Hemorrhoids are enlarged and engorged blood vessels (varicosities) in or around the anus. .
The most common symptom of internal hemorrhoids is painless
bright red blood covering the stool, on toilet paper, or
in the toilet bowl. However, an internal hemorrhoid may protrude
through the anus outside the body, becoming irritated and painful.
This is known as a protruding hemorrhoid.
Symptoms of external hemorrhoids may include painful swelling
or a hard lump around the anus that results when a blood clot forms.
This condition is known as a thrombosed external hemorrhoid.
In addition, excessive straining, rubbing, or cleaning around
the anus may cause irritation with bleeding and/or itching, which
may produce a vicious cycle of symptoms.
Cause of Hemorrhoids
- Constipation and Prolonged straining at stool
- Low fibre diet causing small caliber stool and straining
- Sitting for prolonged period at closet.
- Hypertension mainly in portal vein.
- Sedentary life style.
- Pregnancy causes hypertension and increases strain during
- Increased use of alcohol and caffeine.
- Lack of erect posture.
- Familial tendency.
- Ageing – weakened support structures.
Types of Hemorrhoids:
1) External hemorrhoids - occur
outside of anal verge (distal end of anal canal)
2) Internal hemorrhoids - occur inside
3) Prolapsed hemorrhoids – Internal
hemorrhoids that are much distended and pushed outside anus.
4) Strangulated hemorrhoids – If
anal sphincter muscle goes into spasm and traps a prolapsed hemorrhoid
outside the anal opening and supply of blood is cut.
Gradation of hemorrhoids
Grade I - hemorrhoids project into
the anal canal and often bleed but do not prolapse.
Grade II - hemorrhoids may protrude beyond the anal verge
with straining or defecating but reduce spontaneously when straining
Grade III - hemorrhoids protrude spontaneously or with straining
and require manual reduction.
Grade IV - hemorrhoids chronically prolapsed and cannot be
reduced. They usually contain both internal and external components
and may present malignancy.
Prevention of hemorrhoids
- Drinking more fluids in routine.
- Eating more dietary fibers.
- Practicing better posture.
- Reducing bowel movement strain and time.
- Avoid wearing tight under clothes.
- Washing the anus with cool water and soap may reduce swelling
and increase blood supply for quick healing.
- Using squat toilets may help.
Self-Care at Home
- Hot sitz bath.
- Stool softeners – but overuse
of laxatives should be avoided.
- Cold compresses or topical analgesics
may be a bit helpful for temporary relief.
- Improving posture and muscle
- Taking herbs and dietary supplements
to strengthen vein walls.
- Topical application of astringents
and soothing agents (like honey and aloe Vera)
- Drinking chamomile tea several
times a day.
- Eating fiber rich bulking agents
like plantain to help create soft stool and to lessen irritation
of existing hemorrhoids.
Homeopathy Treatment & Homeopathic Remedies
Homeopathy treats the person as a whole. It means that homeopathic
treatment focuses on the patient as a person, as well as his pathological
condition. The homeopathic medicines are selected after a full individualizing
examination and case-analysis, which includes the medical history
of the patient, physical and mental constitution etc. A miasmatic
tendency (predisposition/suceptability) is also often taken into
account for the treatment of chronic conditions. The medicines given
below indicate the therapeutic affinity but this is not a complete
and definite guide to the treatment of this condition. None
of these medicines should be taken without professional advice.
[Kent] Rectum, hemorrhoids
[Murphy] Rectum, hemorrhoids
[Boericke] Abdomen, hemorrhoids (piles)
AESC, ALOE, ARS, COLL, HAMM, MUR AC, NIT AC, NUX V,
PAEN, RATH, SUL, Am
carb, bar c, fic, kali carb, podo, phos, carbo veg, mill, thuja.
hippocastanum – Painful, blind or protruding piles of purplish color which is very sore with aching, burning and itching and a sensation of
sticks or splinters in the rectum,
rarely bleeding. Hard dry stool passed with difficulty and followed
by a feeling of prolapse of rectum. Bleeding gives relief. This
remedy is especially suitable to the form of hemorrhoids arising
from portal congestion, abdominal plethora. They may or may not
bleed, but there is a feeling in the rectum as of splinters or sticks.
This remedy actually produced many liver symptoms and hemorrhoids
in the provers. Other indicating symptoms are aching in the lumbar
region, protruding purple piles with severe pains in the sacrum
and small of the back and fullness in the region of the liver. Dryness,
burning and itching are good indications. Hughes prefers Nux vomica
and Sulphur in hemorrhoids dependent on congestion of the portal
system. Pulsatilla is one of the best remedies in hemorrhoids after
Aesculus. Passive congestion and dyspeptic troubles are the keynotes;
blind hemorrhoids. hemorrhoids that bleed easily. It acts best in
the higher potencies (Dewey). hemorrhoids from chronic constipation
may be cured with Aesculus.
Aloe socotrina – When he blood passes like water from hydrant, piles protrude like bunch of grapes. Better
by cold water, flatus with faeces. Violent itching and
burning in anus. Constantly putting finger in anus. Constant bearing
down in anus; bleeding, soreness which gets relieved by cold water.
Sense of insecurity in rectum when passing flatus. Lumpy, watery,
jelly like stool. hemorrhoids protruding, very sore and tender. This is also a most useful haemorrhoidal
remedy. It is indicated where the piles protrude like a bunch of
grapes, bleeding often and profusely, and are greatly relieved by
the application of cold water. There is a very marked burning in
the anus the bowels feel as if scraped. There is a tendency to diarrhea,
with the well-known uncertain feeling in the lower bowel. This tendency
to diarrhea will distinguish from Collinsonia, which has the tendency
to constipation. Ratanhia has burning in the anus, and protrusion
of varices after a hard stool. The characteristics of this remedy
are burning and fissure of the anus, great painfulness and sensitiveness
of rectum (Capsicum).
