SKM Chikitchaalya is known as a centre of excellence, in ayurvedic management of piles through kshara karma. Patients of piles are diagnosed and treated here, under the guidance of well known Ano rectal surgeon’s.
Hemorrhoids or Piles as is generally known is a very common disease. About 70% of the population are at some time in their lives suffered from piles or have had experienced some symptoms related to it.
We will first try to understand what Piles or Hemorrhoids. Piles or Hemorrhoids are actually, distended veins in the anal canal. Veins tend to stretch under pressure. When veins in the lower part of the rectum or anus stretch, swell or descend in to the anal canal, then they prolapse or protrude in to the canal. They are considered as Piles or Hemorrhoids.
The set of veins inside the rectum when distended result in internal piles and the set of veins under the skin around the anus when distended result in External Piles.
Some other factors also contribute to the prolapses of the veins. They are long standing, constipation, straining while passing stool, pregnancy, weakening of the muscles supporting the veins due to ageing etc. One may also have a hereditary tendency to develop piles.
If you have any of the following symptoms are probably suffering from Hemorrhoids – Piles.
1. Bleeding from the anus:
After defecation ( passing stool )
During and after defecation
Usually without pain but in some conditions with pain.
4. Protrusion of a mass from the anal canal ( can be felt digitally).
As described earlier, hemorrhoids develop because of increasing pressure in the veins of the lower part of the rectum and anus. This increasing pressure can be due to various reasons like
> Straining during birth
> Lifting heavy weights over a long period
> Sitting or standing for a long time
> Chronic constipation accompanied with straining to evacuate the bowels
> Repeated diarrhea and dysentery
> A habit of suppressing the urge to defecate
> There may also be an inherited tendency to develop Piles.
Types of Hemorrhoids/ Piles:
Hemorrhoids / Piles can be classified in two ways
I. As per their site of development
- Internal hemorrhoids/ piles.
- External hemorrhoids/ piles.
II. As per the stages of the diseases
- First degree hemorrhoids.
- Second degree hemorrhoids.
- Third degree hemorrhoids.
- Fourth degree hemorrhoids.
First degree Hemorrhoids: Is the condition when the mass (The structure with the veins) projects slightly into the anal canal, but only when the veins are congested i.e. during defecation. In this stage the patient will have no mass protruding from the anus.
Second degree Hemorrhoids: The mass protrudes out of the anus, but only during defecation. The hemorrhoidal mass returns into the anal canal spontaneously after passing stool as soon as the accompanied straining stops.
Third degree hemorrhoids: The hemorrhoidal mass protrudes from the anus during defecation or on exerting force and remains protruded until forced back into the anus digitally ( with fingers).
Fourth degree hemorrhoids: The hemorrhoidal mass (Piles) remains protruded (out of the anus) at all times and can not be forced into the anal canal with the help of the fingers.
1.CONSERVATIVE TREATMENT: Oral medicines like kalyanaka Lehya, Kankayana Lehya, Manibadra Lehya, Sooranadi Lehya, Trivrith Lehya, Abhayarishta, Chirubilwadi Lehya, Chirubilwadi Kashaya And Kaidaryadi Kashaya are very usefull in piles according to the conditions. Laxatives, stool softeners, local anti inflammatory creams and warm water sits bath can help to reduce the symptoms. However second, third and fourth degree piles can not be cured with just oral treatment.
2. KSHARA KARMA: Kshara karma is a non surgical procedure of Ayurveda used to effectively in hemorrhoids. A alkaly medicine which is derived from a combination of various herbs is applied to the pile mass with the help of a special slit proctoscope. It is a type of chemical cauterization. This method is highly effective and can be performed on OPD and IPD level of Ayurdhama hospital.
KSHARA KARMA LIGATION: It is a simple non surgical procedure where a medicated thread is tied around the base of the pile mass and the piles mass will fall off within ten days. It’s a painless procedure and recurrence of the pile mass will be absolutely nil. It’s a simple and very effective procedure which can be done in opd level.
These methods are indicated in 2ndo 3rd degree Piles- Hemorrhoids.
To prevent hemorrhoids or Hemorrhoidal flare-ups:
1.Eat high-fiber foods
Fiber (roughage) is the part of plant food that is not digested. It stays in your gut and is passed in the stools (faeces). Fiber adds bulk to the stools.
Why is fibre important?
Stools (sometimes called faeces or motions) are usually soft and easy to pass if you eat enough fibre food and drink enough fluid. A diet with plenty of fibre will help to:
> Prevent constipation.
> Prevent diverticulosis (a common bowel condition).
> Prevent hemorrhoids (piles) and anal fissure (a painful condition of the anus).
> Reduce weight.
> Possibly reduce the risk of developing bowel cancer.
High fiber foods include the following:
> Whole meal or whole-wheat bread and biscuits.
> Whole meal flour used for baking and cooking.
> Fruit. vegetables and nuts.
2. Drink plenty of liquids
How much water and other fluids should you drink daily? The average man – who bums about 2,900 calories daily – needs 2,900 ml, or about 12 cups, of water each day. The average woman – who bums 2,200 calories daily- needs about 2,200 ml, or about 9 cups, of water each day.
Stay active to reduce pressure on veins which can occur with long period of standing or sitting and to help prevent constipation. Exercise can also help you loose excess weight.
4. Don’t Strain
Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in lower rectum.
Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, you stool could become dry and be harder to pass.
Self – Care
You can temporarily reliew the mild pain, swelling and inflammation of most Hemorrhoidal can be controlled with the following self-care measures:
- Apply an over-the-counter hemorrhoid cream or suppository containing hyrocortisone, or use pads containing witch hazel or a topical numbing agent.
- Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Soap isn’t necessary and may aggravate the problem. Gently drying the area with a hair dryer after bathing can minimize moisture, which can cause irritation.
- Soak in a warm bath several times daily.
- Apply ice packs or cold compresses on the anus for 10 minute~ up to four times a day.
- If a hemorrhoid has prolapsed, gently push the hemorrhoid back into the anal canal.
- Use a sitzbath with warm water. You can get one at a medical supply store or some pharmacies.
- Use moist towel or wet toilet paper after a bowel movement instead of dry toilet paper.
- These self-care measures may relieve the symptoms, but they won’t make the hemorrhoid disappear.
- See your doctor if you don’t get relief in a few days.