Piles

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Piles, or haemorrhoids, are swollen and inflamed venous cushions in the anal canal caused by increased pressure such as chronic constipation, prolonged straining, pregnancy, obesity, sedentary lifestyle, or portal hypertension. They may be internal (within the rectum) or external (around the anal opening). Clinical features include bleeding during stool, pain, itching, swelling, mucus discharge, and a sensation of incomplete evacuation. Complications include thrombosis, prolapse, anemia, and secondary infection. Diagnosis is clinical, supported by proctoscopy when necessary.

Homoeopathy treats piles by addressing venous congestion, inflammation, bleeding tendencies, and associated digestive disorders such as constipation and portal venous stasis. Remedies aim to reduce swelling, control bleeding, heal fissures, and improve bowel habits. Individualization considers pain type, bleeding characteristics, rectal sensations, constitutional tendencies, and mental state. Long-standing cases require deeper constitutional and miasmatic treatment.

Natural Homoeopathic remedies to get rid of Piles

Bleeding Piles with Burning and Soreness – Aesculus Hippocastanum

Characterized by severe backache, fullness in rectum as if a foreign body is lodged, and burning soreness after stool. Bleeding may or may not be present. Marked venous congestion is keynote.

Painless Bright Red Bleeding – Hamamelis Virginiana

Indicated when bleeding is profuse, dark or bright red, with soreness and passive venous bleeding tendency. A strong remedy for bleeding piles or secondary anemia.

Bleeding with Ineffectual Urging – Nux Vomica

Useful when constipation with frequent, ineffectual urging accompanies piles. Sharp pains, irritability, sedentary lifestyle, stimulants, or mental strain often point to this remedy.

Protruding Piles with Intense Pain – Muriatic Acid

Piles are swollen, bluish, extremely sensitive, and protrude after stool with severe soreness. Even slight touch is intolerable. Often needed post-delivery.

Piles with Fissures and Cutting Pain – Nitric Acid

Marked by sharp, splinter-like pains during and after stool. Bleeding accompanies fissures, and stool passage is extremely painful.

External Piles with Intense Burning – Ratanhia

Burning pain persists long after stool, with sensation of constriction and severe anal soreness. Piles feel hot and inflamed.

Bleeding Piles with Weakness – Phosphorus

Bright red bleeding occurs even with soft stool. The patient feels weak after bleeding episodes, with craving for cold drinks and burning sensations.

Large, Prolapsed, Bluish Piles – Aloe Socotrina

Sensation as if stool will pass involuntarily. Prolapse after stool, mucus discharge, and sudden urging for bowels are key symptoms. Burning and heaviness in rectum.

Painful, Inflamed Piles with Thrombosis – Collinsonia Canadensis

Indicated in obstinate constipation with straining and painful congested piles, especially in pregnant women or those with pelvic congestion.

Moist, Itching Piles – Sulphur

Itching and burning in the rectum, worse from heat. History of chronic constipation or irregular bowel habits. The anus feels raw and excoriated.

Bleeding + Constipation with Dry Stool – Bryonia Alba

Stool is hard, dry, and passed with difficulty, leading to bleeding. The patient feels worse from motion and prefers rest.

Sharp Shooting Pain After Stool – Ignatia Amara

Suited to emotional or sensitive individuals who experience sharp rectal pains post stool, spasmodic constrictions, and mood fluctuations.

Blind, Protruding Piles with Stitching Pain – Lachesis

Intense sensitivity, bluish swelling, and aggravation from heat are predominant. Symptoms are worse after sleep and tight clothing.

Itching Piles with Mucus – Pulsatilla

Mild, yielding temperament with shifting symptoms. Anal itching, mild bleeding, and mucus discharge after stool. Worse from rich foods.

Prolapsed Piles in Elderly – Calcarea Fluorica

Indicated when tissues are lax, leading to easily prolapsing piles. Hard knots or indurations may accompany.

Bluish Congested Piles – Carbo Veg

Useful in venous stasis, weak circulation, and distended, painful haemorrhoids. Bleeding gives relief. Gas, flatulence, and weakness are common.

Piles with Constant Urging and Tenesmus – Mercurius Solubilis

Accompanied by slime, bleeding, and foul smell. Burning and soreness persist after stool, with increased salivation and sweating.

Protruding Piles in Pregnancy – Sepia

Useful for women with pelvic congestion, dragging sensations, constipation, and prolapse. Feeling of bearing down is characteristic.

Constipation with Ineffective Straining – Opium

No desire for stool for days, leading to congested, affected haemorrhoids. Rectum feels inactive and dry.

Bleeding Due to Portal Congestion – Carduus Marianus

Indicated for piles linked with liver disorders, fatty liver, or portal hypertension. Bleeding and heaviness in rectum are prominent.

Piles are a common anorectal disorder often linked to constipation, sedentary lifestyle, or venous congestion. Homoeopathic medicines relieve pain, bleeding, swelling, and inflammation while improving bowel movements and venous tone. With individualized remedy selection and lifestyle correction, homoeopathy offers significant relief and prevents recurrence, reducing the need for surgical interventions in many cases.