Hemorrhoids

Hemorrhoids occur when the blood vessels in the lower rectum and anus swell due to straining during bowel movements. These swollen blood vessels causes stretching and irritation of the membrane that lines the rectum and anus.

Fistula-in-Ano

It is an abnormal tube like communication between two internal organs or an organ or a cavity to the body surface. Fistula can occur in any part of the body but a fistula occurring in Ano-rectal regioni scalled Fistula-in-Ano.

  1. Apamarga (Achyranthes aspera),
  2. Haritaki (Terminalia chebula).
  3. Kutaja (Holarrhena antidysenterica)
  4. Suran (Amorphophallus campanulatus)
  5. Abhayarishta
  6. Drakshasava

How it is managed through Ayurveda?

  • After defecation anal region should be washed with medicated water or simply hot water
  • Use of diet and drugs that are carminative and Promotive of digestive power
  • Use of Buttermilk
  • Fumigation with Tumburu (Xanthoxylon alatum), Vidanga( Embelia ribes), Devadaru(Cedrus deodara), Barley grain (Hordeum vulgare) and Ghee.
  • Important formulations: Kankayana vati, Arshakuthara rasa, Triphala churna, Takrarista, Kutajarista, Bhallataka vati, etc.
  • Local application: Jatyadi taila, Kasisadi taila, Shatadhauta ghrita etc.
  • Sitz Bath: With warm water or decoctions like Panchavalkala, Triphala or
    Haridra decoction with Alum etc.
  •  

In later Phases:

  • (1) Ksharasutra: Application of Medicated thread.

What are the useful medicinal plants and formulations for hemorrhoids and Fistula in Ano?

  • Manjishta (Rubia cordifolia),
  • Haridra (Curcuma longa),
  • Chitraka (Plumbago zeylanica)

Do's

  • Avoid hot, heavy, spicy and salty food.
    Haritaki
  • Include high fiber food.
  • Triphala three grams at bedtime with luke warm water
  • Maintaining regular bowel habits
  • Regular exercise such as walking, running, swimming
  • Daily consumption of Green leafy vegetables, buttermilk, grape, fig, guava, pomegranate and easily digestible dietary articles.
  • Keep the ano rectal area clean.

Don'ts

  • Straining while passing stools.
  • Incompatible dietary articles, highly processed food
  • Avoid chilly, spicy, non vegetarian diet
  • Avoid constipation
  • Sitting for longer duration.
  • Suppression of natural urges.