There are a wide variety of treatment options available for symptomatic internal haemorrhoids depending upon their grade (see above discussion) and the severity of your symptoms. Often, adherence to the dietary/lifestyle changes detailed below will relieve your symptoms. However, if you fail to respond to these changes alone, or if your symptoms are severe enough at the outset, there are a number of clinical/outpatient-based and surgical procedures available to alleviate your symptoms.

Dietary/lifestyle changes

The cornerstone of therapy, regardless of whether surgery is needed or not, is dietary and lifestyle change. The main changes consist of increasing your dietary fibre, adequate fluid consumption and exercising. The goal is to avoid both very hard stools and diarrhoea, while achieving a soft, bulky, easily cleaned type of stool. This type of stool seems to be the best kind to prevent anal problems of almost all kinds.

What AYURVEDA tells about dietary habbits for patients of piles –

(These are useful even for prevention of heamorrhoids)

The eight factors which determine the utility or other-wise of various types of food are -

  • Prakruti (nature of the food article)
  • Karana (method of their processing)
  • Samyoga (combination)
  • Rashi (quantity)
  • Desha (habitat)
  • Kaala (time that is stage of the disease or state of the individual)
  • Upayogasamstha (rules governing the intake of food)
  • Upayokta(wholesomeness to the individual who takes it)

Prakruti –

It indicates the nature of substance i.e. inherent attributes (heaviness etc.) of diets and drugs. Ex- black gram is heavy & moong dal is light, meat of Boar is heavy and that of deer is light.

Karana -

Means the processing of the substance. Processing results in the transformation of the inherent attributes of substances. Transformation of the attributes is affected by dilution, application of heat, cleansing, churning, storing, maturing, flavouring, impregnation, preservation, container etc.

Samyoga -

Samyoga is the combination of two or more substances. These results in the manifestation of specific attributes which can`t be manifested by individual substances. Right combination of food articles results in good health and wrong combination such as honey and ghee, fish and milk, fruits with milk, different types of fruits together, results in the manifestation of metabolic disorders.

Rashi -

Rashi is the quantum of total or individual substances which determines the results of their administration in proper and improper dosage. The quantum of food is according to individual digestive capacity.


  • Weakness
  • Leaness of body
  • Excessive belching
  • Thighache & calf pain
  • Lower back pain
  • Constipation
  • Peblle like stools
  • Tape like stools
  • Decreased or increased frequency of defeacation
  • Mucous discharge through anus
  • Mucous along with stools
  • Burning & pain during and after defeacation
  • Bleeding with stool
  • Bleeding per Rectum
  • Mass per rectum
  • Pus discharge
  • A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful.
  • Even after defeacation, a feeling that the bowels are still full.
  • Mucus discharge when emptying the bowels..
  • The area around the anus may be red and sore.
  • Indigestion & sour belching.
  • Recurrent abscess in & around anus.
  • Fecal incontinence.

Desha -

It is related to habitat of substance. It determines attributes due to procreation(growth) or movement of substances in a particular locality or their acclimatization to that region.

Kala -

Kala stands for both the time in the form of day and night and the states of the individual, (viz- condition of health & age). The latter is relevant to the disease (e.g. - manifestation of disease due to kapha during childhood and fever etc., due to dietetic errors) whereas the former for the determination of the wholesomeness to different types of seasons.

Upayogasamstha -

It stands for the dietetic rules. They are for the most part dependent on the symptoms of digestion.

Upayokta -

Upayokta is he who takes food. He is, in the main, responsible for the wholesomeness by the habitual intake of things. Thus the eight factors which determine the utility or otherwise of various types of food are explained.

The best way to prevent haemorrhoids is to keep your stools soft, so they pass easily. To prevent haemorrhoids and reduce symptoms of haemorrhoids, follow these tips:

  • Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
  • Go as soon as you feel the urge.If you wait to pass a bowel movement and the urge goes away, your stool could become dry and harder to pass.
  • Exercise. Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting. Exercise can also help you lose excess weight that may be contributing to your haemorrhoids.
  • Avoid long periods of sitting. Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
  • Don't use an over-the-counter cream or other product for more than a week unless directed by your doctor. These products can cause side effects, such as skin rash, inflammation and skin thinning.
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