Piles-Hemorrhoids treatment

About Piles & Fissure

Piles & Fissure are inflamed and swollen collections of tissue in the anal area.They can have a range of sizes, and they may be internal or external.Internal piles & Fissure are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.

  • Piles & Fissure are collections of tissue and vein that become inflamed and swollen.
  • The size of piles & Fissure can vary, and they are found inside or outside the anus.
  • Piles & Fissure occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy, or straining when passing a stool.
  • A doctor can usually diagnose piles & Fissure on examination.
  • Hemorrhoids are graded on a scale from I to IV. At grades III or IV, surgery may be necessary.

Piles & Fissure - Ayurvedic Perspective

Differentiation between piles and fissure is utmost important while treating these anorectal diseases. Predominantly pain is pronounced symptom in fissure (crack – small lacerated wound in anal region) and bleeding is seen mostly in piles & Fissure or hemorrhoids.

Signs & Symptoms

In most cases, the symptoms of piles & Fissure are not serious. They normally resolve on their own after a few days.

An individual with piles & Fissure may experience the following symptoms:

  • A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles & Fissure that contain blood are called thrombosed external hemorrhoids.
  • After passing a stool, a person with piles & Fissure may experience the feeling that the bowels are still full.
  • Bright red blood is visible after a bowel movement.
  • The area around the anus is itchy, red, and sore.
  • Pain occurs during the passing of a stool.

Piles & Fissure can escalate into a more severe condition. This can include:

  • excessive anal bleeding, also possibly leading to anemia
  • infection
  • fecal incontinence, or an inability to control bowel movements
  • anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus
  • a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot

Piles & Fissure is classified into four grades:

  • Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.
  • Grade II: Grade II piles & Fissure are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.
  • Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.
  • Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.

External piles & Fissure form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles & Fissure, or hemorrhoids that have clotted, require immediate medical treatment.

Ayurvedic Perspective - Causes

  •  Chronic constipation.
  •  Habit of straining during defecation.
  •  Take hot – spicy diet on regular basis.
  •  Eating Maida – bakery products regularly.
  •  Non- veg dist frequently.
  •  Sedentary life style.
  •  Too much of travelling.
  •  Inadequate sleep.
  •  Substance abuse such as alcohol, tobacco.
  •  Hereditary link.
  •  Pregnancy.


  •  Dietary advice like consuming fibrous diet , fruits , green leafy vegetables is important.
  • Must include buttermilk in meals.
  •  Vegetables like spinach, snake guord, beet root, tomatoes, onions, elephant’s foot are having strong anti- piles & Fissure effect.
  •  Sitz – Bath of potassium permanganate in warm water is very useful.
  •  Stool softeners are of very much use.
  •  Medicated retention enema called as Basti to heal wound and stop bleeding, pain, burning.
  •  Leech application in thrombosed piles & Fissure save need of surgery.

    Surgeries in anorectal cares gives temporary relief. Apart from that risk of anal incontinence is there with any anorectal surgeries.
    Ayurveda is really a boon for any kind of anorectal ailment like piles & Fissure. Fissure – Pilonidal sinus – fistula in ano etc. Up till  now we at KAC could save hundreds of anorectal surgeries with our novel ayurvedic protocol.
  • In KAC, thousands of patients of Piles & Fissure and Fissure are relieved with ayurvedic protocols.

Piles & Fissure Photos

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