Piles or hemorrhoids are a very common problem nowadays. The most common reason is the changed diet and lifestyle. It is also very common in pregnant women. Piles is actually a bunch of veins which are normally surrounding the external opening i.e anus but when these start to protrude out of their normal place because of over straining due to any reason ( constipation, pregnancy) this becomes a disease called piles or hemorrhoids. The pile mass or the tortuous veins start to bleed sometime due to rubbing of stool when the patient passes the hard stool.Therefore the treatment of piles lies in understanding the causes as well as pathology or the shape of the piles.
In many cases, haemorrhoids don’t cause symptoms, and some people don’t even realise they have them. However, when symptoms do occur, they may include:
• bleeding after passing a stool (the blood is usually bright red)
• itchy bottom
• a lump hanging down outside of the anus, which may need to be pushed back in after passing a stool
• a mucus discharge after passing a stool
• soreness, redness and swelling around your anus
Haemorrhoids aren’t usually painful, unless their blood supply slows down or is interrupted.
The anal canal is the last part of the large intestine and is about 4 cm long. At the lower end of the anal canal is the opening to the outside (usually referred to as the anus), through which faeces pass. At the upper end, the anal canal connects with the rectum (also part of the large intestine).
There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual. The engorged veins and the overlying tissue may then form into one or more small swellings called piles.
Hemorrhoids (Piles) are blood vessels located in the smooth muscles of the walls of the rectum and anus. They are a normal part of the anatomy and are located at the junction where small arteries merge into veins. They are cushioned by smooth muscles and connective tissue and are classified by where they are located in relationship to the pectinate line, the dividing point between the upper 2/3 and lower 1/3 of the anus. This is an important anatomic distinction because of the type of cells that line the hemorrhoid, and the nerves that provide sensation.
Internal hemorrhoids are located above the pectinate line and are covered with cells that are the same as those that line the rest of the intestines. External hemorrhoids arise below the line and are covered with cells that resemble skin.
Hemorrhoids become an issue only when they begin to swell, causing itching, pain and/or bleeding.
Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.
Hemorrhoids affect at least half the population at some time in their lives before the age of 50.
In the majority of cases, piles are effectively treated with over-the-counter medications, a good fluid intake, and by following a diet high in fiber. In severe cases, the piles may have to be surgically removed. About 10% of patients who go and see the doctor about piles eventually require surgical intervention.
The position of the piles
The position of the piles is described in the clock wise directions. Piles are explained as per their position like 3 o’clock position, 7 o’clock positions, 11 o’ clock position ein the anal canal.
Fast facts on piles
Here are some key points about piles.
1. Piles are hemorrhoids that become inflamed.
2. The size of piles can vary and are found inside or outside the anus.
3. Half the US population are affected by piles, usually before the age of 50.
4. Around 10% of patients who go and see their doctor about piles, require surgical treatment.
5. Piles are often not serious and go away on their own.
6. Internal hemorrhoids are ordered into four grades.
7. External hemorrhoids are called perianal hematoma.
8. Piles occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy or straining when passing a stool.
9. A doctor can usually diagnose piles rapidly on examination.
10. For grades 3 or 4 hemorrhoids, surgery may be necessary.
Symptoms can vary. Sometimes no symptoms may be present and a person may not realise that they have piles (haemorrhoids).
The most common symptom experienced is bleeding after going to the toilet to pass stools (faeces). The blood is usually bright red and may be noticed on the toilet tissue, in the toilet pan or coating the stools.
A haemorrhoid can hang down (prolapse) and can be felt outside the anus. Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside.
Small internal piles are usually painless. Larger piles may cause a mucous discharge, some pain, irritation, and itch. The discharge may irritate the skin around the back passage (anus). You may have a sense of fullness in the anus, or a feeling of not fully emptying your back passage when you go to the toilet.
A possible complication of piles that hang down is that they can ‘strangulate’ (the blood supply to the haemorrhoid can be cut off). This can be intensely painful. Another possible complication is a blood clot (thrombosis) which can form within the haemorrhoid. This is uncommon, but again causes intense pain if it occurs. The pain usually peaks after 48-72 hours, and then gradually goes away over 7-10 days.
