back and chest
Laziness
Discolouration of skin
Weak sense organs
Colère
Grief in everything
Doubt of getting diagnosed as grahani, paandu, gulmam, udaram etc.

Samprapti

Due to the causative factors, the vitiated doshas cause the vitiation of dhaatus like twak, mamsa and medas in excess and develops arsas of many sizes and shapes in anus & rectum.

Lakshana

Due to apaanavayurodha which in turn affects all the Vaayus and other doshas in the whole body, lakshanas of arsas develop in all sites & systems of the body. Main signs and symptoms include:

Indigestion
Émaciation
Lack of enthusiasm
Toux
Thirst
Bad taste in mouth
Problèmes respiratoires
Running nose
Fatigue
Bodyache
Vomissements
Sneezing
Swelling
Fièvre
Loss of libido & sexual drive
Surdité
Blindness
Urinary calculi
Weakness of voice
Overthinking
Excess salivation & spitting
Lack of taste sensation
Pain in all joints, bones, chest, navel, anus and inguinal areas
Mucous secretion from anus
Discoloured, dry/loose stools with undigested food particles

Divisions

Sahaja
Jaataja

Vaatika
Paittika
Kaphaja
Samsargaja
Sannipaataja
Raktaja
Aardram
Sushkam

Pronostic

Kricchrasaadhya

Chikithsa

Treatment of Arsas needs utmost care and patience. Main therapy for arsas is explained as surgical removal or cautersiation with alkali/heat. Many medicines and procedures are recommended in arsas treatment.

Samana

Aamapachanam
Agnideepanam
Mriduvirechanam
Avagaham
Lepanam
Bandhanam(goshphanabandham)

Sodhana

Most of the sodhana panchakarma therapies are contraindicated for arsas patient due to agnimaandya (less digestive fire).

Therapy advised for young & strong patient is Chedana(cutting), Agnikarma/kshaarakarma and then treatment of wound should be done

Médicaments couramment utilisés

Marques disponibles

AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala

Home Remedies

There is no permanent home cure for piles but the pain, swelling and inflammation of haemorrhoids can be relieved with home treatments.

Eat high-fibre foods
Use topical treatments such as a cream or suppository
Soak regularly in a warm bath or sitz bath
Take oral pain relievers if necessary

Régime alimentaire

À éviter

Hot, spicy and pungent food items
Red meat, especially fried non veg items
Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion
Aliments réfrigérés et congelés - provoquent une digestion faible et paresseuse en affaiblissant Agni (le feu digestif).
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Caillé - provoque le vidaaha et, par conséquent, de nombreuses autres maladies

A ajouter

Des repas légers et des aliments faciles à digérer
Green gram, soups, fresh fruits and vegetables
Aliments fraîchement cuits et chauds traités avec des graines de cumin, du gingembre, du poivre noir, de l'ajwain, etc.
Buttermilk processed with curry leaves, turmeric, ginger etc.

Comportement

Protect yourself from extreme climate changes.
Il est préférable d'éviter une exposition excessive à la lumière du soleil, au vent, à la pluie ou à la poussière.
Maintenir une alimentation et un sommeil réguliers.
Évitez de retenir ou de forcer les envies comme l'urine, les selles, la toux, les éternuements, etc.
Avoid sedentary lifestyle. Be active
Avoid continuous sitting and squatting
Use stool softeners in case of constipation. Avoid straining

postures de Yoga

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

L'exercice régulier contribue à améliorer la biodisponibilité des médicaments et des aliments ingérés et favorise la santé.

Le yoga permet de maintenir l'harmonie à l'intérieur du corps et avec le système environnant.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Exercices simples pour la santé des poumons et du cœur

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Research Articles

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342598

Ces déclarations n'ont pas été évaluées par la Food and Drug Administration des États-Unis. Ce produit n'est pas destiné à diagnostiquer, traiter, guérir ou prévenir une quelconque maladie. Veuillez consulter votre médecin généraliste avant de prendre ce produit.

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