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

Сваи 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.

Pippalyadi Anuvasana Thailam – Ayurvedic oil to relieve piles.

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

Причины

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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Патофизиология

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.

Диагноз

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

Treatments

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)

Прогноз

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

Осложнения

Thrombosis
Secondary infection
Abscess formation
Ulceration
Incontinence
Anaemia in bleeding piles

Disease & Ayurveda

Arsas

Нидана

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.
Emaciation
Uncomfortable postures and movements of body
Pregnancy

Пурваарупа

Несварение желудка
Weakness of legs
Cramps of calf muscles
Головокружение
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
Anger
Grief in everything
Doubt of getting diagnosed as grahani, paandu, gulmam, udaram etc.

Сампрапти

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.

Лакшана

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:

Несварение желудка
Emaciation
Lack of enthusiasm
Кашель
Thirst
Bad taste in mouth
Проблемы с дыханием
Running nose
Fatigue
Bodyache
Рвота
Sneezing
Swelling
Лихорадка
Loss of libido & sexual drive
Глухота
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

Подразделения

Sahaja
Jaataja

Vaatika
Paittika
Kaphaja
Samsargaja
Sannipaataja
Raktaja
Aardram
Sushkam

Прогноз

Kricchrasaadhya

Чикитса

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.

Самана

Aamapachanam
Agnideepanam
Mriduvirechanam
Avagaham
Lepanam
Bandhanam(goshphanabandham)

Содхана

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

Часто используемые лекарственные средства

Brands Available

AVS Коттакал
AVP Коимбатур
СНС Ушадхасала
Вайдьяратнам ушадхасала

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

Диета

Следует избегать

Hot, spicy and pungent food items
Red meat, especially fried non veg items
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases

To be added

Light meals and easily digestible foods
Green gram, soups, fresh fruits and vegetables
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Buttermilk processed with curry leaves, turmeric, ginger etc.

Поведение

Protect yourself from extreme climate changes.
Better to avoid exposure to excessive sunlight wind rain or dust.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Avoid sedentary lifestyle. Be active
Avoid continuous sitting and squatting
Use stool softeners in case of constipation. Avoid straining

Йога

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

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.

Паванамуктасана

Надисудхи пранаяма

Бхуджангасана

Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research Articles

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

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