It is important to remember that rectal bleeding or blood in the stool is never normal and while it may come from a relatively benign cause like hemorrhoids, more serious causes can be life threatening. These include bleeding from ulcers, diverticulitis, inflammatory bowel disease, and tumors.
The inflamed hemorrhoid can leak mucus that can cause inflammation of the skin surrounding the anus causing burning and itching, known as pruritis ani. However, other causes of itching include yeast and other skin infections and parasites like pinworms. Most importantly, just as blood in the stool should not ignored in the stool because it mike be a sign of colon cancer, anal itching or bleeding should not be presumed to be due to hemorrhoids because it can be a sign of anal cancer tumor.
In most cases piles are not serious and go away on their own after a few days.
An individual with piles may experience the following symptoms:
A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful
Improper evacuation of the bowels. After going to the toilet, a feeling that the bowels are still full
Bleeding per rectum, bright red blood after a bowel movement
Itchiness around the anus
Mucus discharge when emptying the bowels
Cutting like Pain and some times burning sensation, while defecating
The area around the anus may be red and sore.
Cause of piles:
The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum. This may be due to:
• Chronic constipation: Constipation, passing large stools (faeces), and straining at the toilet. These increase the pressure in and around the veins in the anus and seem to be a common reason for piles to develop.
• Chronic diarrhea
• Lifting heavy weights
• Pregnancy: Piles are common during pregnancy. This is probably due to pressure effects of the baby lying above the rectum and anus, and the affect that the change in hormones during pregnancy can have on the veins.
• Hereditary factors. Some people may inherit a weakness of the wall of the veins in the anal region. The risk of developing piles grows with age.
Hemorrhoid swelling occurs when there is an increase in the pressure in the small vessels that make up the hemorrhoid causing them to swell and engorge with blood. This causes them to increase in size leading to symptoms. Increased pressure may be caused by a variety of factors:
• Low fiber diet and smaller caliber stool causes a person to strain when having a bowel movement, increasing the pressure within the blood vessels.
• age – as you get older, your body’s supporting tissues get weaker, increasing your risk of haemorrhoids
• Pregnancy is associated with hemorrhoid swelling and is likely due to increased pressure of the enlarged uterus on the rectum and anus. In addition, hormonal changes with pregnancy may weaken the muscles that support the rectum and anus.
• Prolonged sitting on the toilet may increase pressure within the hemorrhoid blood vessels
• Obesity: being overweight or obese
• a persistent cough or repeated vomiting
• Diarrhea, both acute and chronic
• Colon cancer
• Previous rectal surgery
• Spinal cord injury and lack of erect posture
• Occupations having Constant sitting
What are Piles according to Ayurveda
Piles are known as ‘Arsh or Arsha’ as per ayurveda. The literal meaning of Arsh is ‘enemy’. This disease is really true enemy of humans. In Sanskirt it is mentioned “Arivat pranan hanti” i.e. causing discomfort and pain in life like an enemy.
There are 3 major veins surrounding the anal canal as per ayurvedic texts. These are known as ‘ samvarni, visarjani and pravahani’. Just after these major veins there is external anal opening. These veins / arterial meshwork surrounding the anal canal swell up and protrude out if there is too much strain inside the anal canal. They can be dry ( non-bleeding) or bleed whenever there is injury during the defecation.
Cause of Piles
The leading cause of development of piles is imbalance of physiological functions of the digestive system. Usually the constipation is the offending reason for faulty digestion. Major cause of constipation is irregular life style and wrong eating habits. Eating when you are not hungry, eating after eating, eating heavy, greasy, sticky foods which are not easily digestible and lack fiber is the major reason for constipation.
Types of Piles
Piles are classified mainly into two types, (1) Internal, (2) External hemorrhoids.
There is a demarcation line in the anal canal called dentate line. This separates two types of anal skin. The skin above is not quiet sensitive to pain and skin below this line is quiet sensitive to pain.
1. Internal piles
Internal hemorrhoids occur above the dentate line and are, therefore, usually painless.
They can cause bleeding or they may protrude out of (prolapsed) the anal canal opening when they become quite large.
