Piles Hemorrhoids Homeopathic treatment

Shearing of ligaments is a major feature Haemorrhoidal Disease pathophysiology check .

Straining causes engorgement of veins via blockade of venous return, which causes an increase in venous pressure. The lumen for stools to pass through narrows and the mucosa thins due to this stretching, and enzymes or mediators further contribute to the degradation of supporting tissues in the anal cushions of anal canal.

Matrix metalloproteinase 9, which has a key role in the pathophysiology of Crohn’s disease, is overexpressed in Haemorrhoidal Disease tissue and acts to degrade extracellular proteins such as elastin, fibronectin, and collagen.

Chronic overstraining with the attendant increases in pressure, stretching of vessels, engorgement, and stretching of the mucosa, eventually results in shearing of these ligaments, resulting in migration of the pile downwards, especially during defecation. In cases where the ligaments are partly intact, the haemorrhoidal piles will return to their original position after straining.

However, when all ligaments are lost the pile will drop down and will not return to its original position.

Pathophysiology of haemorrhoidal disease.VEGF: vascular endothelial growth factor. Haemorrhoids have a tendency for hypervascularisation . MMP-9 and the related proteinase MMP-2 promote angioproliferative activity through transforming growth factor-β (TGF-β).8 Expression of the TGF-β binding site endoglin (CD105), vascular endothelial growth factor (VEGF), and microvascular density are all increased in Grade III–IV Haemorrhoidal.

In addition to microvascular changes, the terminal branches of the superior rectal artery supplying the anal cushion exhibit larger diameters and greater blood flow, which correlate with Haemorrhoidal Disease severity.

In the normal anal canal (AC) a sphincter-like structure is formed by a thickened tunica media, however in HD this sphincter-like mechanism disappears. The loss of this mechanism further increases blood flow alongside increased vascularisation.10 These changes are surgery resistant and are likely drivers of recurrence. Dysregulation of the vascular tone, related to changes in vascular smooth muscle and the overlying endothelium, also likely contributes to pathophysiology, as evidenced by venous dilatation/distortion and increased production of vasodilator nitric oxide in Haemorrhoidal tissue. In addition to the above mechanisms, severe inflammation of the vascular wall and connective tissue occurs within haemorrhoidal tissue and has been shown to be associated with complications including ischaemia, thrombosis, and mucosal ulceration . In summary, the major features of HD pathophysiology include structural changes to the supporting tissues within the AC; morphological changes to the existing vasculature and extensive neovascularisation; and inflammatory changes within the vascular wall and connective tissue.

Chronic overstraining during Stool on daily basis with the attendant increases in pressure on anal canal & sphinters check image , stretching of vessels, engorgement, and stretching of the mucosa, eventually results in shearing of these ligaments, resulting in migration of the pile downwards engorged with veins, especially during defecation. In cases where the ligaments are partly intact, the haemorrhoidal piles will return to their original position after straining grading of piles give better information of health.

Internal Hemorrhoids occur higher up in the anal canal and are not noticeable to the eye until they droop. They are graded according to their position. Bleeding is the only symptom of internal hemorrhoids 

·         First-degree or grade 1 piles are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the anus.The internal hemorrhoid protrudes out of the canal but does not protapes completely. There is chance  of bleeding.

·         Second-degree or grade 2 piles are larger and suspend from the anus during a bowel movement, but return inside afterwards by themselves.The hemorrhoids bluges  out the anal canal while  straining during stool or  even flatus comes out but  spontaneously return backinside to their original position once the straining has subside.

·         Third-degree or grade 3 piles are similar to grade 2 but exit inside only when pushed back with a finger.Here the hemorrhoid  may protrude out from The anal canal without  any straining  and  requires the patient to push them  inside manually.

·         Fourth-degree or grade 4 piles permanently suspend from the anus and cannot be forced back inside.Here the internal  hemorrhoid always stay proturded or prolapsed..

2)External Hemorrhoids is a small lump that develops on the outside edge of the anus. They are less common than internal hemorrhoids.

3) Prolapsed hemorrhoids –Internal hemorrhoids that are much distended and pushed outside anus.

 4) Strangulated hemorrhoids –If anal sphincter muscle goes into spasm and traps a prolapsed hemorrhoid outside the anal opening and supply of blood is cut.              

