Hemorrhoids also referred to as Piles is a disease of the vascular structures present in the anal canal. These vascular structures are present within the Haemorrhoidal cushion which is a normal part of the anal canal. The normal function of these blood vessels helps incontinence(holding the excreta) by preventing damage to the anal sphincter muscle.

In Haemorrhoidal disease, due to straining and engorgement, the vascular structure and the Haemorrhoidal cushion get prolapsed into the anal canal. With the severity of the Haemorrhoidal disease, they get prolapsed outside the anal canal where they are susceptible to injury.

What causes hemorrhoids?

Hemorrhoids are a disease that is caused due to the physical effect on the Haemorrhoidal complexes in the anal canal. Most of the time, straining during defecation leads to the development of hemorrhoids. Some of the well-known causes of hemorrhoids are :
Chronic constipation, Recurrent diarrhea, Colorectal surgeries, lack of physical activity, Obesity(Overweight), Prolonged sitting for long hours(sedentary life), and Pregnancy.

What are the types of Haemorrhoids?

Hemorrhoids are commonly classified as External Haemorrhoids and Internal Haemorrhoids.

• External Haemorrhoids –External Haemorrhoids are below the dentate line of the anal canal and are often associated with the internal type. They get painful when thromboses (clotted and hardened)
• Internal Haemorrhoids –Internal Haemorrhoids are above the dentate line and the majority of Haemorrhoidal disease is of this type.

What about hemorrhoids during pregnancy?

Typically, the ovaries are enlarged. There is an increase in ovarian volume along with an increase in the stroma. The ovarian capsule is thickened and pearly white in color. Along with the enlargement of ovaries, multiple follicular cysts are found around the cortex of the ovaries measuring about 2-9 mm in diameter.

What are the symptoms of Piles?

Piles are seen to develop in some women during pregnancy. In pregnancy, due to decreased gastrointestinal motility on account of high serum progesterone levels and mechanical compression from an enlarging uterus cause early satiety(hunger), gastroesophageal reflux, nausea, vomiting, and constipation. In such a scenario, hemorrhoids tend to develop and often bleed. In some women, hemorrhoids remain even after the delivery of the child.

What are the different stages of Haemorrhoids?

PCOS is diagnosed with the symptoms of obesity, menstrual irregularities, infertility, acne, and hirsutism. It is confirmed by the doctor on further investigations required such as

Stage	Symptoms
I	Enlargement of the blood vessels with bleeding per rectum
II	Enlarged blood vessels. Prolapse of vascular structure with spontaneous reduction
III	Enlarged blood vessels. Prolapse of engorged vascular structure with manual reduction
IV	Prolapse of the Haemorrhoidal plexus which doesn’t reduce

Symptoms of Haemorrhoids ?

The primary complaints of any patient with Haemorrhoids are related to two reasons; Bleeding and Protrusion. The pain is not much distressing but is felt as a dull ache with a sense of heaviness.
When a patient with Piles of complaints of severe pain, it may be due to a thromboses Haemorrhoids.
The bleeding per rectum due to Piles is bright red in color which is seen either upon wiping or in the toilet. Prolapse or protrusion of the vascular structure begins with the weakening of the anatomical structure of the anal canal. Due to leakage from the injury to the Piles, anal hygiene may get difficult and patients complain of anal itching. In rare instances, anemia is seen in patients with haemorrhoids.

How are Piles diagnosed?

The diagnosis of Haemorrhoidal disease is made by the doctor on physical examination. Inspection is done for any evidence of thrombosis or excoriation. Rectal examination may also be required to confirm the advancement of the disease. To know the position of the Piles, Anoscopy is performed by the doctor by which the stage and location of the Haemorrhoidal complexes are classified.

Why should you choose Homeopathy Treatment for piles?

In all the patients of haemorrhoids, the stage and location of the piles are considered and the treatment is decided by the doctor. The treatment has to be started for both the symptomatic and non-symptomatic haemorrhoids . In conventional medicine, surgery and bands are sought to treat Stage I to Stage IV haemorrhoids. But complications due to surgery should be borne in mind before making the decision to undergo surgery. Early and late complications such as pain, infection, urinary retention, facial incontinence, etc should be observed.

By focusing on the source of the problem, homeopathy treatment for piles provides long-term healing and eliminates the danger of recurrence. Homeopathy has excellent homeopathic medicines for haemorrhoids which act deep enough to cure all the stages of Piles effectively and also prevent further recurrence of Haemorrhoidal disease. The best part of homeopathic treatment is that they cause no side-effect and the treatment does not involve surgery, the medicines can be taken at the comfort of home or office. The duration of treatment with homeopathic treatment is decided based on the stage of the disease and guidelines to follow the course of treatment are explained.

Some of the well-known top homeopathic remedies for Piles are Aesculus, Nux vomica, Ratanhia, Sulphur, Mille folium, Carbo veg, etc. But it is always recommended to take homeopathic medicines from a registered homeopathic practitioner only. The dosage and usage of the medicines can be known best to a homeopath.

If Ignored Where the disease may lead the patient to?