Internal hemorrhoids are again divided into 4 degrees or grades. Those are,
• Grade 1 or First degree Piles: Grade I piles can not be seen or felt from outside. Small swelling is seen on inner lining of anus.
• Grade 2 or Second degree Piles: The piles are protruding out of the anus whenever there is an effort to defecate. After passing the stool, the piles go back inside. They are larger in size than the 1st grade piles.
• Grade 3 or Third degree: This is almost similar to 2nd grade piles but in this case one has to push the pile mass inside with finger. The piles come out with defecation effort but go back only if they are pushed back manually.
• Grade 4 or Fourth degree: In this stage, the piles are permanently hanging out of the anus. They can not be pushed back inside.
2. EXTERNAL PILES
External piles are usually very painful and they occur below the dentate line. They can be very distressing and painful when the blood clots in between them and there is swelling and the inflammation is irritating the nearby sensitive skin. Usually the piles are internal but external piles are also common now.
The common symptoms of a hemorrhoid include itching, pain, rectal fullness or lump, and bleeding. The diagnosis is made by history taking and physical examination. The history may focus on the associated symptoms including constipation, hard bowel movements, and straining while going to the toilet. Other questions may be asked to look for other causes of rectal bleeding including tumors, inflammatory bowel disease, and gastrointestinal bleeding.
Piles are usually diagnosed after the doctor asks for the questions about the symptoms and performs a physical examination. Sometimes, if your piles are not obvious after an examination of your back passage, your doctor may suggest a further examination called a proctoscopy. This is where the inside of your back passage is examined using an instrument called a proctoscope. A proctoscope is a short, hollow tube that has a light at one end and allows the doctor to see the lining of your back passage, and any piles, more clearly.
In some cases, a more detailed examination of your bowel may be needed to help rule out other conditions.
Interestingly, internal hemorrhoids cannot usually be felt. The rectal exam may be deferred if there is intense pain or swelling. In addition, hemorrhoids and constipation may be associated with anal fissures or cracks in the skin surrounding the anus. The associated pain and spasm makes a rectal exam very uncomfortable.
If the symptoms, especially rectal bleeding, cannot be explained by hemorrhoids, Anoscopy may be considered. Anoscopy is a procedure where a lighted tube is inserted to look at the anus. Sigmoidoscopy or colonoscopy also be performed if there is concern that the bleeding is arising from other areas of the colon.
Depending upon the situation, blood tests may be ordered. If there has been excessive bleeding, the Hemoglobin or Red blood cell count may be checked. If the patient is taking warfarin or any other blood diluting medicines, an INR (international normalized ratio) or PT (prothrombin time) blood examinations may be ordered to check for appropriate blood “thinning.
Treatments for piles
Prevention is perhaps the most effective treatment. Hemorrhoid symptoms can occur with the passage of hard stool and constipation, as well as diarrhea and frequent bowel movements. For patients with constipation, high fiber diet, adequate hydration and stool softeners may be required. For those with too frequent bowel movements, anti diarrheal medications and diet adjustments may be required. These preventive measures decrease the amount of straining that is required to have a bowel movement, thus decreasing the pressure within the blood vessels to prevent swelling. Diet and adequate hydration are very important to maintain normal bowel movements.
Once hemorrhoidal symptoms develop, a variety of treatment options exist, depending upon the situation and severity of the hemorrhoids.
In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience.
A good doctor will initially recommend some lifestyle changes.
Diet – piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran.
Water is the best drink, and the patient may be advised to increase his/her water consumption.
Body weight – if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids.
Avoid constipation and straining at the toilet
Keep the stools (faeces) soft, and don’t strain on the toilet. You can do this by the following:
• Eat plenty of fibre such as fruit, vegetables, cereals, wholegrain bread, etc.
• Have lots to drink. Adults should aim to drink at least two litres (6-8 glasses) per day. You will pass much of the fluid as urine, but some is passed out in the gut and softens faeces. Most sorts of drink will do, but alcoholic drinks can cause the body to lose fluids (they are dehydrating) and may not be so good. Too much caffeine should also be avoided.
• Fibre supplements. If a high-fibre diet is not helping, you can take fibre supplements (bulking agents) such as ispaghula, methylcellulose, bran or sterculia. You can buy these at pharmacies or get them on prescription. Methylcellulose also helps to soften faeces directly which makes them easier to pass.