Arsenic album – Burning pain and restlessness relieved by hot application. hemorrhoids burn like fire and skin around the anus gets excoriated. Painful spasmodic protrusion of rectum
with severe tenesmus.Great exhaustion from least exertion with burning
pains. Night aggravation of complains with restlessness and fear
Collinsonia – hemorrhoids with backache and obstinate constipation. Prolapse of rectum. Piles bleeding or blind and protruding. There may be obstinate
constipation and diarrhea. But says that no remedy can equal Collinsonia in obstinate cases of hemorrhoids,
which bleed almost incessantly, he recommends the tincture. It is
of special use in females with inertia of the rectum and a congestive tendency to the pelvic organs. It suits pregnant
women who suffer from piles, and pruritus may be a marked symptom.
The indicating symptoms are chiefly a sensation of sticks
in the rectum, with constipation from inertia of the
lower bowel. It is especially applicable to heart pains resulting
from a suppression of a habitual hemorrhoid flow. It is somewhat
similar to Nux, but is a far more useful remedy.
Hammamelis – Painless bleeding followed by prostration which is out of all proportion to the blood lost. The blood is of dark color. There is anemia, breathlessness
and weakness notwithstanding good appetite. Venous congestion and
venous stasis are characteristics. Bruised soreness of affected parts. Passive hemorrhage from any part as piles.
Muriatic acid – Piles like bunch
of grapes which look purple and burn when touched. Piles in children; protruding; reddish blue. Tendency to involuntary
evacuation while urinating .hemorrhoids most sensitive to all touches, even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating. hemorrhoids during
pregnancy, bluish, hot, with violent stitches.
Nitric acid – hemorrhoids that
have ceased to bleed, but very painful and hanging down loosely
with sharp pricking pains in rectum. Great straining while passing
stool and hemorrhoids that bleed easily. Haemorrhages from bowels
and violent cutting pains after stools lasting for an hour after
stool. Severe burning and stinging. Rectum feels torn and severe
fissures in rectum. Severe exhaustion and irritability after stools.
Nux-vomica – One of the main remedy for bleeding or non- bleeding piles
to be given when there is burning pain and constipation with ineffectual
desire. If the hemorrhoids be large
and blind, with a burning, stinging and constricted feeling
in the rectum and a bruised pain in the small of the back, and especially
if excited by sedentary habits or abuse of stimulants, then Nux
may be prescribed with confidence. Itching hemorrhoids keeping the
sufferer awake at night, relieved by cold water, or bleeding piles
with constant urging to stool, and a feeling as if the bowel would
not empty itself are further indications. Great sensitiveness of
the anus cannot make use of the softest toilet paper; the piles
are so sore and sensitive that the slightest touch is unbreakable.
Paenoia – hemorrhoids with ulceration,
the anus and surrounding parts are purple and covered
with crusts, ulcers within the anus are very painful.
The whole mucus membrane studded with ulcers and cracks. Biting,
itching in anus that provokes scratching. Anal orifice swollen and
burning in anus after stool then internal chilliness. Fistula ani
with painful ulcers. Purple hemorrhoids covered
with crusts and severe atrocious pains with and after each
Ratanhia - The rectal symptoms are most
important. Aching in rectum as if full of broken glass.Anus burns for
hours after stool and feels constricted. Dry heat at anus with sudden
knife like stitches. Stools must be forced with great effort and
thus hemorrhoids too protrude out. Fissures of anus with great constriction
and burning like fire. hemorrhoids too burn and get relieved by
Sulphur –This remedy corresponds to ailments
producing hemorrhoids and to the troubles resulting from piles which
have stopped bleeding, and as a result fullness in the head and
uneasiness in the liver; constipation is present; a desire for stool
and itching of the anus.Itching and burning of anus and piles dependent
upon abdominal plethora. Frequent unsuccessful desire to go to closet.
Stool hard, knotty and insufficient. Redness around anus with hemorrhoids oozing and belching.
Ammonium carb – Protrusion of piles after stools with
long lasting pains cannot walk. Piles also protrude
independent of stool. Burning and itching in anus which
prevents sleep. Piles worse at the
times of menses.
Kali carbonicum – Piles painful, burning
like fire and bleed copiously. Great distension and swelling inside.
Fistula of the anus. Burning temporarily relieved by sitting in
cold water or by cold application.
Carbo veg. - Protruding piles, blue, even
suppurating, offensive, swelling, burning in the rectum, oozing
of fluid from rectum, flatulence; Itching, gnawing and burning in
rectum.Soreness, moisture around anus at night. Discharge of blood
with stool. White hemorrhoids with excoriation of anus.Bluish burning
piles and paining after stool.
– Hemorrhage from bowels. Bleeding hemorrhoids and stool
as well as urine is bloody. Blood is bright red in color.
religiosa – Hemorrhage and hemorrhoids. Bloody hemorrhoids
with bright red blood and pain, soreness, burning, itching and aching
Phosphorus – Known for bleeding
hemorrhoids and great weakness after stool. White, hard stool with
discharge of blood from rectum each time with and after stool. Painless
copious debilitating stools with very fetid stool as well as flatus.
Green mucus with long, narrow, hard stool like a dog's. Seems as
if anus is open at all times. Blood from hemorrhoids is bright red
in color and great debility co-exists.
Thuja – Piles swollen and painful while sitting with burning pains in anus. Anus
is fissured and painful to touch with many painful warts. Constipation
with violent rectal pains causing stool to recede. Distended, indurations
in abdomen and chronic diarrhea.
Hemroids, Hemorrhoids, Hemorroids