Anal architecture is designed in such a manner to control even the release of air (flatus) and watery stools i.e., airtight and leak-proof. It is well-formed with internal sphincter and external sphincter muscles. Anal canal is anatomically divided into two parts (namely upper part and lower part) by Hilton’s line (bluish pink ring). This upper anal part originates from the endoderm and is covered with mucous membranes. The nerve supply of the upper part is supplied from the autonomic nervous system which doesn’t have any pain sensitive nerve fibres. The lower part of the anal canal originates from ectoderm and is covered by skin. Unlike the upper part, it is supplied by spinal nerves which have pain sensitive nerve fibres. The blood supply to upper part of the anus is supplied by superior haemorrhoidal plexus and the lower part is supplied with inferior haemorrhoidal plexus.

The occurrence of swelling/varicosity in the anus (piles) is more common in 3 O’, 7 O’ & 11 O’ clock position of anus which are all supposed to be weak points of the anus.

•  Constipation:- Sitting for prolonged period at closet.
•  Low fibre diet causing small caliber stool and straining during defecation.
•  Hypertension mainly in portal vein.
•  Anal sex without proper use of lubricants stresses anus.
•  Straining to have a bowel movement.
•  Diarrhea for a long time.Chronic diarrhea.
•  Increased pressure on rectal or anal veins during Pregnancy and Childbirth.
•  Heavy weight lifting.
•  Obesity.
•  Increased use of alcohol and caffeine.
•  Colon malignancy.
•  Loss of rectal muscle tone.
•  Inadequate exercise and a sedentary lifestyle.
•  Fluid collection in the abdomen.
•  Tumors in the pelvis.
•  Hepatic disease
•  Spinal cord injury.
•  Rectal surgery.
•  Ageing – weakened support structures.

Symptoms of piles usually vary according to the type and place of origin. Piles in its initial stages is most commonly found to be without any symptoms. It is often noticed after constipation and abrasions. As said earlier internal piles are usually silent except rarely bleeding, but the external piles mostly produce a lot of suffering/symptoms. Internal piles, when get prolapsed or protruded, produce symptoms like external piles.
The most common symptoms of piles are
Feeling a lump or discomfort in anus
Frequent ineffectual urge for stool without passing stool or without satisfaction of complete evacuation. Even after passing stool, they will not feel any satisfaction, since the bulge of the blood vessels (pile mass) give the sensation of impacted faecal matter in anus.
Bleeding from anus – Mostly pile mass bleed as bright red blood in drops just after defecation, but sometimes blood may splash over the toilet pan making the sufferer panic about the loss of blood. Sometimes it may just stain undergarments.
Pinkish or bluish colour swellings protrudes from anus like bunch of grapes
Pain – Piles mass will usually have a burning or stabbing or throbbing type of pain which often makes the person restless and doesn’t allow them to sit and relax. They may also have a sensation of having thorns or glass pieces in anus while sitting.
Itching of anus.
Mucus discharge or oozing/leakage of faecal matter from anus, since anus could not be able to close so tightly due to pain.
Strained and frequent urination due to irritability of anus with the contact of expanding, filling bladder.
Prolapsed or protruded piles often become thrombosed and  become hard tender external mass.

• Anemia. Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
• Impendous Venous Return Venous valves prevent the blood from flowing backwards, thereby permitting unidirectional flow that enhances Venous Return .If they fail to do this Vein become swollen & varices appear.
• Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain.Leads to fibrosis or Gangrene of the part.
  • Gangene Gangrene refers to the death of body tissue due to either a lack of blood flow or a serious bacterial infection. Gangrene commonly occur in srangulated case of haemorrhoidal piles.
  • Fibrosis Fibrosis, also known as fibrotic scarring, is a pathological wound healing in which connective tissue replaces normal parenchymal tissue to the extent that it goes unchecked, leading to considerable tissue remodelling and the formation of permanent scar tissue.Commonly observed in chronic Piles cases.
• Rectal ulcers are sores that develop inside therectum. These sores can be caused by several conditions, including inflammatory bowel disease, solitaryrectal ulcersyndrome and constipation. If you have arectal ulcer, you may see blood in the stool, haverectalpain or experience painful bowel movements.
• Blood clot. Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.