• Avoid painkillers that contain codeine such as co-codamol, as they are a common cause of constipation. However, simple painkillers such as paracetamol may help.
• Toileting. Go to the toilet as soon as possible after feeling the need. Some people suppress this feeling and plan to go to the toilet later. This may result in bigger and harder faeces forming which are then more difficult to pass. Do not strain on the toilet. Piles may cause a feeling of fullness in the rectum and it is tempting to strain at the end to try to empty the rectum further. Resist this. Do not spend too long on the toilet, which may encourage you to strain.
Internal hemorrhoids are graded by the degree of prolapse below the pectinate line into the anal canal.
• Grade 1: the internal hemorrhoid bulges into the canal but does not prolapse or fall completely into it. These may bleed.
• Grade 2: the hemorrhoid protrudes past the anal verge with straining for a bowel movement or passage of flatus, but spontaneously return to their original internal position once the straining has subsided.
• Grade 3: the hemorrhoid may protrude past the anal verge without any straining and requires the patient to push them inside manually.
• Grade 4: the internal hemorrhoid always stays protruded or prolapsed and is at risk for thrombosis or strangulation should the anal muscles go into spasm.
Grade 1 hemorrhoids are treated symptomatically. There can be some spasm of the anal muscles. Warm sitz baths, sitting in a warm tub for 20 minutes, two or three times a day may be helpful. Avoiding spicy food may also prevent anal itching. Over-the-counter medications may be helpful.
• Medications are used to control symptoms by softening the stool, decreasing the inflammation of the hemorrhoids and treating the pain.
• Stool softeners work by increasing the water and fat content within the stool allowing it to be passed more easily. Stool softener like triphala choorna, aviaptikara choorna, haritaki choorna etc are commonly used and prescribed in ayurveda.
• Inflammation can be controlled with some local applicable oils like jatyadi taila, kasisa taila, and much more other ayurvedic ointments available.
Ayurvedic Treatment for Piles Disease
The combination of Kachnaarguggul, Sanjivanivati and Digestion Support fills in as a successful Ayurveda treatment. The treatment basically contains powders, tablets, decoctions, medicated oils and so on ready from regular herbs, plants and minerals. Since the medicines are from regular sources and not synthetic, they are acknowledged and acclimatized in the figure without making any reactions and then again, there may be some side profits.
Primary herbs utilized as a part of the medicine are Haritaki (Terminalia chebula), Jimikand.
There are three main classifications of management of disease in Ayurveda: Sodhana or cleansing process, Shaman or oral medication , Rasayana or rejuvenation.
Herbs helps basically in strengthening the digestive procedure and flushes away the toxins and they have more against oxidant actvity.
• Ayurvedic Trikatau unique rasayana is effective. Home remedy that is prescribed by ayurveda is ginger and amla.
• Herbs like Peppermint (has hostile to uncontrollable movements), Fennel, Chamomile, Caraway are protected when utilized as a part of right doses.
• Aam-paachak kwath (Decoction ready with Ayurvedic herbs of Haritaki, Sunthi and Mustak).
Complications linked to piles
Anemia – hemorrhoids can sometimes cause long-term blood loss, which may lead to anemia.
Stangulated hemorrhoid – the blood supply to an internal hemorrhoid is cut off, causing severe pain, and even gangrene (death of tissue).
What is the prognosis for hemorrhoids?
Hemorrhoids are normal tissue and only raise concern when they swell, become inflamed or bleed. Hemorrhoids will recur after non-surgical treatment about 50% of the time, while the recurrence rate after surgery is only 5%.
The goal is to control hemorrhoid inflammation by diet and hydration so that surgery is not required. In this respect, hemorrhoids are a life-long condition, to be controlled and not cured.
How to ease piles
Constipation can cause piles. If this is the case, try to keep your stools soft and regular.
