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	HEMORRHOIDS (piles)

	What are Hemorrhoids?
	Hemorrhoids are dilated veins of the hemorrhoidal plexuses in the anal canal and lower
	space, rectum. The hemorrhoidal plexus of veins are located in the external sub
	mucosal above the valves of Morgagni.
	Internal hemorrhoids arise from the superior hemorrhoidal venous plexus above the
	pectinate line. They are covered by mucosa.
	External hemorrhoids are dilatations of the inferior hemorrhoidal plexus.
	They lie below the pectinate line, and are covered by anoderm and perianal skin.
	Both types of hemorrhoids are very common and are associated with increased
	hydrostatic pressure in the portal venous system, such as during pregnancy,
	straining at stool or with cirrhosis.

	Symptoms of Hemorrhoids:

	Hemorrhoids are not life threatening .They may go by its' own after some days.
	Bleeding is one cardinal symptom of Internal hemorrhoids.
	Most persons complain of bright red blood on the toilet tissue or coating the stool, with
	the feeling of vague anal discomfort.
	The discomfort is increased when the hemorrhoids prolapse through the anus.
	External hemorrhoids, because they lie under the skin, are quite often painful,
	particularly if there is sudden increase in their mass.

	Types of Hemorrhoids:
	Small internal hemorrhoids, which project a short way into the anal canal, are called
	"First degree".
	If they prolapse with defecation but reduce spontaneously, they are called "Second
	degree."
	Hemorrhoids, which are compelled to reduce manually, are called "Third degree".
	Anal fissure is a condition in which a crack or split or ulcer develops in the area of the
	two anal sphincters, that control the release of faeces.

	Diagnosis:
	The diagnosis of both types of hemorrhoids can be made by inspection, digital
	examination, and through the proctoscope.

	Prevention:
	Preventing constipation is of utmost importance.
	A high-fiber diet, daily exercise, and losing excess weight are recommended to maintain
	healthy digestion and elimination.
	To prevent hemorrhoids by strengthening the veins of the anus, rectum, and colon
	and increasing circulation, blackberries, blueberries, cherries and vitamin C is useful.
	Drinking enough water with a high-fiber meal or supplement will cause the stools to be
	softer and easier
	Good toilet habits should be cultivated. Promptly responding to the urge to defecate
	will help encourage regular bowel movements.
	Defecation should be done without rushing or straining.
	In addition person should not seat on toilet for long time.

	Homoeopathic Treatment:
	AESCULUS: Hard dry, difficult stools. After passing stool there is intense pain &
	burning and fullness in the rectum. Knife like shooting pain.
	Sensation of something crawling in anus. External hemorrhoids

	ALOE: Constipation with heaviness in lower abdomen. Burning & constant bearing down
	in the rectum.Piles protrude like grapes, very sore & tender.

	CAPSICUM: Bleeding piles with soreness of anus. Burning & stinging pain during passing stool.

	COLLINSONIA: Most obstinate constipation with protruding piles. Aching in anus
	& lower abdomen. Piles during pregnancy with constipation. Painful bleeding piles.

	HAMAMELIS: Profuse bleeding piles with soreness in anus.Dark red blood. Pulsation in rectum.

	NUX VOMICA: Constipation, with frequent ineffectual urging, incomplete and
	unsatisfactory; feeling as if part remained unexpelled.
	Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire,
	or passing but small quantities at each attempt.
	Itching, blind hemorrhoids, with ineffectual urging to stool. Suitable for persons with
	sedentary life.

	(NOTE: The above given information about medicine is just for information, patient should not take medicines by own as homoeopathy believes in individualization and medicine & dose changes for each person)