Hemorrhoids , Piles ( Bleeding )

Hemorrhoids , Piles  ( Bleeding )

Hemorrhoids are painful . swollen veins in the lower portion of the rectum or anus .

Causes

1 Straining during bowel movements.

2 During pregnancy.

3 Sitting for long periods of time.

4 In some diseases . Such as liver cirrhosis

5 After delivery.

6 Constipation.

Symptoms

1 Anal pain . Especially sitting.

2 Pain during bowel movements.

3 Bright red blood on toilet tissue . Stool .or toilet bowel .

4 Anal itching .

5 One or more tender mass near the anus.

Different Diagnosis .

* Features

1 Bleeding

2 PR examination

3 Pain

4 Stool

5 Food mixed with blood given to dog

6 quantity and fre quency.

*Raktarsha.

1 Per Rectum.

2 Presence of piles mass.

3 Before and defecation.

4 Hard and Constipation

5 Eats

6 less

* Adhoga Raktapitta .

1 Per rectum . Urethra vagina .

2 No . Piles mass

3 May occurs without defecation.

4 No Hard .

5 Hard / Liquid stools .

6 Not eats

7 Very large.

 * Raktaatisara

1 Blood mixed stool

2 No piles mass

3 No pain.

4 Liquid stool

5 Eats.

6 More.

Principal of Treatment

Shushka Arsha

1 Abhyanga , Svedana , dhuma , lepa ,raktamokshana , dipana , Vatanulomana. Malanulomana . Shamana

2 Arsha having stabdhata , Shoola and shopha , Seka , Avagaha ,Dhoopana ,lepa ,and Abhobhanga.

3 If Not relieved by sheeta , Ushna , Snigdha , Ruksha , then it indicates that visitation of rakta . In this condition raktamokshana Should be carried out .

4 In Vata - Shleshmaja Arsha ,Takra Prayoga is regarded as best treatment

Raktarsha / Ardra Arsha

1 In Vatanubandha - Snigdha and sheeta , in Kaphaanubandha - Ruksha and Sheeta .

2 Pitta and Kaphadhika Raktarsha - Shodhana , Langhana.

3 Bleeding should not be stopped at the begging . If stambhna is done then it lead to vata and rakta vikara.

4 Tikta drug for agnideepana , raktasangraha and doshapachana .

5 Ghrita Prayoga - In Rakta Atipravritti vata prakopa and Shoola

6 Sheeta kriya - Sheeta Seka lepa _ Avagaha ,  sahasradhouta. Ghirtha Abhobhanga , Picchu in rakta pitta predominantly and alpa vata and kapha .

Rx.

Shoshana Chikitsa

1 Abhyanga- Jatyadi Ghirtha

2 Parisheka - Panchavalkala kawtha

3 Avagaha - Panchavalkala + sphatika jala

4 Dashamula Niruha ( Samutra kshira ) in shushkarsha

5 Anuvasana - Changeri Ghirtha in prolapse of rectum , Pippalyadi Taila

6 Jaloukavacharana - In thrombosed piles

7 Piccha basti - Ati raktasrva in Raktarsha .

8 Pichu - Jatyadi Ghirtha / Kasisadi Taila / Padmakadi Taila .

Shamana Chikitsa

Sushkaarsha ( Non - Bleeding piles )

1 Takraristha 20 ml with equal water after meals BD

2 Arshakuthar ras 250 mg TID with warm water after meals

3 Tilabhallataka leha 1 tsf with milk before meals BD

4 Kankayana vati 2 BD before meals warm water

5 Kasisadi Taila -For Pichu

6 Changeri Ghirtha 20 ml with water after meals BD.

Raktarsha ( Bleeding piles )

1 Kutaja Ghana vati 2 BD Before meals with warm water

2 Bahushala guda 2 tsf with milk before meals BD

3 Suranadi vati 250 mg TID with warm water BD

4 Bola Parpati 250mg TID with warm water before meals

5 Pushyangu  Churna 1tsf with milk before meals BD

6 Padmakadi Taila - External for Pichu.

Pranayama

Rhythmic breathing that revitalizes the nervous system.

Diet and lifestyle

Pathya ( indications )

1 Rest  ,foot end elevation

2 Drink plenty of fluids  , at least eight glass per day .

3 Eat a high - Fiber diet of fruits , vegetables  and whole grains.

4 Use stool softeners to prevent straining.

Apthya ( Contraindications)

1 Hot , Spicy , diet , Constipating food .

2