You can help to ease piles, and prevent them, by making some changes to your diet and lifestyle, such as:
eating plenty of food that is high in fibre, like wholemeal bread and fruit and vegetables, and drinking plenty of water – this can help to prevent constipation, which can make piles worse (read about healthy eating in pregnancy)
avoiding standing for long periods
taking regular exercise to improve your circulation
using a cloth wrung out in iced water to ease the pain – hold it gently against the piles
if the piles stick out, push them gently back inside using a lubricating jelly
avoiding straining to pass a stool, as this may make your piles worse
after passing a stool, cleaning your anus with moist toilet paper instead of dry toilet paper
patting, rather than rubbing, the area
There are medicines that can help soothe inflammation around your anus. These treat the symptoms, but not the cause, of piles. Ask your doctor, midwife or pharmacist if they can suggest a suitable ointment to help ease the pain. Don’t use a cream or medication without checking with them first.
Home Remedies for Piles Disease
• Take one tbsp black cumin seeds (shah jeera), roast and blend with one tbsp of unroasted black cumin seeds and powder each
• Radish juice taken within the morning and night. Begin with one/4 a cup and increase to 1/2 a cup step by step over a amount of 1 month.
Use of caster oil with milk or 1 TSP with a warm cup of tea or, still better, Isabghole Husk (1 TSP) with warm milk will help in softening stool and thus, cause easy and almost painless passage thereof.
Alternative being to take a TSP of Triphala with water at bed-time. It show its effects.
The patient should be advised not to use a hard seat or ride horses during the course of treatment. He should not indulge in too much sex, nor suppress the urge to void the stools for fear of pain which accompanies dry piles.
Sitting for a long duration on hard surface. Eating dry food. Smoking. Putting pressure during defecation. Eating Non-Vegetarian food. Consumption of canned food. Afternoon nap (diseased, aged and children are exempted). Eating stale food. Anal coitus. Usage of Sesame and Mustard.
Do the following things…
Drink lot of water (avg 5 lts /day).
Consume green leafy vegetables and fruits which add roughage.
Sleep well in nights.
Maintain Oral and Anal hygiene.
Ayur remedies for piles
Sitz bath :-
Boil “thriphala choorna” or grated radish in water and pour this water in a tub. Take sitz bath when water is tolerably hot.
Medicinal liquids :-
Add dry ginger powder and jaggery to pomegranate juice and drink twice daily.
Mix 1/2 glass of sour pomegranate juice,2 tsp of ginger juice,2tsp jaggery and 1/2 cup of buttermilk.
This has to be consumed twice daily.
Buttermilk should be used at least twice daily.
In Ayurveda, there are three types of prescriptions. These are Kasisadi taila, Abhayarishta and Nagakesara.
The main ingredient of Kasisadi taila is iron sulphate (Kasisa). Kasisadi taila checks bleeding and relieves pain. It first shrinks Piles and simultaneously cures the itching sensation in the anal portion. It is used externally.
While preparing Abhayarishta, the main ingredient utilised is Haritaki.
The dose: 30 ml. of the medication needs to be mixed with an equal quantity of water. The patient should consume it twice daily.
Nagakesara is recommended for stopping the bleeding from the anal region. The flower of the Nagakesara plant is used to prepare the medication. The flower is dried and changed into a powdery form. It is beneficial for patients suffering from both the dry and bleeding forms of Piles.
The dose: One teaspoonful thrice daily. The patient should follow it up with a cup of warm milk.
The poultice made of sesame (til) seeds can be applied over bleeding piles as an external measure, and internally also ½ teaspoonful of sesame seeds can be taken orally with some butter.
A mixture can be made of:
Ripe bael fruit pulp = loz
Sugar = 180gms
Powder of black peppers = 7 in number
Cardamom powder = 7gms
This can be taken twice a day as a good remedy.
Radish (Muli) is a useful home remedy for piles.
* The hot poultice of dry radish (Muli) is a good application in non-bleeding piles.
* The juice is also useful in piles. 60 to 100 ml of radish juice well mixed with little bit of salt, should be taken twice a day, daily for 40 days.
Butter Milk: It is the home remedy of choice in piles. l00ml well mixed with a little bit of black pepper powder, and salt should be taken daily for a few months at least. Ayurveda stresses upon daily intake of butter milk by the piles patients.
Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of harad (Terminal a Chebula) is taken 1 cupful with jaggery at bed-time.
