Piles are enlarged and engorged blood vessels (varicosities) in or around the anus. These may be associated
with pain, bleeding, itching and feeling as if a lump or bump is
The most common symptom of internal
Piles is painless bright red blood covering
the stool, on toilet paper, or in the toilet bowl. However, an internal
pile may protrude through the anus outside the body, becoming
irritated and painful. This is known as a protruding pile.
Symptoms of external Piles
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
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. Draining
mucus may also cause itching.
Causes of Piles:
It is a known fact that constipation
and prolonged straining at stool are main causes of piles but
there are some other important aspects too.
fibre diet causing small caliber stool and straining during defecation.
Sitting for prolonged period at
Hypertension mainly in portal vein.
Sedentary life style.
Constipation as well as chronic diarrhea.
Pregnancy causes hypertension and increases strain during bowel
Increased use of alcohol and caffeine.
Lack of erect posture.
Ageing – weakened support
Types of Piles:
1) External Piles - occur outside
of anal verge (distal end of anal canal)
2) Internal Piles - occur inside the
3) Prolapsed Piles – Internal
Piles that are much distended and pushed outside anus.
4) Strangulated Piles – If anal
sphincter muscle goes into spasm and traps a prolapsed pile
outside the anal opening and supply of blood is cut.
Gradation of Piles-
- Piles project into the anal canal and often bleed but do
Grade II - Piles may protrude
beyond the anal verge with straining or defecating but reduce spontaneously
when straining ceases.
Grade III - Piles protrude
spontaneously or with straining and require manual reduction.
Grade IV - Piles chronically
prolapsed and cannot be reduced. They usually contain both internal
and external components and may present malignancy.
Prevention of Piles
Drinking more fluids in routine.
Reducing bowel movement strain
Avoid wearing tight under
Washing the anus with cool
water and soap may reduce swelling and increase blood supply for
Using squat toilets may help.
Self-Care at Home
softeners – but overuse of laxatives should be avoided.
compresses or topical analgesics may be a bit helpful for temporary
posture and muscle tone.
herbs and dietary supplements to strengthen vein walls.
application of astringents and soothing agents (like honey and
chamomile tea several times a day.
fiber rich bulking agents like plantain to help create soft stool
and to lessen irritation of existing Piles.
broom - extract or Ruscus aculeatus contains
ruscogenins that have anti inflammatory and vaso-constrictor effects.
It helps to tighten and strengthen veins. It has also been used
traditionally to treat venous problems.
chestnut – extract or Aesculus hippocastanum
contains a saponin known as aescin that has anti inflammatory,
anti edema and venotonic actions. It improves tone in vein walls.
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, Piles
[Murphy] Rectum, Piles
[Boericke] Abdomen, Piles (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 Piles 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 Piles
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 Piles dependent on congestion of the portal
system. Pulsatilla is one of the best remedies in Piles after
Aesculus. Passive congestion and dyspeptic troubles are the keynotes;
blind Piles. Piles that bleed easily. It acts best
in the higher potencies (Dewey). Piles 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. Piles 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. Piles 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 – Piles 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 Piles,
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 pile 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 .Piles most sensitive to all touches, even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating. Piles during
pregnancy, bluish, hot, with violent stitches.
Nitric acid – Piles that
have ceased to bleed, but very painful and hanging down loosely
with sharp pricking pains in rectum. Great straining while passing
stool and Piles 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 Piles 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 Piles 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 – Piles 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 Piles 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 Piles too protrude out. Fissures of anus with great constriction
and burning like fire. Piles too burn and get relieved by
Sulphur –This remedy corresponds to ailments
producing Piles 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 Piles 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 Piles with excoriation of anus.Bluish burning
piles and paining after stool.
– Hemorrhage from bowels. Bleeding Piles and stool
as well as urine is bloody. Blood is bright red in color.
religiosa – Hemorrhage and Piles. Bloody Piles
with bright red blood and pain, soreness, burning, itching and aching
Phosphorus – Known for bleeding
Piles 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 Piles 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.