•           Drink plenty of fluids.
•           Eating more dietary fibers.
• Avoid constipation by adding more fiber to your diet like fresh fruits, green leafy vegetables and whole grain breads.
• Respond immediately to the bowel movement urge and do not sit on the toilet for longer than necessary.
• Keep the anal area clean.
•              Using squat toilets may help.
• Washing the anus with cool water and soap may reduce swelling and increase blood supply for quick healing.
• Do not use dry toilet paper, use moist towelettes or wet toilet paper after a bowel movement.
• To relieve pain take warm water sits baths.
• Use ice packs to relieve swelling of External Hemorrhoids.
• Exercise regularly.
• Try to loose excess weight.
•           Avoid wearing tight under clothes.         
• Modify your daily activities. Lie down periodically to decrease pressure in your anal area.

Avoid the intake of heavy, dry, cool, and stale foods. Avoid refined foods like jams, pastries, packaged, and canned foods. Also avoid tea, coffee, aerated drinks, and alcoholic beverages. Avoid pickles, potatoes, and root vegetables except radish and carrot. Also avoid excessive fasting, overeating, eating during indigestion, and eating incompatible food. Increase the intake of whole-wheat flour, whole grains, brown rice, barley, legumes (lentils, beans, peas, chickpeas, soybeans, etc.), buttermilk, rock salt, Indian gooseberries (amla; amalaki), green leafy vegetables, and foods that are rich in fiber. Eat more fruits including oranges, figs, strawberries, kiwis, bananas, pears, papayas, apples, grapes, and mangoes. Increase daily liquid consumption in the form of water, soup, juice, milk, buttermilk, etc. Have freshly-prepared warm food with a little purified butter added. Engage in light exercise like walking, yoga, and swimming. Avoid sleeping during the daytime and waking up late in the night

Besides some of the following ingredients, the product contains Dr Gurpreet Singh Makkar(punjab,India), Research based, highly effective medicines.

Aesculus hippocastanum- is a frequently indicated remedy in piles. There is intense dryness and heat of rectum, sensation of knife like pain, as if full of small sticks, excessive burning in anus. But the main characteristic is that the piles are mostly non bleeding. There is severe backache and extremely irritability which is almost always associated.·         

Aloe socotrina- an wonderful remedy in plies, where the haemorrhoids look like a bunch of grapes(also Muriatic acid), there is constant bearing down sensation, profuse bleeding , sore pain and heat which is relieved by cold water. There is intense itching and burning in anus which prevents sleep. Along with this other peculiar features of aloe like, poor sphincter control, excessive gas and stomach pain, diarrhea are to be searched.·        

Collinsonia Canadensis – is an excellent medicine for piles in women. Haemorrhoids arising in latter months of pregnancy or delivery. Piles are chronic, painful and bleeding. It is associated with palpitation which often alternates with piles.·         

Hamamelis verginica – medicine most frequently comes in mind when the bleeding is excessive. There is burning, soreness, heaviness, anus feels raw, of bluish appearance and there is backache. There is tendency to haemorrhage from other orifices as well.·         

Muriatic acid – piles in persons with great debility who become extremely exhausted from every attempt at stool. Haemorrhoids blue, swollen, extremely painful and sensitive. So sensitive and sore that even least touch of sheet is uncomfortable. Advance cases where prolapse is easy, even when trying to urinate. There is involuntary passage of stool when patient urinates.·         

Nitric acid – though usually used for piles, it is more popular when it is associated with fissure, as there is intense pain after stool, so painful so as to prevent sitting in chair. Strong smelling urine, peculiar mental irritability and night aggravation are to be matched always. It is a deep acting remedy in fact.·         

Nux vomica – almost exclusively effective for all kinds of piles. Overall Nux picture like the peculiar careless and high life style, lot of addictions, gastric troubles and excessive irritability are enough to select the remedy.

Thuja occidentalis – another useful medicine indicated in cases where there is swollen pile with fissure and excessive pain on sitting. Anus is often surrounded by flat warts.Besides medicine, a healthy lifestyle, lot of fibres in diet and minimum spices along with regular warm water bath will help patient a lot. More over one important line for all patients is that “Never strain at stool to clear your bowel”.

Homeopathic Herbal Tips are idea to help people to recognize potential of homeopathic medicines.None of Homeopathic medicine should be used without consent of Qualified Physician.You can take medicine from professionally Qualified physician after full case taking for more detail please follow link .