Rose petals, 11 in number crushed with 50 ml of water should be taken for 3 days on empty stomach. This is a very good remedy for bleeding piles. Banana fruit should not be taken for 1 year along with this treatment.
The decoction of sonth (dried ginger) is very useful in piles. It should be taken in the quantity of 30 to 50ml daily.
Triphalachurna: This should be taken regularly to remove the constipation. 2 tsf of powder well mixed in a glass of lukewarm water should be taken orally before retiring to bed. Externally also it is widely used in different methods. One popular method is to take a plastic tub, fill it with warm water to a level where one can sit comfortably. Add 10 teaspoonfuls of Triphalachurna to the water and mix well for some time. Then the patient should sit in the tub, duly immersing the anus in the lukewarm water for 30 minutes. This should be carried out daily. This practice brings in enormous benefits to the piles patient.
Abhayarista: As an oral liquid preparation, it is also useful in constipation. 30 ml of the medicine dissolved in equal quantity of lukewarm water should be taken before going to bed.
Arsha Harivati is a common herbo-mineral compound prescribed by Ayurveda. 2 pills twice a day with some butter milk or warm water should be taken for 40 days. This gives great relief from piles.
Arshony tablet/ointment (Charak) 1-2 tablets thrice daily along with application of ointment before and after defecation.
Pilex tablet/ointment (Himalaya Drugs) are equally useful. Dosages are as above.
Arshoghnivati tablet (Baidyanath) 1 to 2 tablets with water or butter milk can be taken thrice or four times daily.
Kankayan Vati (Baidyanath) is equally good in both types of piles.
Pileen, Arshon and Rasanjan Vati tablets (Bhaat Ayurvedic Pharmacy) can cure both types of piles if taken in the dose of 1 to 2 tablets daily for 2 to 3 months.
Kasisadi Tailam when applied externally treats external piles completely
• One can apply a mix of turmeric powder, neem powder, aloe vera juice on the pile mass before going to bed.
• One can also apply papaya juice mixed with mustard oil
• Ayurvedic oils called ‘kaasisadi oil and nirgundi oil mixed together are applied externally on the piles. This helps in shrinking the pile mass and relieves itching.
• Some people recommend herbs like Garlic and Cloves to be pushed inside the rectum at bedtime. We don’t recommend that. Garlic and Clove are pungent in nature and release volatile oils. They can be irritant and can cause more inflammation and swelling in the piles.
• For painful and protruding piles, Sitz bath, the Ayurvedic oils are the best way to prevent infection and inflammation.
• Boiled radish, carrots, sweet beetroots, are rich in natural fiber content. They can be eaten once daily
• Fresh green salads are recommended.
• 1 tablespoonful of psyllium husk is also recommended once daily before going to bed
• Avoid herbs like Senna and regular use of laxatives to get rid of constipation. The more you whip the horse, the more stubborn it gets.
• Mild fiber rich laxatives like Vara churna, bael powder, Amlatas, Aloe vera juice can be used
• An mixture containing 10 grams of pulp of ripe Bael fruit, 3 grams of sugar, powder of 7 black peppers and 13 cardamoms is very effective ayurvedic treatment to check bleeding from piles.
• Mesua fera, Black sesame seeds mixed with fresh ghee and butter are useful to check bleeding from piles
• Other popular medicines which are used as Ayurvedic treatment of piles are – Abhayarishta – 20 ml twice daily for constipation. This is a liquid and very bitter in taste.
• Triphala capsules – Triphala is an effective age old Ayurvedic remedy for piles and constipation. It is useful for relieving constipation. Vara churna is the powder form of Triphala capsules which is more effective than the capsule form.
• Kachnaar Guggul tablets- Kachnaar Guggul tablets are used as an effective Ayurvedic treatment for piles and other uncontrolled growths in the body. These herbal tablets shrink the pile mass and whenever there is an extra tissue growth in any part of the body. These tablets are not only useful Ayurvedic remedy for piles but also for viral warts, tumors, cysts etc.
• Sanjivani vati – These tablets are useful in any diseases caused by accumulation of endotoxins in the body. The herbs contain effective ayurvedic herbs for treatment of piles and other diseases similar to faulty metabolism.