Piles (haemorrhoids) are swollen blood vessels in or around the anus and rectum. The haemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes they swell so that the vein walls become stretched, thin, and irritated by passing bowel movements. Haemorrhoids are classified into two general categories: internal and external.

Aggravated Pitta Dosha causes digestive problems, which lead to the impairment of digestive fire (jatharagni) and accumulation of toxins (ama) in the digestive gut. These toxins impair the functioning of the digestive gut, causing irregular diarrhea and flatulence, and further leading to the aggravation of Vata Dosha (Ayurvedic humor representing Air). Aggravated Vata causes swelling of Hemorrhoids, a condition that is referred to as ‘Raktarsh’ (bleeding piles) in Ayurveda.

  • An individual with piles may experience the following symptoms:

    A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful

  • After going to the toilet, a feeling that the bowels are still full

    • Bright red blood after a bowel movement
    • Itchiness around the anus
    • Mucus discharge when emptying the bowels
    • Pain while defecating
    • The area around the anus may be red and sore.


A faulty diet and sedentary lifestyle lead to the vitiation (impairment) of all three doshas, and predominantly Vata (air). Vitiated Vata causes low digestive fire, leading to persistent constipation. Accumulation of waste products in the body and varicose veins in the rectum also contribute to the development of hemorrhoids. Contributing factors include obesity, sitting for long hours, chronic constipation, overindulgence in intercourse, excessive coughing and straining, emaciation during pregnancy, repeated abortions, and suppressing the natural urges of the body. Other causes include excessive consumption of alcohol, too little exercise, long journeys, non-vegetarian food, and cold, heavy, uncooked, or spicy foods.

Diet & Lifestyle:
  • Avoid the intake of heavy, dry, cool, stale foods, refined foods like jams, pastries, packaged and canned foods.
  • Also avoid tea, coffee, aerated drinks, pickles,potato root vegetables except radish and carrot and alcoholic beverages.
  • Avoid excessive fasting, overeating, eating during indigestion, and eating incompatible food.
  • Increase the intake of whole-wheat flour, whole grains, brown rice, barley, legumes (lentils, beans, peas, chickpeas, soybeans, etc.), buttermilk, rock salt, Indian gooseberries (amla), green leafy vegetables, and foods that are rich in fiber.
  • Eat more fruits including oranges, figs, strawberries, kiwis, bananas, pears, papayas, apples, grapes, and mangoes.
  • Have freshly-prepared warm food with a little purified butter added.

Home Remedy:
  • Make an ointment by mixing an equal amount of powdered long pepper and turmeric with milk (preferably cow's milk). Apply this on the external piles .
  • Eat 4 figs twice a day in the morning and evening.
  • Piles Ayurvedic treatment aims to reduce the constipation (the commonest predisposing factor for piles) and relieve pain associated with piles and reduce the piles. Most of the time, treatment options for piles include certain lifestyle changes that you can take on your own such as changes in diet.

Note: Medicine should be taken according to vaidya/docter

Treatment with Remedies