Piles

Piles, or hemorrhoids, are swollen veins in the rectum or anus causing discomfort, itching, and sometimes bleeding.

What Is Piles?

Piles, or hemorrhoids, refer to swollen veins in the rectum and anus that can lead to discomfort, itching, and bleeding. They can occur internally, within the rectum, or externally, beneath the skin surrounding the anus. Typical symptoms include pain, irritation, swelling, and bleeding during bowel movements. The condition often results from increased pressure in the lower rectum, which may be caused by constipation, straining during bowel movements, prolonged sitting, or pregnancy. While mild cases can typically be managed through lifestyle adjustments such as consuming a high-fiber diet, staying hydrated, and using over-the-counter remedies, more severe cases may necessitate medical intervention, including surgical procedures to reduce or remove the hemorrhoids. Hemorrhoids are a widespread issue, affecting individuals of all ages, though they are especially common among older adults.

What is Hemorrhoids​ ?​

Hemorrhoids, known as piles in English, cause significant difficulty for patients when passing stool. This condition can arise due to chronic constipation, pregnancy, aging, diarrhea, heavy lifting, genetics, consumption of spicy foods, and an unhealthy lifestyle. Hemorrhoids can be treated in various ways, but today we will discuss whether Kshar Sutra treatment is more effective than laser surgery.

What is Fistula?​

A fistula is a serious medical condition that occurs when a hollow space forms between two organs near the anus. It is a type of tunnel with the inner part in the anal canal and the outer part in the skin near the anus. Fistulas can lead to the formation of abscesses and boils in or around the anus, causing wounds and sores, along with itching, pain, and burning sensations.

Symptoms of Fistula

Red rashes around the anus

Yellow discoloration of the affected area

Formation of pus in abscesses and boils that gradually leak Foul odor

What is Hydrocele?

Hydrocele is a condition characterized by a fluid-filled sac in the scrotum. It can occur on one or both sides of the scrotum. Important points about hydrocele. It is more common in infants and newborns but can occur at any age. It is usually painless and poses no serious risk. Hydrocele in infants often resolves on its own within the first year of life.

Symptoms of Hydrocele:

1. Swelling in the scrotum

2. A feeling of heaviness in the scrotum, which can cause pain

What is Kshar Sutra?​

Kshar Sutra is a type of thread made from Ayurvedic herbs used to treat anal diseases such as hemorrhoids and fistula. Many parts of the body were challenging to operate on until a few years ago, but with the advent of anesthesia, surgery on any part of the body has become much easier. In Ayurveda, treatment for hemorrhoids is done with thread rather than surgical instruments. The unique aspect of the thread is that it has the capacity to cut and remove body parts without surgical instruments, just like a surgical procedure.

Kshar Sutra is an Ayurvedic surgical procedure used to treat hemorrhoids. Patients suffering from hemorrhoids do not need to take long leaves from work to undergo Kshar Sutra treatment because this procedure does not create large wounds and does not involve blood loss.

Treatment of Hemorrhoids with Kshar Sutra​

  • Patients with hemorrhoids develop lumps around the anus. During treatment, these lumps are tightly bound with Kshar Sutra, which causes them to dry up and disappear after some time. This process can be performed in two ways. If the lumps are large, the surgeon ties Kshar Sutra around external hemorrhoids and internal hemorrhoids. However, if the lumps are small or located internally, Kshar Sutra is threaded through a semicircular needle and tightly bound around the root of the lump.

  • Kshar Sutra is an easy, safe, and minimally invasive surgical procedure. During this treatment process, patients do not need to be hospitalized, allowing them to resume their daily routines comfortably. Due to minimal damage to the tissues and muscles near the anus during Kshar Sutra treatment, the risk of issues like inability to pass stool and anal fistula is eliminated.

Ayurvedic treatment for piles

Ayurveda offers holistic treatments for piles by addressing the root causes reducing inflammation and improving digestion piles occur due to imbalanced doshas mainly pitta and vata leading to swollen blood vessels in the rectal area ayurveda focuses on herbal medicines detoxification therapies and lifestyle modifications to provide relief and prevent recurrence.

1. Herbal Remedies – triphala haritaki and arshoghni vati act as natural laxatives relieve constipation and reduce swelling.

2. Kshar Sutra Therapy – a medicated thread is used to remove hemorrhoids effectively with minimal pain and recurrence.

3. External Applications – applying jatyadi taila or kshar oil soothes irritation heals fissures and reduces inflammation.

4. Sitz Bath – warm water infused with neem triphala or turmeric helps cleanse the affected area and provides relief from pain and itching.

5. Diet and Lifestyle – consuming fiber rich foods drinking warm water avoiding spicy foods and practicing yoga improve digestion and prevent piles.

Dr. Manish Yadav (Neuro Specialist)

B.A.M.S. from Barkatullah Vishwa Vidyalaya, Bhopal, P.G.D.E.M.S form England University