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What are hemorrhoids?

Hemorrhoids or piles are the swollen blood vessels in and around the anus. It may be caused due to excessive straining while passing stools (constipation) or due to pressure on these blood vessels during pregnancy and delivery.

Hemorrhoids may be internal that is located inside the rectum, or it can be external that is located under the skin round the anus.

The condition can be prevented or the symptoms can be lessened by making certain dietary and lifestyle changes.

What are the types and symptoms of hemorrhoids?

Hemorrhoids can be either internal or external.

Internal hemorrhoids lie inside the rectum and do not cause any symptoms. But excessive straining during stools can damage a hemorrhoid’s surface and lead to bleeding. Straining can even push the hemorrhoid out from the anus (prolapsed hemorrhoid) causing irritation and pain. The prolapsed hemorrhoid is seen as a mass hanging down from the anus which may need to be pushed back manually.

External hemorrhoids lie under the skin of the anus. They can bleed easily with slight irritation. Itching at the anus is the most common symptom of external hemorrhoid. In some cases, the blood may get collected forming a pool in and around the anus forming a thrombus which leads to severe pain, swelling and inflammation.

What causes hemorrhoids?

Hemorrhoids occur due to an increased pressure in the rectum. The veins in and around the anus tend to stretch due to excessive pressure and this leads to swelling of the veins.

The factors that can lead to hemorrhoids are:

  • Excessive straining during bowel movements due to constipation or chronic diarrhea
  • Sitting for long periods on the toilet
  • Obesity
  • Pregnancy
  • Low fiber diet
  • Older age leads to weakness of the supporting tissues which can lead to hemorrhoids
  • Lifting heavy objects frequently
  • Persistent coughing or vomiting
Self help
  • Sitz bath: Soaking the anal region in warm water for 10-15 minutes twice or thrice daily.
  • Keeping the anal area clean and dry by gently wiping it after bathing.
  • Avoiding the use of alcohol based wipes or harsh soaps in the affected region.
  • Ice-packs application in the anal region to relieve swelling.
  • Avoiding heavy lifting
  • Decreasing weight in obese people.
  • Increased intake of fibers in the food to relieve constipation which may be causing the problem.
How is hemorrhoids diagnosed?

External hemorrhoids can be diagnosed by simply looking at them. However, internal hemorrhoids need certain tests for making the diagnosis. These tests include:

  • Digital rectal examination
  • Visual examination of the rectum and anal canal using a anoscope or proctoscope.
  • Sigmoidoscopy or colonoscopy may be done to examine the entire rectum and colon.
Homeopathic management

Homeopathy medicines can help in complete recovery of piles symptoms. Homeopathic Remedies for hemorrhoids corrects the internal disturbances of venous system by making the valves more strong which helps in a complete recovery. 

Homeopathy should be the preferred and the first mode of treatment in piles owing to the use of nature and safe medicines.

Best homeopathic remedies for hemorrhoids are:


  • Painful piles
  • Pains as if there are glass pieces inside the rectum and the anus
  • Pains as if knife is thrust in the rectum
  • dry heat and burning at the anus
  • burning is relieved by cold water

Nux vomica

  • Frequent ineffectual desire for stools.
  • Great straining at stools with protrusion of piles
  • Passes small quantities of feces at a time
  • Alternate constipation with diarrhea
  • Morning, after eating rich foods, meat, alcohol, spices; cold air


  • Pain in the back along with piles
  • Pain in the rectum as if it is full of small sticks
  • Blind piles without any bleeding
  • Dryness and heat in the rectum
  • Fullness in the rectum with burning nd itching
  • Constipation with backache; dry, hard stools w2hich is difficult to pass
  • Pain at the anus lasts for hours after stools

Aloe socotrina

  • Hemorrhoids: blue like bunch of grapes
  • Constant bearing down in the rectum
  • Bleeding, sore, tender, hot pile
  • Relieved by cold water
  • Intense itching and burning at the anus preventing sleep