Hemorrhoids are normal part of the anal canal and have important role for continence of stools unless there is some abnormality associated with them.
Hemorrhoids or piles are swollen veins in the anus and lower rectum which may result from straining while passing stool or during pregnancy also due to increased pressure in these veins.
Hemorrhoids may be located inside the rectum known as internal piles or may develop under the skin around the anus known as external hemorrhoids. Occasionally a clot may form in the hemorrhoids known as thrombosed piles.
- Straining while passing stool
- Sitting for long in toilet
- Chronic diarrhea or constipation
- Low fibre diet
- Constant heavy weight lifting
- Family history of hemorrhoids
- Swelling around anus
- Pain and discomfort
- Painless bleeding while passing stool
- Itching or irritation in anus
Internal hemorrhoids are usually painless with bright red bleeding while passing stool but external hemorrhoids are painful with dark bleeding (not usual)
Best prevention is to keep the stool soft which can pass easily through the anal canal which could be done by:
- Eat high fibre foods: add fruits, vegetables and whole grain to the diet. This will help the stool in being bulky and soft and avoid straining. Approximately 30-40 grams of fibre should be taken everyday.
Foods in high dietary fibers are: whole wheat, brown
rice, oat meals, pears, carrots, bran.
- Plenty of fluids: ample amount of liquid would keep the stool soft.
- No straining: straining to pass stool would cause great pressure in the veins and would cause hemorrhoids.
- Avoid sitting for long: sitting for long also increase pressure in veins.
- Exercise: being active would help avoiding constipation and pressure in the veins. Weight would also be normal on being active thus preventing increase of pressure in the veins.
- Use toilet as soon as urge is felt: this would help preventing stool becoming hard and dry thus preventing hemorrhoids and straining required to pass stool.
MANAGEMENT OF HEMORRHOIDS:
- Advice on taking high fibre diet.
- To relieve pain advice on hot fomentation is given.
- Advice on plenty of liquid.
- Patient is advised to avoid straining.
HOMEOPATHIC MEDICINES FOR HEMORRHOIDS:
- Aesculus hippocastanum
- Muriatic acid
- Nitric acid
There are many homeopathic medicines which can help not only in relieving pain but also in decreasing the swelling of the veins but should always be taken after consulting a homoeopath based on the symptomatic presentation.